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Urinary Incontinence (Urine Leak) Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic provides a structured, evidence-based approach to urinary incontinence — loss of bladder control that affects both women and men. Under the expertise of Dr. Aditya Sengar (Urologist), we offer accurate diagnosis using clinical assessment, bladder ultrasound and urodynamic testing followed by stepwise treatment: conservative measures and pelvic floor rehabilitation, medical therapy, minimally invasive interventions (botulinum toxin, urethral bulking), surgical reconstruction for stress incontinence, neuromodulation and artificial urinary sphincter for selected patients.
What is Urinary Incontinence?
Urinary incontinence refers to involuntary leakage of urine. It can range from occasional
small leaks with exertion to continuous leakage that significantly impacts quality of life.
Correct classification into stress, urgency, mixed, overflow or neurogenic types is essential
to determine targeted therapy.
Stress Urinary Incontinence (SUI)
Leakage with physical effort, coughing, sneezing or exercise due to urethral
sphincter weakness or loss of pelvic support. Common after childbirth, pelvic surgery
or with aging. Surgical mid-urethral sling or pelvic floor therapy are mainstays of treatment.
Urgency Urinary Incontinence / Overactive Bladder (OAB)
Characterised by a sudden compelling desire to void and urge-related leakage. Managed with
bladder training, antimuscarinic or beta-3 agonist medications, botulinum toxin injections
and neuromodulation if refractory.
Mixed Incontinence
Combination of stress and urgency incontinence. Treatment is individualized to address the
dominant component, often combining pelvic floor rehabilitation with medical therapy.
Overflow & Neurogenic Incontinence
Overflow results from incomplete bladder emptying (obstruction or detrusor underactivity).
Neurogenic bladder due to spinal injury, multiple sclerosis or diabetes can cause complex
storage and emptying problems requiring neuro-urological care.
Causes & Risk Factors for Urinary Incontinence
Common contributors include:
1. Childbirth & Pelvic Floor Injury – Vaginal delivery can damage pelvic support structures.
2. Menopause & Low Estrogen – Reduces urethral mucosal coaptation and pelvic tone.
3. Prostate Surgery (in Men) – Radical prostatectomy may cause stress incontinence.
4. Neurological Disease – Diabetes, stroke, spinal injury affecting bladder control.
5. Chronic Bladder Irritants – Caffeine, bladder infections and medications.
6. Obesity & Chronic Cough – Increase intra-abdominal pressure and stress on continence mechanism.
A systematic evaluation with history, voiding diary, examination, urine tests, bladder scan and urodynamics when needed helps identify the cause and guide an effective treatment plan.
1. Childbirth & Pelvic Floor Injury – Vaginal delivery can damage pelvic support structures.
2. Menopause & Low Estrogen – Reduces urethral mucosal coaptation and pelvic tone.
3. Prostate Surgery (in Men) – Radical prostatectomy may cause stress incontinence.
4. Neurological Disease – Diabetes, stroke, spinal injury affecting bladder control.
5. Chronic Bladder Irritants – Caffeine, bladder infections and medications.
6. Obesity & Chronic Cough – Increase intra-abdominal pressure and stress on continence mechanism.
A systematic evaluation with history, voiding diary, examination, urine tests, bladder scan and urodynamics when needed helps identify the cause and guide an effective treatment plan.
Why Choose Swastik Urology Clinic for Urinary Incontinence Treatment?
Swastik Urology Clinic provides multidisciplinary, evidence-based care:
• Expert Urological Assessment – Dr. Aditya Sengar
Clinical experience in diagnosing and treating all types of urinary incontinence for both sexes.
• Complete Diagnostic Workup
Includes voiding diary analysis, bladder scan for post-void residual, ultrasound and video/pressure-flow urodynamics.
• Specialist Pelvic Floor Physiotherapy
Supervised pelvic floor muscle training and biofeedback to restore urethral support and improve continence.
• Full Range of Therapies
From conservative management and medications to botulinum toxin bladder injections, sacral neuromodulation, mid-urethral slings and artificial urinary sphincter implantation.
• Personalised & Confidential Care
Individualised treatment plans with attention to patient goals, fertility concerns and quality of life.
• Expert Urological Assessment – Dr. Aditya Sengar
Clinical experience in diagnosing and treating all types of urinary incontinence for both sexes.
