Urinary Incontinence and Bladder Clinic

Urinary incontinence is an embarrassing condition that can affect your personal life, your confidence and the overall quality of your day-to-day living.

Don't suffer in silence. We can help you to regain control

Bladder problems can affect many women and men and everyday tasks can become a challenge including social life, which can become very difficult. For some, the fear of leakage stops them working and enjoying life, resulting in feeling trapped by the consuming need to be near the bathroom.

Types of urinary incontinence

Urinary incontinence affects approximately one out of every five adult women in the United Kingdom, and is more prevalent than diabetes, hypertension, or depression. There are three main types of urinary incontinence: stress incontinence, urgency incontinence, or a combination of the two. Stress incontinence, is the commonest type in women and accounts for roughly 65% of all urinary incontinence.

Stress/effort urinary incontinence (SUI)

It occurs when you leak urine during physical activity like lifting, exercising, sneezing and coughing. Women often suffer unnecessarily with SUI. It can occur in any stage throughout a women's life: college; university; pregnancy; following childbirth; and on into the menopause. This condition results from a weakening of the pelvic supportive structures for the bladder, bladder neck and urethra, which can be caused by pregnancy, childbirth, obesity or pelvic surgery.

Stress urinary incontinence can also occur with prolapse of the bladder and therefore needs to be appropriately assessed and treated.

Treating your stress incontinence
The main treatment for stress urinary incontinence is surgery, following failure of pelvic floor exercises. The National Institute for Health and Care Excellence (NICE) in 2013 have recommended that women are offered and counselled about all forms of surgery. The commonest operation in the UK and around the world is a synthetic mesh called TVT (transvaginal tape) or transobturator tape (TOT). Other operations that can be offered include colposuspension, autologous fascial sling, bulking agents and artificial sphincters. Each has its own advantage and disadvantage which your surgeon should discuss with you.

Urgency incontinence

This is part of the overactive bladder which can affect 12% of the population. It occurs when you have an overwhelming need to urinate and are not able to hold urine long enough to reach a toilet. In other words, when you have to go, you have to go, but you leak before you reach the “loo”!

Treating your urgency incontinence
The main treatment for urgency incontinence is bladder training and tablets called anticholinergics or antimuscarinics. If these fail then treatment options include Botox into the bladder, sacral nerve stimulation or major surgery.

Before embarking on any surgery for SUI or urgency incontinence, you would need a special bladder investigation called urodynamics, so that the diagnosis is confirmed.

Mr Hashim Hashim is a world-renowned female and functional urologist. He is one of a handful of surgeons around the country who can offer all forms of treatment for stress urinary incontinence and urgency incontinence. He is also fellowship trained in prolapse surgery and can offer several forms of treatment for conditions affecting the bladder and urethra. He receives referrals from urologists, gynaecologists and general practitioners from Bristol and the south west as well as nationally and internationally. He is also director of the busiest urodynamics unit in the country, with an international reputation. He has trained several surgeons, from the UK and across the world, on urological surgical techniques and urodynamics.

Ask your doctor to refer you to Mr Hashim or to arrange a consultation with Mr Hashim please call his secretary on 07766044827 or our dedicated booking team line on 0117 980 4070 or email info@spirebristol.com.

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Consultant Urological Surgeon

Mr Hashim Hashim

© Spire Healthcare Group plc (2016)