Urinary symptoms are common but should never be self-treated for long. Repeated infections, painless bleeding or a sudden inability to pass urine all need evaluation to find the underlying cause — stones, obstruction, an overactive bladder or, occasionally, a tumour.
Procedures we perform
- UTI
- Urinary Retention
- Urinary Incontinence
- Blood in Urine
Symptoms that need review
- Burning or painful urination
- Frequency and urgency
- Cloudy or foul-smelling urine
- Visible blood in urine
- Leakage on coughing, laughing or on the way to the toilet
Common causes
- Bacterial infection of the bladder or kidney
- Bladder outlet obstruction from prostate enlargement or stricture
- Stones in bladder or ureter
- Weak pelvic floor after childbirth or with age
- Diabetes and poor bladder emptying
How we diagnose
- Urine routine, microscopy and culture
- Ultrasound with post-void residual measurement
- Cystoscopy for unexplained bleeding
- Urodynamic study for complex incontinence
- CT urography where a tumour is suspected
Treatment options
Targeted antibiotics
Chosen by culture report rather than guesswork, with a prevention plan for recurrent UTI.
Catheterisation and cause correction
Immediate relief for retention, then treatment of the obstruction responsible.
Bladder retraining and pelvic floor therapy
First-line treatment for most incontinence, with medication when needed.
Endoscopic evaluation
Cystoscopy to identify and treat the source of bleeding or obstruction.
Recovery
Most infections settle within a week of correct antibiotics. Incontinence programmes show benefit in six to twelve weeks of consistent pelvic floor training.
Frequently asked
Information on this website is for patient education only and does not replace an in-person consultation. Treatment results vary between individuals and no outcome is guaranteed.