Dear Sally Both types of incontinence are related but also need to be investigated independently. The order of which they are managed are with the predominant being treated first. However there is a close relationship with both types of incontinence and treatment for one can help the other. For exam...

Irritable bowel syndrome (IBS) for the whole is managed by making changes to the diet and lifestyle. This include avoiding certain foods and triggers, increasing exercise. Stress can impact on IBS and changing the amount of fibre can help. Once such measures have failed, sacral neuromodulation may h...

Dear Sarah It would appear that you have long standing issues with incontinence. The treatment will depend on the actual cause of the incontinence. Combination of medication and physiotherapy can help urinary incontinence. If there is failure of medication and conservative measures, then a referral ...

Developing an overactive bladder after TVT can occur in at least 10% of patients in patients without prior urgency . If the initial medication has failed (presumedly anticholinergics) then a beta 3 agonist can be tried. After failure of lifestyle interventions and medications, intradetrusor botox an...

Dear Anna I have included the summary below that i have mentioned in a previous post. Lifestyle interventions and initial medication described below would be appropriate to discuss with your GP. Overactive bladder is a common condition that affects over 12% of the population over the age of 40. The ...

Dear Tina

If you have tried conservative measures and failed medication such as anticholinergics and beta 3 agonists, then you can ask for a referral to secondary care. The options include intradetrusor botox or sacral neuromodulation. Ideally you want to be referred to a centre that can offer both.

If the treatment is not provided by your local hospital then a referral can be made directly by your GP to a centre that provides such treatment even outside the area you live.

Sacral neuromodulation (SNM) would be an option in most patients with overactive bladder. Sacral neuromodulation may not be suitable for patients with neurological diseases such as multiple sclerosis, spina bifida or severe sciatica. Sacral Neuromodulation does not pose any issues with recurrent uri...

Recurrent urinary infection are a common issue and can affect a least 50% of the female population at some point in their life. Conservative management can include increasing fluid intake and avoiding certain triggers for infection. Various strategies can be used to try and reduce such infections. I...

Overactive bladder is a common condition that affects over 12% of the population over the age of 40. The condition consists of the key symptoms of urgency. This is a sudden compelling desire to void which is difficult to defer. Red flag symptoms such as haematuria( blood in urine) need to be investi...