Is leaking urine a normal part of ageing?
No. It is common, but it is not something you simply have to accept. Most women improve with exercises, bladder training, medicines or, if needed, a procedure.
Do pelvic floor exercises really work?
Yes, for many women with stress leakage — if done correctly and regularly for at least 3 months. We can check you are doing them the right way.
Should I drink less water to avoid leaking?
Not too little. Very low fluid intake makes urine concentrated and can irritate the bladder. Aim for a sensible amount and cut down on tea, coffee and colas instead.
Will I need surgery?
Most women do not. Surgery is considered only for stress leakage that continues to bother you after exercises, and is discussed in detail beforehand.
Is the examination done privately?
Yes. Consultations are private, the examination is explained before it is done, and a female attendant is present.
What is a bladder diary?
A simple 3-day record of what you drink, when you pass urine, how much, and any leaks. It shows patterns that guide treatment.
What is overactive bladder (OAB)?
A condition in which the bladder muscle squeezes before the bladder is full, causing a sudden, hard-to-delay urge to pass urine, usually with frequent passing by day and at night, with or without leakage. It is diagnosed after infection and other causes are ruled out.
Can men have overactive bladder?
Yes. OAB affects men as well as women. In men, an enlarged prostate can cause similar symptoms, so the prostate and the amount of urine left after passing are checked first.
Do OAB medicines have to be taken for life?
Not always. Medicines are combined with bladder training, and many people can reduce or stop them later. Treatment is reviewed every few months.
Is Botox in the bladder safe?
It is a well-established treatment for OAB that does not respond to medicines. It is given through a cystoscope, lasts about 6–9 months, and a small number of people need to empty the bladder with a catheter for a while afterwards.
How do I fill in a bladder diary?
For 3 days, note the time and amount every time you pass urine (use a measuring jug if possible), every drink, how strong the urge was, and any leaks. You can fill in the diary on this page — it saves on your phone — and then print it, save it as a PDF or send the summary to the clinic. You can also print a blank diary to fill in by hand.
