Overview
For patients in St John's Wood, Maida Vale, Marylebone, and Hampstead who live with overactive bladder.Read moreShow less
Planning every social engagement around toilet proximity, waking multiple times at night, or managing urgency incontinence that restricts professional and personal confidence — Platinum Medical Centre on Lodge Road NW8 provides the specialist OAB assessment and treatment that resolves these limitations. Dr. Harshawardhan Godbole FRCS provides private OAB management at this Central London location: structured bladder diary review, the complete treatment pathway from behavioural through medication to Botox injection, and for international patients, written OAB assessment reports suitable for sharing with overseas physicians. Three minutes from St John's Wood Underground. From £300.
What to know
Private Overactive Bladder Treatment at Platinum Medical Centre, NW8
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 and Pelvic Floor Dysfunction — An Integrated Assessment at NW8
Overactive bladder and pelvic floor dysfunction frequently coexist in women — particularly those who have had multiple pregnancies or pelvic surgery.Read moreShow less
Weakened pelvic floor muscles reduce the urgency suppression reflex, making urgency harder to defer and leakage more likely. At Platinum Medical Centre, Dr. Godbole's OAB assessment integrates pelvic floor assessment — identifying the component of pelvic floor weakness that is contributing to urgency and leakage — and where significant, coordinates referral to specialist women's health physiotherapists for pelvic floor rehabilitation alongside pharmacological OAB treatment. This integrated approach produces better outcomes than either treatment alone.
Interstitial Cystitis vs OAB — A Distinction That Changes Treatment
A specific diagnostic challenge at Platinum Medical Centre's NW8 patient population is the distinction between OAB and interstitial cystitis (IC)/ painful bladder syndrome — conditions that share urgency and frequency but have completely different treatment approaches.Read moreShow less
IC produces urgency, frequency, and pelvic pain that worsens as the bladder fills and is relieved by voiding. OAB produces urgency and frequency without pain. Antimuscarinics work for OAB but poorly for IC; IC responds to bladder instillations and pain management. Cystoscopy with hydrodistension under anaesthesia distinguishes these definitively. At Platinum Medical Centre, persistent OAB-like symptoms that have not responded to antimuscarinics prompt IC assessment before the next treatment tier is applied.
Travel and Parking Guide – Platinum Medical Centre
15–17 Lodge Road, St John's Wood NW8 7JA.Read moreShow less
Underground: St John's Wood (Jubilee Line), 3 minutes walk. From Baker Street: 2 stops. From Bond Street: 1 stop. Metered parking on Lodge Road; NCP at Clarence Gate.
Why Platinum
St John's Wood and Maida Vale patients choose Platinum Medical Centre for OAB assessment because St John's Wood Underground is 3 minutes walk.Read moreShow less
The most accessible private OAB specialist in Central London for NW8 and surrounding postcodes.
Nearby areas
St John's WoodMaida ValeRegent's ParkMaryleboneHampsteadSwiss Cottage
Platinum Medical Centre serves OAB patients from St John's Wood, Maida Vale, Marylebone, Primrose Hill, Swiss Cottage, Hampstead, Kilburn, and internationally from Central London.Read moreShow less
The Jubilee Line provides access from Canary Wharf, Westminster, and Heathrow.
Patient reviews
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Questions
How quickly can I see a private OAB specialist at Platinum Medical Centre?
Most patients are seen within 3–5 working days of first contact. The initial assessment includes bladder diary review, OAB-q questionnaire, urine culture, and a treatment plan. Call +44 (0)7884 183968 to book.
I have had urgency symptoms for 5 years and tried three antimuscarinics without adequate relief — what is available next?
Refractory OAB — inadequate response to two or more medications — has three principal next-tier options: mirabegron (if not yet tried, or as combination therapy with an antimuscarinic); intravesical Botox injection (most effective for refractory urgency incontinence); or percutaneous tibial nerve stimulation (12 weekly sessions). At Platinum Medical Centre, the choice between these depends on symptom predominance, prior treatment history, and patient preference. The clinical assessment also considers whether IC has been excluded, as persistent OAB symptoms despite medication may reflect IC rather than true refractory OAB.
Can pelvic floor physiotherapy help OAB alongside medication?
Yes — significantly. The pelvic floor provides the urgency suppression reflex that allows deferral of voiding when urgency develops. Strengthened pelvic floor muscles are better able to suppress involuntary detrusor contractions before reaching the toilet. Pelvic floor rehabilitation combined with bladder training produces better OAB outcomes than either alone. At Platinum Medical Centre, pelvic floor physiotherapy referral is coordinated where the pelvic floor assessment identifies a significant weakness component — particularly in women who have had multiple pregnancies.
What is the NICE guideline on OAB treatment for women and does Platinum Medical Centre follow it?
NICE guideline NG123 recommends: first-line bladder training for 6 weeks; if bladder training alone is insufficient, add antimuscarinics or mirabegron; if two medications have failed, offer Botox injection or tibial nerve stimulation. Dr. Godbole's OAB management at Platinum Medical Centre follows this evidence-based NICE pathway — providing structured escalation rather than indefinite single-drug management.
Is there a difference between OAB treatment in men and women at Platinum Medical Centre?
The treatment ladder is largely the same, but specific considerations differ. In men, BPH contributing to OAB-like symptoms must be assessed and managed alongside OAB treatment — BPH-related OAB may respond to alpha-blockers alone. In women, pelvic floor dysfunction is assessed alongside detrusor overactivity. In postmenopausal women, topical oestrogen may improve OAB symptoms through restoration of urethral and bladder neck sensitivity. These sex-specific considerations are incorporated into the assessment at Platinum Medical Centre.
