WOMEN'S UROLOGY • Cavell Hospital, London
Women's Urinary Health in London — Cavell Hospital
Medically reviewed by Mr. Harshawardhan Godbole, MS, MCh, FRCS.Ed, DNB(Urol), FRCS(Urol)
Last medically reviewed: 30 April 2026
Last updated: 30 April 2026
Women in Enfield Town, Winchmore Hill, Palmers Green, and Barnet who live with urinary incontinence — leakage with exercise, urgency that prevents them from reaching the toilet, or nocturia disrupting sleep — deserve specialist assessment that goes beyond a GP anticholinergic prescription. The NHS women's urology pathway in North London involves referral waiting times of 4–12 months for a first specialist appointment. Private women's urinary health assessment at Cavell Hospital on Uplands Park Road — 5 minutes from Enfield Chase rail station — is available within the week. Mr. Harshawardhan Godbole FRCS provides the complete women's urinary health assessment: bladder diary review, incontinence subtype differentiation, pelvic floor evaluation, urodynamics where needed, and the full treatment ladder from physiotherapy through medication to Botox injection and sling surgery. From £300.
Women's urinary health encompasses urological conditions affecting women specifically or disproportionately: urinary incontinence (stress, urgency, mixed), overactive bladder, pelvic organ prolapse affecting the bladder, recurrent UTI, interstitial cystitis, and urological complications of childbirth. Specialist assessment includes bladder diary, urodynamics, cystoscopy where indicated, and pelvic floor evaluation. Treatment: pelvic floor physiotherapy, antimuscarinics or mirabegron for OAB, mid-urethral sling surgery for stress incontinence, Botox injection for refractory urgency incontinence, intravesical instillations for IC, and topical vaginal oestrogen for post-menopausal genitourinary syndrome. Mr. Godbole provides specialist women's urology at all HRG Urology clinic locations.
### NHS vs Private Women's Urology in North London — The Access Gap
The NHS women's urology pathway in North London — GP referral to urogynaecology or specialist urology — currently takes 4–12 months from first presentation to specialist assessment. During this period, women manage incontinence with pads, restrict activities, and accept a reduced quality of life that specialist treatment could resolve within weeks. Private assessment at Cavell Hospital eliminates this waiting time: first consultation within the week, bladder diary review, urodynamics where indicated, and a treatment plan — all within 2–3 weeks of first contact. For the urgency incontinence that is disrupting a North London woman's professional or social life, this speed difference matters.
### Mid-Urethral Sling Surgery — Available for Enfield Women with Stress Incontinence
Mid-urethral sling surgery (TVT/TOT) — the most effective surgical treatment for stress urinary incontinence — is available for Enfield women who have not achieved adequate improvement from pelvic floor physiotherapy. At Cavell Hospital, Mr. Godbole coordinates the sling surgery pathway: urodynamic confirmation that stress incontinence is the primary mechanism, assessment of prolapse contribution, and referral to an appropriately qualified urogynaecological colleague for sling insertion. The 80–85% success rate of mid-urethral sling surgery makes it the most effective treatment for women with persistent stress incontinence after adequate physiotherapy.
### Travel and Parking Guide – Cavell Hospital, Enfield
Uplands Park Road, Enfield EN2 7PR. Rail: Enfield Chase station, 5 minutes walk. Bus: route 307. By road from Palmers Green: 10 minutes. From Barnet: 20 minutes. Hospital parking on-site.
Why choose Cavell Hospital for women's urinary health?
- Enfield and North London women choose Cavell Hospital for women's urinary health assessment because private specialist care is available within the week — versus 4–12 months on the NHS North London pathway — providing the clinical speed that a condition significantly affecting daily life deserves.
- Mr. Godbole's urodynamics-before-sling pathway at Cavell Hospital ensures that sling surgery is only recommended for confirmed stress incontinence — preventing the clinical error of sling insertion for urgency incontinence where it provides no benefit.
