Expert Care for Frequent Urination and Urine Leakage

Types of urinary incontinence

Urinary incontinence means leaking urine when you do not intend to. It is common in both women and men, but it is not a normal part of ageing and it can usually be improved.

• Stress incontinence: leaking on coughing, sneezing, laughing or lifting. Common after childbirth and menopause, and in men after prostate surgery
• Urge incontinence / overactive bladder (OAB): a sudden strong urge, frequent urination and leaking before you reach the toilet
• Mixed incontinence: a combination of stress and urge symptoms
• Overflow incontinence: dribbling because the bladder does not empty fully, often due to an enlarged prostate or nerve problems such as diabetes
• Nocturia: waking more than once at night to pass urine

How we find the cause

• A detailed history and a 3-day bladder diary of fluid intake and urine output
• Urine test to rule out infection, and blood sugar check
• Ultrasound with post-void residual urine measurement
• Uroflowmetry, and urodynamic study when surgery is being considered

Treatment options

Lifestyle and bladder training: correct fluid timing, cutting caffeine and alcohol, weight loss, treating constipation and timed voiding.

Pelvic floor (Kegel) exercises: guided physiotherapy helps most stress incontinence and post-prostatectomy leakage.

Medicines: bladder-relaxing tablets such as anticholinergics or mirabegron for overactive bladder, and prostate medicines for men with obstruction.

Procedures:

• Botox injection into the bladder for overactive bladder that does not respond to tablets
• Mid-urethral sling surgery for female stress incontinence
• Male sling or artificial urinary sphincter for leakage after prostate surgery
• Treating the cause of overflow, for example laser prostate surgery (HoLEP)

When to see a urologist

Book a visit if leakage affects your work, sleep, travel or confidence, or if you also notice burning, blood in the urine, a weak stream or difficulty emptying. Many patients wait years out of embarrassment. A private consultation is the first step to dry, confident days.

Urinary incontinence treatment in Koramangala and Bellandur

Dr. Bivek Kumar (MCh Urology, FRSM) has more than 18 years of experience and over 11,000 urological surgeries. He consults at Superhealth Hospital, Koramangala (Mon–Sat, 9 am–6 pm) and Nelivigi Multispeciality Hospital, Bellandur (Tue, Thu & Sat, 7–8 pm; Sunday by appointment only), in English, Hindi, Kannada and Bengali. Book an appointment or call to discuss your reports.