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Urinary Incontinence & Overactive Bladder
Bladder control issues are far more than a physical symptom; they can dictate where you go, what you wear, and how you feel about your social life. Whether it is a leak when you cough or a sudden 'must-go' urge that strikes without warning, these conditions are highly treatable. At Kinvara Private Hospital, we provide a supportive, discreet environment to move you from 'managing' symptoms with pads to addressing the root cause.
Medically Reviewed By
Mr Vasu Karri, Medical Director • Updated Updated 25-01-2026
Urinary incontinence is generally divided into two main types: Stress Incontinence, where physical pressure (like sneezing or lifting) causes leakage, and Urge Incontinence, often caused by an Overactive Bladder (OAB) that contracts before it is full. Many patients suffer from a combination of both, known as 'Mixed Incontinence.' Our urological team specialises in identifying these specific triggers through advanced urodynamic testing - a process that measures exactly how your bladder behaves as it fills and empties.
Once we understand your bladder's unique profile, we offer a range of modern interventions. This includes everything from consultant-led pelvic floor rehabilitation and the latest bladder-relaxing medications (such as Mirabegron) to highly effective, minimally invasive surgical options like Bulkamid® injections for stress leakage or Botox® therapy to calm an overactive bladder muscle.
Who is this for?
- You are wearing pads 'just in case' every day.
- You have to wake up more than twice a night to pee.
- You avoid exercise or social outings due to fear of leakage.
- You have tried 'standard' pelvic floor exercises without success.
- You have symptoms of menopause-related vaginal dryness/urgency (Genitourinary Syndrome of Menopause).
Understanding Your Bladder
A healthy bladder works in a simple cycle: the detrusor muscle relaxes as the bladder fills, and the pelvic floor/sphincter muscles stay tight to keep the 'exit' closed. Incontinence occurs when this coordination fails.
In Stress Incontinence, the pelvic floor is weakened (often by childbirth, menopause, or surgery), meaning it cannot withstand sudden pressure. In Overactive Bladder (OAB), the detrusor muscle is 'irritable' and spasms, sending signals of urgency even when the bladder is mostly empty. While aging and hormones play a role, lifestyle triggers like caffeine, artificial sweeteners, and smoking can significantly aggravate the bladder lining. Our approach is to investigate both the structural strength of your pelvic floor and the neurological sensitivity of your bladder muscle.
Benefits of Urinary Incontinence Treatment at Kinvara Private Hospital
- Targeted Treatment: Urodynamic testing ensures you aren't taking medication for the wrong type of incontinence.
- Fast Access to Specialists: Rapid referral to urogynaecologists and specialist physiotherapists to start treatment immediately.
- Modern Interventions: Access to Bulkamid® (a long-lasting water-based gel) which offers an 80% success rate for stress incontinence without major surgery.
- Restored Confidence: Say goodbye to 'toilet mapping' (constantly checking where the nearest bathroom is) and return to active hobbies.
- Long-term Relief: Botox injections can provide 6–12 months of relief for those who find OAB medications ineffective or cause a dry mouth.
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