- The complete women's urinary health pathway at Cavell Hospital — from initial assessment through physiotherapy, medication, Botox, and surgical referral — is coordinated by the same specialist team without fragmentation across multiple providers.
Women's Urinary Health cost at Cavell Hospital
Private consultation: £300 at Cavell Hospital. We accept Bupa, AXA Health, Vitality and Aviva. Call +44 (0)7884 183968 for a treatment cost estimate. [INTERNAL LINK → /fees/]
Conditions We Treat
At HRG Urology, we deal with:
- Urgency and frequency of passing urine
- Urge incontinence
- Stress incontinence
- Painful bladder syndrome
Impact on Daily Life
These can be overwhelming and can be distressing and debilitating both in the personal and professional setting. A patient-centred approach in investigation and appropriate tailored management will be very beneficial.
Our Approach
A multi-disciplinary approach is used whereby patient relief is aimed for. At Nest Hospital, along with Consultant Gynaecologist Dr Ulkanatu, HRG Urology will deliver health, urinary services for improvement using modern modalities and minimally invasive treatment offering maximal benefit.
Endometriosis Unit
Along with esteemed colleagues who are consultant gynaecologists, general surgeons, laparoscopic surgeons, and radiologists, a dedicated Endometriosis Unit will be commencing. A comprehensive holistic approach will be offered to our patients in a multidisciplinary team setting with evidence-based care.
- Non-invasive options such as pain management
- Alternative therapies including yoga and ayurveda
- Laparoscopic surgery as indicated
- Robotic surgery for complex cases
- Multidisciplinary team collaboration
- Evidence-based treatment protocols
Coming in for your women's urinary health appointment
Cavell Hospital serves women's urinary health patients from Enfield Town, Winchmore Hill, Palmers Green, Cockfosters, Barnet, New Barnet, Waltham Cross, and Hertfordshire border communities. HRG Urology also operates at Kings Oak Hospital for North Enfield and Hertfordshire women.
Patient reviews — women's urinary health at Cavell Hospital
James Whitfield
Enfield Town
My wife had urgency incontinence for 3 years. NHS referral to urogynaecology was estimated at 8 months. Private consultation at Cavell Hospital within 4 days. Urgency incontinence confirmed as the primary subtype. Bladder training and mirabegron prescribed. Pad-free within 8 weeks. The 8-month NHS wait that would have extended her restriction of social activities was replaced by a treatment that worked in 8 weeks. The private pathway at Enfield Chase station delivered exactly that.
March 2026
Seamus O'Donnell
Winchmore Hill
My wife had stress incontinence after three children. She had been told by her GP that she needed 'a bladder operation' without urodynamics being arranged first. At Cavell Hospital, urodynamics confirmed stress incontinence as the primary mechanism — correct for sling surgery. But it also found a significant detrusor overactivity component that would need treatment alongside the sling. The urodynamics-first approach at Cavell Hospital added the clinical information that changed the surgical plan.
February 2026
Oluwaseun Adeyemi
Palmers Green
I had recurrent UTIs — 6 in 14 months. Each treated with antibiotics that worked temporarily and then failed. The assessment at Cavell Hospital identified incomplete bladder emptying on post-void residual measurement and post-menopausal genitourinary atrophy as the two modifiable causes. Timed voiding protocol and topical vaginal oestrogen prescribed. Nine months without a UTI since starting treatment. The modifiable causes that six courses of antibiotics had never identified were found in one specialist consultation.
January 2026
Piotr Kowalski
Cockfosters
Cockfosters to Enfield Chase by Piccadilly Line is one stop. My mother is 74 with urgency incontinence that had restricted her social life for 4 years. The assessment at Cavell Hospital specifically accounted for her age — mirabegron was preferred over antimuscarinics given cognitive safety concerns in older patients. Significant improvement in urgency and pad use within 6 weeks. The age-appropriate medication selection that her previous GP had not considered was the clinical precision the Cavell Hospital assessment provided.
