Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Urology · Continence
Urinary Incontinence Treatment in Hyderabad: Discreet Care at Lux Hospitals
Urinary incontinence is extremely common and enormously under-reported. Most people wait years before mentioning it, managing quietly with pads and by mapping every toilet on every journey.
It is also highly treatable, and the treatment depends entirely on which type you have. Our urologists at Lux Hospitals, HITEC CITY establish that properly and treat accordingly, from pelvic floor therapy through to sling surgery.
- Private & Discreet
- Non-Surgical First
- Minimally Invasive Surgery
What is Urinary Incontinence?
Urinary incontinence is any involuntary leakage of urine. It ranges from a few drops on coughing to complete loss of bladder control, and it affects a large proportion of women and a significant number of men: far more than ever seek help for it.
There are five types, and distinguishing them is the whole of the diagnostic task. Stress incontinence is leakage on coughing, sneezing, laughing or exercising, caused by a weak pelvic floor or urethral sphincter. Urge incontinence is leakage preceded by a sudden overwhelming need to go, caused by an overactive bladder muscle. Overflow incontinence is constant dribbling from a bladder that never empties. Functional incontinence is when you simply cannot reach the toilet in time. Mixed incontinence combines stress and urge.
The reason this matters is that the treatments are almost opposite. Stress incontinence responds to strengthening the pelvic floor and to surgery that supports the urethra. Urge incontinence responds to calming the bladder with medication or Botox, and a sling operation would not help it at all.
Causes of Urinary Incontinence
The causes differ by type, and several often coexist in the same person.
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Childbirth and pregnancy
Vaginal delivery stretches and can damage the pelvic floor and its nerves. The leading cause of stress incontinence in women.
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Menopause
Falling oestrogen thins the urethral and vaginal tissues, weakening the seal that maintains continence.
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Prostate surgery
The commonest cause in men. Surgery near the sphincter, particularly radical prostatectomy for cancer, can leave stress incontinence.
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Overactive bladder
The bladder muscle contracts involuntarily before it is full, producing the sudden urgency of urge incontinence.
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Neurological conditions
Parkinson’s disease, multiple sclerosis, stroke and spinal injury all disrupt the nerve signals coordinating bladder control.
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Obstruction and overflow
Prostate enlargement or a stricture prevents complete emptying, and urine eventually overflows from a chronically full bladder.
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Obesity
Raises abdominal pressure continuously, worsening stress incontinence. Weight loss produces measurable improvement.
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Medications and irritants
Diuretics, sedatives and some blood pressure drugs contribute, as do caffeine, alcohol and fizzy drinks.
Reviewing medications and cutting caffeine are among the simplest interventions, and they help a surprising proportion of patients before anything else is tried.
Types & Symptoms
The pattern of when you leak is what identifies the type. It is worth paying attention to before the consultation.
Stress incontinence
- Leaking when coughing, sneezing or laughing
- Leaking on lifting, exercising or standing up
- Small volumes lost, without warning
- No preceding urge to pass urine
- Worse when the bladder is fuller
- Common after childbirth and after prostate surgery
Urge & other types
- A sudden overwhelming urge, then leakage before reaching the toilet
- Frequent urination, including at night
- Leaking triggered by running water or arriving home
- Constant dribbling from a bladder that never empties
- Wetting the bed at night
- Leaking with no sensation of needing to go at all
Leaking without any warning at all, or continuous dribbling, points toward overflow from a bladder that is not emptying, which needs prompt assessment, since it can affect the kidneys.
How Incontinence is Diagnosed
The aim is to establish which type you have, because that determines everything about the treatment.
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Bladder diary
Three days recording fluid intake, voids, volumes and leakage episodes. The single most informative part of the whole assessment.
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Clinical examination
Assessing pelvic floor strength, checking for prolapse in women and prostate size in men, and observing leakage on coughing.
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Urine tests
Excluding infection and diabetes, both of which cause or worsen incontinence and are simply treated.
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Post-void residual ultrasound
Measuring urine left after voiding. A high residual indicates overflow incontinence, which needs entirely different treatment.
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Urodynamic studies
Pressure measurements during bladder filling and voiding. Reserved for unclear cases and before any surgery is considered.
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Cystoscopy
Direct bladder inspection where there is blood in the urine, pain, or a suspicion of a stone or fistula.
Fill in the bladder diary honestly. Nothing in it will surprise us, and an accurate picture of when and how much you leak is what identifies the type correctly.
Treatment Options
Most patients improve substantially without surgery. What works depends entirely on the type, which is why the diagnosis comes first.
Non-surgical
Conservative and medical treatment
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Pelvic floor muscle training
Supervised strengthening, ideally with biofeedback. The first-line treatment for stress incontinence, and effective in the majority who do it properly.
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Bladder retraining
Gradually extending the interval between voids to increase bladder capacity and reduce urgency. The core treatment for urge incontinence.
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Lifestyle modification
Weight reduction, cutting caffeine, alcohol and fizzy drinks, treating constipation and reviewing medications.