• Complete Diagnostic Workup
Includes voiding diary analysis, bladder scan for post-void residual, ultrasound and video/pressure-flow urodynamics.
• Specialist Pelvic Floor Physiotherapy
Supervised pelvic floor muscle training and biofeedback to restore urethral support and improve continence.
• Full Range of Therapies
From conservative management and medications to botulinum toxin bladder injections, sacral neuromodulation, mid-urethral slings and artificial urinary sphincter implantation.
• Personalised & Confidential Care
Individualised treatment plans with attention to patient goals, fertility concerns and quality of life.
Urinary Incontinence Treatment Options at Swastik Urology Clinic
Treatment is tailored to incontinence type, severity and patient preference:
1. Conservative Measures
• Bladder training and timed voiding
• Fluid management and avoidance of bladder irritants
• Weight reduction and cough control
2. Pelvic Floor Muscle Training & Biofeedback
• Supervised physiotherapy programs with home exercises
3. Medical Therapy
• Antimuscarinics (oxybutynin, tolterodine) and beta-3 agonists (mirabegron) for OAB
• Topical vaginal estrogen for postmenopausal women with urethral atrophy
4. Minimally Invasive Interventions
• Urethral bulking agents for mild-to-moderate intrinsic sphincter deficiency
• Intradetrusor botulinum toxin injections for refractory overactive bladder
5. Surgical Options for Stress Incontinence
• Mid-urethral synthetic sling (Tension-free vaginal tape / transobturator sling)
• Autologous fascia sling or colposuspension in select cases
6. Neuromodulation & Advanced Therapies
• Sacral neuromodulation (interStim) for refractory urgency/urge incontinence
• Percutaneous tibial nerve stimulation (PTNS) as a less invasive neuromodulation option
7. Artificial Urinary Sphincter (AUS)
• Gold-standard for severe male sphincter deficiency post-prostatectomy or complex cases requiring reliable continence mechanism.
Your urologist will discuss risks, benefits and expected outcomes to choose the safest and most effective option.
1. Conservative Measures
• Bladder training and timed voiding
• Fluid management and avoidance of bladder irritants
• Weight reduction and cough control
2. Pelvic Floor Muscle Training & Biofeedback
• Supervised physiotherapy programs with home exercises
3. Medical Therapy
• Antimuscarinics (oxybutynin, tolterodine) and beta-3 agonists (mirabegron) for OAB
• Topical vaginal estrogen for postmenopausal women with urethral atrophy
4. Minimally Invasive Interventions
• Urethral bulking agents for mild-to-moderate intrinsic sphincter deficiency
• Intradetrusor botulinum toxin injections for refractory overactive bladder
5. Surgical Options for Stress Incontinence
• Mid-urethral synthetic sling (Tension-free vaginal tape / transobturator sling)
• Autologous fascia sling or colposuspension in select cases
6. Neuromodulation & Advanced Therapies
• Sacral neuromodulation (interStim) for refractory urgency/urge incontinence
• Percutaneous tibial nerve stimulation (PTNS) as a less invasive neuromodulation option
7. Artificial Urinary Sphincter (AUS)
• Gold-standard for severe male sphincter deficiency post-prostatectomy or complex cases requiring reliable continence mechanism.
Your urologist will discuss risks, benefits and expected outcomes to choose the safest and most effective option.
When should I see a urologist for urinary incontinence?
Consult a urologist if incontinence affects daily activities, is progressive, causes skin problems, recurrent infections or if conservative measures fail. Early assessment avoids complications and identifies treatable causes.
Can pelvic floor exercises cure urinary incontinence?
Pelvic floor muscle training supervised by a specialist can significantly improve stress and mixed incontinence and is first-line therapy. Effectiveness depends on adherence, correct technique and severity of sphincter deficiency.
Are botulinum toxin injections safe for overactive bladder?
Intradetrusor onabotulinumtoxinA is an evidence-based option for refractory OAB. It reduces urgency and leakage but may cause temporary urinary retention in some patients; therefore post-procedure monitoring and the ability to catheterise may be necessary.
What is the success rate of mid-urethral sling surgery?
Mid-urethral sling procedures have high short- and medium-term success rates for stress urinary incontinence, with many patients achieving significant reduction or cure of leaks. Long-term outcomes depend on patient factors and surgical technique.