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At Charak Hospital, our continence specialists treat all types of urinary incontinence with non-surgical and surgical solutions. Minimally invasive sling procedures, advanced medications, and pelvic floor therapy help you regain bladder control and independence.
Understanding the type guides targeted, effective treatment.
Most common type (50% of incontinence cases). Leakage with physical stress: coughing, sneezing, laughing, exercise, straining. Caused by pelvic floor weakness or urethral sphincter incompetence. More prevalent in women post-childbirth.
Sudden, uncontrollable urge to urinate followed by involuntary leakage. Caused by overactive bladder (detrusor muscle contractions). Associated with frequency and nocturia. More common with aging and neurological conditions.
Combination of stress and urge incontinence symptoms. Most common presentation (30% of cases). Requires tailored approach addressing both components. Predominant type guides initial therapy.
Chronic urinary retention with constant dribbling. Caused by complete urinary obstruction (enlarged prostate, stricture) or neurogenic bladder (spinal cord injury, diabetes). Requires catheter or surgical relief.
Identifying underlying causes ensures targeted treatment.
Comprehensive assessment guides optimal treatment selection.
Understand incontinence type, frequency, volume, and triggers. Voiding diary (frequency, urgency episodes, leakage events) objectively quantifies severity and tracks treatment response.
Urinalysis excludes UTI. Post-void residual (PVR) by ultrasound or catheter detects urinary retention (>100 mL abnormal). Critical for overflow incontinence diagnosis.
Gold standard for complex cases. Pressure-flow studies measure detrusor contractility, sphincter function, and compliance. Identifies overactive bladder, outlet obstruction, or neurogenic patterns.
Visualizes bladder neck descent during stress (revealing sphincter incompetence) and identifies structural abnormalities like fistulas, diverticula, or masses.
Stepwise approach from conservative to surgical management.
Kegel exercises and biofeedback training strengthen pelvic floor muscles. First-line for stress incontinence. 50-70% success with proper technique and compliance. Typically 8-12 week course. Insurance covered in many cases.
Timed voiding every 2-3 hours, fluid restriction, caffeine/alcohol elimination, and weight loss (10% reduction = 50% improvement in stress incontinence). Highly effective with good compliance.
Anticholinergics (oxybutynin, tolterodine) for urge incontinence: 40-60% improvement. Mirabegron (beta-3 agonist) activates bladder relaxation. Avoid in closed-angle glaucoma or urinary retention.
Injected into bladder detrusor for overactive bladder/urge incontinence refractory to medications. 70-80% success. Effects last 6-9 months; repeat injections needed. ₹50,000-₹80,000 per session.
Gold standard for stress incontinence. Minimally invasive mesh tape supports urethra. 85-90% success rate. Outpatient procedure, rapid recovery. 1-2 day return to light duties. ₹1,50,000-₹2,50,000.
For refractory urge incontinence. Implanted neuromodulator sends electrical signals to sacral nerves regulating bladder. 50-70% improvement in refractory cases. ₹4,00,000-₹6,00,000.
Urologists and gynecologic urologists with advanced training in incontinence diagnosis and treatment.
Urodynamic studies, videocystourethrography, and ultrasound for comprehensive evaluation.
Outpatient TVT/TOT procedures with minimal recovery time and high success rates.
On-site physical therapy with biofeedback for optimal conservative management.
Conservative therapy ₹2,000-₹10,000. Sling surgery ₹1,50,000-₹2,50,000. Insurance accepted.
All procedures meet highest safety and quality standards.
Post-treatment expectations and long-term outcomes.
📍 Charak Hospital & Research Centre, Hardoi Road, near Safaid Masjid, Dubagga, Lucknow – 226003.
Serving patients from Lucknow, Hardoi, Sitapur, Unnao, Barabanki and across Uttar Pradesh.
Specialized urology care from fellowship-trained urologists with 15+ years of experience.
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