Do not suffer in silence! We can help. We specialize in treatment of weak and overactive bladders. The majority of people can be treated without surgery.
This is leakage of urine on coughing, laughing or physical activity. It is due to weakness of the tissues supporting the base of the bladder.
It can usually be improved with treatment from a specialist physiotherapist. Some people require surgery including the TVT or TOT operations. Most patients’ symptoms are improved significantly by these operations but it is important that the operation is performed a surgeon who has undergone specific training and has established experience in managing patients undergoing this surgery. Mr Yardy is a member of the United Kingdom Continence Society and has been performing TVT / TOT operations since 2008.
This is a less invasive treatment for female stress urinary incontinence. It involves injections of polyacrylamide gel into the bladder neck to decrease leakage. This treatment is particularly appropriate for women who would prefer to avoid surgery with artificial mesh / tape, or who wish to consider future vaginal childbirth.
Overactive bladder symptoms include the sudden urge to pass urine, going too often, urinary leakage after a sudden urge and getting up frequently at night to go to the toilet.
This is a very common condition which can have a significant impact on day-to-day activities, work and quality of life. There are a variety of effective treatment options for this including bladder retraining, drug treatment and bladder Botox injections. More invasive surgical treatment is now rarely required.
Bladder Botox injections
The detrusor is a layer of muscle wrapped around the bladder which contracts to empty the bladder when you pass urine. Overactive bladder symptoms are often caused by overactivity of this muscle (“detrusor overactivity” – DO). DO is sometimes caused by neurological problems but more often no cause is identified. Bladder Botox injections treat DO by partially paralysing the detrusor muscle and by interfering with the sensitivity of the bladder.
This treatment can also be helpful in Bladder Pain Syndrome. Bladder Botox injections can be given under general or local anaesthetic. A cystoscope (a fine telescope) is introduced down the water pipe into the bladder and dilute Botox is carefully injected into 20 areas spread throughout the bladder. The treatment drastically decreases urinary urgency, frequency and leakage but gradually wears off so repeat treatments are required every 12 months or so. Many people find repeat treatments under local anaesthetic more convenient.
“Cystitis” means inflammation or irritation of the bladder and causes symptoms like needing to go too frequently, tummy pain and burning urine.
It can often be managed satisfactorily by increasing your fluid intake and taking treatments available from the chemist, or is otherwise usually cured by a short course of antibiotics. A few people go on to develop troublesome recurrent urine infections which will require more tests and a number of different types of treatment to bring them under control.
IC often called Bladdar Pain Syndrome is characterised by symptoms including urinary urgency and frequency and, especially, lower abdominal discomfort when the bladder is full, with some relief of pain on passing urine. The cause of IC is not fully understood but contributory factors may include dietary triggers, problems with the normal lining of the bladder, changes in nerves within the bladder and abnormal function of the immune system.
In some people the symptoms are quite minor, in others they are much more severe and debilitating, and in others they can fluctuate between extremes. There are many effective treatments available, ranging from lifestyle and dietary advice, to medications (some taken by mouth and some put into the bladder), to bladder Botox injections. Occasionally, more invasive treatments and operations are required.
It is important for these symptoms to be assessed and addressed early on. People often respond differently to the various treatments so it is important for management to be individualised.