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The Forbury Clinic

Female Urinary Incontinence Treatment London

Urine leakage is very common, yet many women find it difficult to talk about. Whether it happens when you cough, laugh or exercise, or follows a sudden urge that is hard to control, urinary incontinence can affect everyday confidence and comfort. It is not something you simply have to accept.

Our consultant-led service offers discreet assessment and treatment for female urinary incontinence in London. We take time to understand your symptoms, explain what may be causing them and discuss the options that may help you regain control.

  • Extremely common and treatable
    Consultant-led women-focused care
    From pelvic floor rehabilitation to surgery
    Non-mesh surgical options
    Self-referral welcome

Understanding incontinence in women

Urinary incontinence can affect women at any age. It is particularly common after childbirth and around the menopause, but it can also occur for other reasons. Although many women live with symptoms for a long time, effective help is available.

The two main types are stress urinary incontinence and urge urinary incontinence.

Stress incontinence is leakage that happens when pressure is placed on the bladder, for example when you cough, sneeze, laugh, lift something or exercise. It is often linked to weakness in the pelvic floor muscles and the tissues that support the bladder outlet.

Urge incontinence happens when you experience a sudden, intense need to pass urine and cannot always reach the toilet in time. It is usually associated with an overactive bladder, where the bladder muscle contracts before it is convenient to empty it.

Some women experience a combination of both patterns. Understanding which symptoms you have is important because the treatments can differ. A careful consultation helps establish what is happening and allows your consultant to create a plan around your life, starting with the least invasive appropriate options.

How we assess female incontinence

A thorough assessment is carried out sensitively and with dignity. It helps identify the type of incontinence and guide the next steps.

Getting to the answer

Consultation and urine test

Your consultant will discuss your symptoms, medical history and how leakage affects your daily life. A simple urine test may be used to check for infection or other causes of bladder symptoms.

Bladder diary

You may be asked to keep a short record of what you drink, how often you pass urine and when leakage happens. This can help reveal patterns that are not always clear from a single appointment.

Urodynamics where needed

If symptoms are mixed, complex or surgery is being considered, urodynamic testing may be recommended. This test assesses how the bladder stores and releases urine.

From assessment to treatment

Finding the cause of your symptoms comes first. Your consultant will consider the type of leakage you experience, how often it happens and the impact it has on your everyday life.

Treatment usually starts with conservative options, such as pelvic floor rehabilitation or bladder retraining. If symptoms continue, other treatments can be considered in a step-by-step way. Surgery is only discussed when it is appropriate for your symptoms and after non-surgical options have been considered.

Treatments for female urinary incontinence

Treatment usually begins with the simplest appropriate approach. If symptoms continue to affect your quality of life, your consultant can discuss other non-surgical and surgical options, including established non-mesh procedures.

First-line

Pelvic Floor Rehabilitation

A supervised programme to strengthen the muscles that support the bladder and urethra. This is often an important part of treatment for stress urinary incontinence.

For urge symptoms

Bladder Botox

Botox injections into the bladder muscle may help reduce symptoms of urgency and urge leakage for some women with an overactive bladder.

For urge symptoms

Nerve Stimulation

Neuromodulation is a drug-free treatment that aims to influence the nerve signals involved in bladder control. It may be considered for some women with urge symptoms.

Minimally invasive

Bulking Injections

Bulking injections can support the bladder outlet to help reduce stress leakage. This may be a suitable day-case option for some women.

Gold-standard surgery

Artificial Urinary Sphincter

Supports the bladder outlet using your own tissue.

Non-mesh surgery

Colposuspension

Colposuspension is a non-mesh operation that lifts and supports the bladder neck to help manage stress urinary incontinence.

Why choose The Forbury Clinic for female incontinence in London?

Why The Forbury Clinic
1

Treatment matched to your symptoms

From pelvic floor rehabilitation to surgery, your care is guided by the type of incontinence you have and how it affects your life.

2

Least invasive options first

Treatment begins with the simplest appropriate approach. Further options are considered only when needed.

3

Non-mesh surgical choices

Where surgery is appropriate, we offer established non-mesh procedures, including autologous sling surgery using your own tissue and colposuspension.

4

Discreet, compassionate care

Urinary leakage can be a sensitive subject. Our team provides a calm setting for open, unhurried conversations about your symptoms.

Frequently asked questions

Is leaking urine after childbirth or during menopause normal?

It is common, but it is not something you need to accept as inevitable. Symptoms can often be improved with the right assessment and treatment, whatever your age or stage of life.

Will I need surgery?

Not necessarily. Many women benefit from pelvic floor rehabilitation and other non-surgical treatments. Surgery is usually considered only when it is appropriate for your symptoms and after the options have been explained clearly.

Do you use mesh?

Where surgery is appropriate, we offer non-mesh options including autologous sling surgery, which uses your own tissue, and colposuspension.

Do I need a GP referral?

No. You are welcome to self-refer and arrange a consultation directly with our team.

Reviewed by Mr. Steve Foley
Mr. Foley is a Consultant Urological Surgeon with a focus on female urology and male incontinence.
Last reviewed: 8 Sep 2026.

Book your consultation today

Book an Appointment

Consultations are available to book online for patients with or without a GP referral. Our private specialists provide world-class care in a discrete environment.

  • Appointment
    Book a consultation
  • Reception
    0118 920 7055
  • Location

    The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J

Treatment suitability is determined following consultation with a specialist. Individual results and recommendations vary.
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