Overview
North Enfield, Potters Bar, Hadley Wood, and the Hertfordshire border communities include many adults over 60 for whom overactive bladder has progressively restricted daily life — limiting travel, social activities, and sleep.Read moreShow less
These communities have historically had limited access to specialist OAB management beyond GP-level prescribing, and referral to NHS OAB clinics in North London involves waiting times that are clinically inappropriate for a condition this significantly impactful. Kings Oak Hospital at Chase Farm on The Ridgeway provides private specialist OAB assessment by Dr. Harshawardhan Godbole FRCS — 10–20 minutes by road from most North Enfield and Hertfordshire postcodes — delivering the complete treatment pathway that these communities have not previously been able to access locally.
What to know
Private Overactive Bladder Treatment at Kings Oak Hospital, Chase Farm
Overactive bladder (OAB) is characterised by urinary urgency.Read moreShow less
A sudden, compelling need to urinate that is difficult to defer — with or without urgency urinary incontinence, frequency (eight or more voids per day), and nocturia. The detrusor muscle contracts involuntarily. Bladder diary and urodynamics guide diagnosis. Treatment ladder: bladder training and pelvic floor exercises; antimuscarinics (oxybutynin, solifenacin, tolterodine) or beta-3 agonists (mirabegron); for refractory cases — intravesical botulinum toxin injection or tibial nerve stimulation. Underlying causes (UTI, bladder cancer, BPH) must be excluded before OAB treatment begins.
OAB in North Enfield's Older Population — Nocturia as the Primary Burden
Nocturia — waking at night to urinate — is the OAB symptom that most significantly impacts health outcomes in North Enfield's older population.Read moreShow less
Two or more nocturnal voids substantially increase the risk of falls during night-time trips to the bathroom, contributes to fatigue and cognitive decline from sleep fragmentation, and is independently associated with increased cardiovascular risk. At Kings Oak Hospital, nocturia is treated with specific clinical attention: the assessment distinguishes between nocturnal detrusor overactivity (OAB-driven nocturia), nocturnal polyuria (excessive urine production at night from cardiac or renal causes), and global polyuria (excessive fluid intake). Each requires a different treatment approach — antimuscarinics for OAB nocturia; desmopressin for nocturnal polyuria; fluid restriction for global polyuria.
OAB Medication and Falls Risk in Older North Enfield Patients
Anticholinergic medications — particularly oxybutynin — increase falls risk in older patients through orthostatic hypotension, sedation, and dizziness.Read moreShow less
At Kings Oak Hospital, the OAB assessment for older patients specifically evaluates falls history and mobility before medication selection. Mirabegron, which lacks the orthostatic effects of antimuscarinics, is preferred for patients with a falls history. Bladder training as the primary intervention — without medication if possible — is particularly valuable for older patients where medication risk exceeds medication benefit.
Travel and Parking Guide – Kings Oak Hospital, Chase Farm
Chase Farm North Side, The Ridgeway, Enfield EN2 8SD.Read moreShow less
By road from Potters Bar: 15–20 minutes via A10. From Hadley Wood: 10 minutes. From Barnet: 15 minutes. Underground: Cockfosters (Piccadilly Line), 20 minutes walk or taxi. Campus parking available.
Why Kings Oak
Potters Bar, Hadley Wood, and North Enfield patients choose Kings Oak Hospital because Chase Farm is 10–20 minutes by road.Read moreShow less
Making the multiple OAB management appointments (bladder diary review, medication adjustment, Botox injection) practically accessible without a Central London journey.
Nocturia assessment at Kings Oak Hospital distinguishes OAB nocturia from nocturnal polyuria.Read moreShow less
Enabling the correct treatment (antimuscarinics vs desmopressin vs fluid management) to be selected rather than treating all nocturia with antimuscarinics.
Falls risk assessment in older OAB patients at Kings Oak Hospital specifically guides medication selection.Read moreShow less
Avoiding anticholinergics in patients with mobility concerns and preferring safer alternatives.
Nearby areas
Chase FarmPotters BarBarnetCockfostersHadley Wood
Kings Oak Hospital serves OAB patients from North Enfield, Chase Farm, Cockfosters, Potters Bar, Hadley Wood, Cuffley, New Barnet, Brookmans Park, Waltham Cross, and Hertsmere via M25.Read moreShow less
HRG Urology also operates at Cavell Hospital for Enfield Town and Winchmore Hill patients.
Patient reviews
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Questions
Can patients from Potters Bar see a private OAB specialist at Kings Oak Hospital, Chase Farm?
Yes. From Potters Bar, Kings Oak Hospital on The Ridgeway is 15–20 minutes by road. Most patients are seen within 3–5 working days of first contact. The initial assessment includes bladder diary review, OAB-q questionnaire, and a treatment plan. Call +44 (0)7884 183968 to book.
I wake 3 times a night — is this from overactive bladder or something else?
Nocturia — waking at night to urinate — has three main causes: OAB (detrusor overactivity producing urgency at night), nocturnal polyuria (excessive urine production at night, often from cardiac or renal causes — the kidneys excrete more fluid at night than during the day), and global polyuria (excessive fluid intake producing continuous urine production). A 24-hour bladder diary that records nocturnal urine volumes versus daytime volumes distinguishes between these. At Kings Oak Hospital, the nocturia component of OAB assessment specifically makes this distinction before treatment is prescribed.
I have had two falls in the past year — which OAB medications are safest for me?
For patients with a falls history, mirabegron (a beta-3 agonist) is preferred over antimuscarinics — it lacks the orthostatic hypotension and sedation that increase falls risk with oxybutynin and other antimuscarinics. Bladder training — without medication — is particularly valuable for older patients where the medication risk-benefit analysis favours behavioural management as the primary intervention. At Kings Oak Hospital, Dr. Godbole's OAB assessment for patients with falls history specifically addresses this medication safety concern.
HRG Urology has two Enfield locations — Kings Oak Hospital and Cavell Hospital. Which is better for OAB?
Both provide the same OAB specialist pathway under Dr. Godbole. Kings Oak Hospital (Chase Farm, EN2 8SD) is better for North Enfield, Cockfosters, Potters Bar, and Hertfordshire patients. Cavell Hospital (Uplands Park Road, EN2 7PR) is better for Enfield Town, Winchmore Hill, and Palmers Green patients. For older patients with mobility concerns who may also need falls assessment, Kings Oak Hospital's Chase Farm campus infrastructure provides additional support. Call +44 (0)7884 183968 and the team will advise based on your postcode.
Is tibial nerve stimulation for OAB available through HRG Urology at Kings Oak Hospital?
Yes. Percutaneous tibial nerve stimulation (PTNS) involves 12 weekly sessions of mild electrical stimulation near the tibial nerve at the ankle. It is used for patients who have not responded adequately to medication and who prefer a minimally invasive alternative to Botox injection. Each session takes 30 minutes and is performed in clinic without anaesthesia. Dr. Godbole coordinates PTNS for appropriate OAB patients through HRG Urology at Kings Oak Hospital.