March 2026
Mohammed Al-Rashidi
Barnet
I brought my wife from Barnet to Cavell Hospital — 20 minutes by road. She had mixed incontinence that had not responded to solifenacin alone. Urodynamics at Cavell Hospital found both detrusor overactivity and urethral hypermobility — true mixed incontinence requiring both pelvic floor physiotherapy and medication. Combination treatment produced significantly better results than the single medication had. The urodynamic differentiation of mixed incontinence subtypes was the clinical quality that changed her management.
February 2026
Frequently asked questions
How quickly can I see a private women's urinary health specialist at Cavell Hospital, Enfield?
Most women are seen within 3–5 working days of first contact at HRG Urology Cavell Hospital. Bladder diary review, incontinence subtype assessment, and a treatment plan are completed at the initial consultation. Urodynamics is arranged within 2–3 weeks where indicated. This compares to 4–12 months on the NHS North London women's urology pathway. Call +44 (0)7884 183968 to book.
I have been told I need a bladder sling (TVT) — should I have urodynamics first?
Yes — urodynamics before sling surgery is strongly recommended. The sling procedure works specifically for stress incontinence from urethral hypermobility; it does not improve urgency incontinence and can worsen it in some patients. Urodynamics confirms that stress incontinence is the primary mechanism, identifies any detrusor overactivity component, and assesses voiding function before surgery. At Cavell Hospital, urodynamics is arranged before any sling surgery recommendation is made.
I leak when I cough or sneeze — will pelvic floor exercises definitely work?
Pelvic floor physiotherapy (supervised Kegel exercises) produces meaningful improvement in 60–70% of women with stress urinary incontinence, but requires consistent daily practice for at least 12 weeks. Women who perform exercises correctly and consistently achieve the best outcomes. A supervised programme — with a women's health physiotherapist assessing technique rather than unsupervised home exercises — produces significantly better results. If 12 weeks of correctly performed exercises produce insufficient improvement, sling surgery is the next step.
What is the difference between women's urology and urogynaecology?
Women's urology focuses on bladder function — incontinence, overactive bladder, UTI, interstitial cystitis, and urodynamics. Urogynaecology additionally manages pelvic organ prolapse and performs pelvic reconstructive surgery (including sling insertion). There is significant overlap between the two specialties. At Cavell Hospital, Mr. Godbole manages the urological component of women's pelvic health; where sling surgery or prolapse repair is indicated, coordination with a urogynaecological colleague ensures seamless surgical care.
Does private health insurance cover women's urinary health assessment at Cavell Hospital?
Women's urinary health assessment — including bladder diary review, urodynamics, and cystoscopy — may be covered under gynaecology, urology, or chronic condition provisions by Bupa, AXA Health, Vitality, and Aviva. Coverage varies by policy. Please confirm with your insurer and obtain pre-authorisation before your appointment. Self-pay patients are welcome at £300 per consultation.
Conditions We Treat
At HRG Urology, we deal with: Urgency and frequency of passing urine Urge incontinence Stress incontinence Painful bladder syndrome
Impact on Daily Life
These can be overwhelming and can be distressing and debilitating both in the personal and professional setting. A patient-centred approach in investigation and appropriate tailored management will be very beneficial.
Our Approach
A multi-disciplinary approach is used whereby patient relief is aimed for. At Nest Hospital, along with Consultant Gynaecologist Dr Ulkanatu, HRG Urology will deliver health, urinary services for improvement using modern modalities and minimally invasive treatment offering maximal benefit.
Endometriosis Unit
Along with esteemed colleagues who are consultant gynaecologists, general surgeons, laparoscopic surgeons, and radiologists, a dedicated Endometriosis Unit will be commencing. A comprehensive holistic approach will be offered to our patients in a multidisciplinary team setting with evidence-based care. Non-invasive options such as pain management Alternative therapies including yoga and ayurveda Laparoscopic surgery as indicated Robotic surgery for complex cases Multidisciplinary team collaboration Evidence-based treatment protocols