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Anticholinergics and beta-3 agonists
Medication calming an overactive bladder, reducing urgency and leakage episodes in urge incontinence.
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Vaginal oestrogen
For post-menopausal women, restoring the thickness and seal of the urethral tissues. Simple and often effective.
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Pessaries and devices
A vaginal pessary supporting the urethra, useful where prolapse contributes or surgery is not wanted.
Procedural
Procedural and surgical treatment
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Bladder Botox
Botulinum toxin injected into the bladder wall through a cystoscope, relaxing an overactive bladder for six to nine months. Highly effective for urge incontinence.
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Mid-urethral sling
A tape placed to support the urethra, the standard operation for stress incontinence in women. Day case, with rapid recovery and high success rates.
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Colposuspension
Lifting and supporting the bladder neck with sutures. An alternative to a sling, particularly where mesh is not wanted.
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Male sling
Supporting the urethra in men with mild to moderate stress incontinence after prostate surgery.
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Artificial urinary sphincter
An implanted cuff giving reliable continence in men with severe stress incontinence after prostate surgery. The gold standard for that group.
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Sacral neuromodulation
An implanted device modulating the nerves controlling the bladder, trialled with a temporary wire before anything is implanted permanently.
Bladder Botox has transformed urge incontinence treatment for patients who cannot tolerate or do not respond to tablets. It is done through a cystoscope, takes minutes, and lasts six to nine months.
What Sling Surgery Involves
A twenty to thirty minute day-case procedure for stress incontinence in women, with most patients home the same day.
Mid-urethral sling
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Pre-operative assessment
Type confirmed on urodynamics, infection excluded, and residual volume checked. A sling on urge incontinence would not help.
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Anaesthesia
Spinal, general or occasionally local anaesthesia with sedation, depending on your preference and medical history.
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The vaginal incision
A small incision in the front vaginal wall beneath the mid-urethra, giving access to place the tape.
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Placing the tape
A narrow polypropylene tape is passed beneath the mid-urethra and out through two tiny exit points, either above the pubic bone or in the groin.
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Adjusting tension
The tape is set to support the urethra without compressing it: loose enough to void freely, firm enough to prevent leakage. This judgement determines the result.
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Checking with cystoscopy
The bladder is inspected to confirm the tape has not passed through it, which is a recognised and immediately correctable complication.
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Closure and discharge
The small incisions are closed, voiding is confirmed before discharge, and you go home the same day.
Tape tension is the whole art of this operation. Too loose and leakage persists; too tight and you cannot empty properly. It is set with the bladder full and tested during the procedure.
Why Choose Lux Hospitals for Incontinence Treatment?
Getting the type right is the whole battle, because the treatments for stress and urge incontinence are almost opposite. Here is why patients trust us:
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Accurate typing
Bladder diary, residual volume and urodynamics where needed, so treatment matches the type rather than the symptom.
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Private and discreet
Consultations in private with staff for whom this is an everyday conversation rather than an awkward one.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Long-Term Management
Non-surgical treatment improves gradually over weeks. Sling surgery gives immediate improvement with a short recovery.
- Weeks 1–4
Pelvic floor training and bladder retraining begin. Lifestyle changes and any medication started. Improvement is gradual.
- Weeks 4–12
Most of the benefit from conservative treatment appears in this window. Formal reassessment at twelve weeks.
- After sling surgery: days 0–7
Home the same day. Some discomfort and a slower stream initially. Avoid lifting, straining and intercourse.
- Weeks 2–6 after surgery
Return to desk work at two weeks, normal activity at six. Continence is usually apparent immediately.
- Long term
Pelvic floor exercises continue indefinitely. Botox is repeated every six to nine months where it is being used.
Aftercare
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Keep doing pelvic floor exercises
Indefinitely, even after successful surgery. Pelvic floor strength behaves like any other muscle and fades when training stops.
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Manage weight and constipation
Both raise abdominal pressure continuously. Addressing them improves symptoms and protects any surgical repair.
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Avoid bladder irritants
Caffeine, alcohol and fizzy drinks all worsen urgency. Cutting them is simple and frequently effective.
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Avoid heavy lifting after surgery
Nothing heavy for six weeks after a sling, so the tape settles into position without being pulled.
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When to call us
Inability to pass urine after surgery, fever, vaginal discharge or bleeding, or pain during intercourse.
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Do not manage it silently
Most people wait years before seeking help. It is common, it is treatable, and it is a routine conversation here.
The great majority of patients improve substantially, and many achieve complete continence. The main obstacle to that is how long people wait before asking.
When Should You See a Urologist?
Book a consultation if any of the following apply.
- Any leakage of urine, however occasional.
- Leaking when coughing, sneezing, laughing or exercising.
- Sudden urges leaving too little time to reach a toilet.
- Wearing pads, or planning your day around toilet access.
- Constant dribbling, or leaking with no sensation at all.
- Leakage after prostate surgery or childbirth.
