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Conditions · Overactive Bladder Overactive bladder? Calmer control, clinically managed.

From sudden urges to disrupted sleep - accurate diagnosis and the full range of treatment with one consultant, at 4 private London hospitals. No GP referral needed.

Mr Maneesh Ghei Treated personally by Mr Maneesh GheiConsultant Urological Surgeon · GMC 5208045 BupaPlatinum Consultant
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DaysNot months -
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GMCRegistered 5208045
FRCS (Urol)
Insured or Self-PayAll major insurers accepted
In short

An overactive bladder is a sudden, frequent urge to urinate caused by the bladder muscle contracting before it is full, often with waking at night and leaking before you reach a toilet. Treatment ranges from bladder training and medication to nerve stimulation, chosen to match how OAB is affecting you.

Medically reviewed by Mr Maneesh Ghei·GMC 5208045·September 2026

Recognise It

The signs of an overactive bladder

Urgency

A sudden, intense urge to urinate that is difficult to delay.

Frequency

Needing to urinate more than eight times in 24 hours.

Nocturia

Waking multiple times at night to urinate, disrupting sleep.

Urge incontinence

Urine is lost before you can reach a bathroom.

Your Options

Every treatment, under one consultant

Behavioural techniques

Fluid management, bladder training and scheduled toilet trips to improve control.

Pelvic floor muscle exercises

Strengthening the muscles that help stop urine flow.

Medication

Antimuscarinics or beta-3 agonists relax the bladder and increase how much it can hold.

Nerve stimulation & surgery

Techniques such as tibial nerve stimulation, sacral neuromodulation or Botox injections when other treatments have not worked.

Simple, Fast, Clear

From urgency to control in 3 steps

1

Book an assessment

Symptoms disrupting your day or your sleep deserve a clear answer, usually within a few days.

2

Diagnosis

A bladder diary and urodynamic testing show exactly how your bladder is behaving.

3

The right treatment

From bladder training to medication or nerve stimulation - matched to your symptoms.

Mr Maneesh Ghei, Consultant Urological Surgeon
GMC 5208045 · FRCS (Urol)
Your Consultant

Mr Maneesh Ghei

MBBS, MS, MRCSEd, MD (UCL), FRCS (Urol)

Mr Ghei is a consultant urological surgeon with a specialist focus on prostate diagnosis and treatment. He holds a Research MD from University College London and is a Fellow of the Royal College of Surgeons.

In his NHS role he is Cancer Lead and Academic Lead at Whittington Hospital London - one of a small number of consultant urologists in the UK to hold both positions. Every private patient is cared for by Mr Ghei personally, from first appointment through to any treatment that follows.

Cancer Lead · Whittington Hospital BupaPlatinum recognised consultant English · Hindi · Punjabi · Urdu
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Common Questions

Before you book

Is an overactive bladder just part of ageing?
It becomes more common with age, but it is not an inevitable part of getting older. It is often linked to an underlying cause such as prostate enlargement in men or reduced oestrogen after the menopause in women, and effective treatments are available.
Can pelvic floor exercises really help?
Yes. Regularly strengthening the pelvic floor muscles improves bladder control and can reduce both urgency and urge incontinence, though it may take three to six months of consistent practice to see the full benefit.
How long does treatment take to work?
Bladder training can take several weeks to show benefit, medication often needs up to three months for its full effect, and nerve stimulation may need several sessions before symptoms improve.
Do I need a referral to book?
No GP referral is needed to see Mr Ghei privately. Insured and self-pay patients are both welcome.
Take the First Step

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