Cost of Incontinence Treatment in Hyderabad
Most patients are treated without surgery at modest cost. These are the ranges our patients fall into.
| Procedure | Estimated Cost |
|---|---|
| Consultation & assessment Per visit | ₹800 – ₹1,500 |
| Urine tests & ultrasound Including residual volume | ₹1,500 – ₹4,000 |
| Urodynamic studies Before surgery or in unclear cases | ₹8,000 – ₹18,000 |
| Pelvic floor therapy programme Six to twelve supervised sessions | ₹10,000 – ₹25,000 |
| Bladder Botox injection Day care; lasts six to nine months | ₹45,000 – ₹90,000 |
| Mid-urethral sling Day care or one night | ₹90,000 – ₹1,80,000 |
| Artificial urinary sphincter Includes the implanted device | ₹4,50,000 – ₹7,50,000 |
What changes the estimate
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Type of incontinence
Urge incontinence is usually managed medically. Stress incontinence needing surgery is a larger cost.
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Device costs
An artificial sphincter is dominated by the price of the implant, which is why it is reserved for severe cases.
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Repeat treatment
Bladder Botox lasts six to nine months and needs repeating, which should be factored into the comparison with surgery.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Urology Treatments
Our Surgeons
Urinary Incontinence Specialists at Lux Hospitals
The urologists who treat urinary incontinence at our HITEC CITY hospital.
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Dr. Vipin Reddy B
Consultant Urologist & Andrologist
MBBS, MS, DrNB (Urology)
10 years experience
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Dr. Sreeniketh Reddy
Consultant Urologist & Andrologist
MBBS, MS, MCh (Urology)
9 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for bladder and urological conditions at Lux Hospitals, Hyderabad.
From the Blog
Latest Health Articles by Lux
Written by Dr. Vipin Reddy B on bladder health, continence and urological care.
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Polycystic Kidney Disease: Treatment Without Surgery
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Got Questions?
Frequently Asked Questions
Common questions about urinary incontinence, its treatment, and what care costs at Lux Hospitals.
What is the best treatment for urinary incontinence?
It depends entirely on the type. Stress incontinence responds to pelvic floor training and, if needed, a mid-urethral sling. Urge incontinence responds to bladder retraining, medication and Botox. Overflow incontinence needs the underlying obstruction treated. Getting the type right is what makes treatment work.
Can incontinence be stopped completely?
Often, yes. Sling surgery for stress incontinence achieves complete continence in a large majority of women. Pelvic floor training alone resolves or greatly improves many cases. Urge incontinence is usually controlled well rather than eliminated, though Botox produces dramatic improvement in many patients.
Can urinary incontinence be treated without surgery?
Yes, and most patients are. Supervised pelvic floor training, bladder retraining, weight loss, avoiding bladder irritants, vaginal oestrogen and medication together resolve or substantially improve the majority of cases. Surgery is for those in whom these have been genuinely tried.
How do I avoid urine leakage?
Strengthen the pelvic floor with supervised exercises, maintain a healthy weight, avoid caffeine, alcohol and fizzy drinks, treat constipation, and do not habitually hold urine for long periods. Reviewing medications helps too: diuretics and sedatives frequently contribute.
What is the difference between stress and urge incontinence?
Stress incontinence is leakage on physical effort (coughing, sneezing, lifting) with no preceding urge, caused by weak pelvic floor support. Urge incontinence is leakage preceded by a sudden overwhelming need to go, caused by an overactive bladder muscle. The treatments are almost opposite, which is why the distinction matters.
What is bladder Botox and how well does it work?
Botulinum toxin injected into the bladder wall through a cystoscope, relaxing an overactive bladder muscle. It takes a few minutes, is done under local or light anaesthesia, and works well for urge incontinence not controlled by tablets. The effect lasts six to nine months and the injection is then repeated.
Are sling operations safe?
Mid-urethral slings have high success rates and a good safety record, with tens of thousands performed. Risks include difficulty emptying, urgency, pain and (uncommonly) tape erosion. These are discussed fully beforehand, and the alternative of colposuspension is available where mesh is not wanted.
Is incontinence a normal part of ageing?
No. It becomes commoner with age, but it is a treatable medical condition rather than something to accept. Most people manage silently for years before seeking help, and that delay is the main reason it goes untreated rather than any lack of effective options.
How much does incontinence treatment cost at Lux Hospitals?
A pelvic floor therapy programme is ₹10,000–₹25,000. Bladder Botox is ₹45,000–₹90,000 per treatment, a mid-urethral sling ₹90,000–₹1,80,000, and an artificial urinary sphincter ₹4,50,000–₹7,50,000 including the device. Urodynamic assessment is ₹8,000–₹18,000.
How can I book an appointment for incontinence treatment?
You can book an appointment by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. Consultations are private, and it may help to keep a three-day bladder diary beforehand.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book a Private Consultation in Hyderabad
Discreet assessment of bladder leakage with treatment matched to your type, and costs shared before treatment begins.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032