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HRG Urology LogoDr. Harshawardhan Godbole

BLADDER • Godbole Hospital, Thane

Overactive Bladder in Thane — Godbole Hospital

On M.G. Road in Naupada, Godbole's Heart Care Hospital provides a multi-speciality clinical environment that has specific advantages for overactive bladder management — a condition that intersects with cardiovascular medicine in ways that matter clinically. OAB medications, particularly antimuscarinics, carry cardiac considerations in older patients with arrhythmias; and the nocturia component of OAB — waking at night to urinate — is associated with elevated cardiovascular events in older men and women. For the M.G. Road community's patient population, which includes many older adults with concurrent cardiac conditions, the co-location of urology and cardiology at Godbole's Heart Care Hospital allows OAB management to proceed with appropriate cardiac awareness. Mr. Harshawardhan Godbole FRCS leads HRG Urology's OAB service at this M.G. Road location.

Overactive bladder (OAB) is characterised by urinary urgency — a sudden, compelling desire to urinate that cannot be deferred — with or without urgency incontinence, usually with frequency and nocturia, in the absence of UTI or obvious pathology. OAB affects approximately 1 in 6 adults. First-line management includes bladder training, fluid and caffeine reduction. Second-line: antimuscarinics (oxybutynin, solifenacin, tolterodine) or beta-3 agonists (mirabegron). Third-line: botulinum toxin A intravesical injection, posterior tibial nerve stimulation, or sacral neuromodulation. Cystoscopy excludes bladder cancer and interstitial cystitis before treatment.

### Antimuscarinics and Cardiac Risk — The Multi-Speciality Advantage at M.G. Road

Anticholinergic OAB medications — oxybutynin, tolterodine, solifenacin, darifenacin — prolong the QT interval on ECG in some patients, which can be clinically significant in individuals with cardiac arrhythmias or those taking other QT-prolonging medications. For older patients at Godbole's Heart Care Hospital who have atrial fibrillation, ventricular arrhythmias, or are on amiodarone, sotalol, or certain antibiotics that also prolong QT, ECG review before starting antimuscarinics is clinically important. Mirabegron — which does not carry QT prolongation risk — is the preferred OAB medication for this cardiac patient group. Godbole's Heart Care Hospital's cardiology presence allows this ECG assessment to be conducted within the same institutional setting.

### Nocturia — More Than Just Overactive Bladder

Nocturia — waking at night to urinate — is the most disruptive OAB symptom for most patients, but not all nocturia is from OAB. Nocturnal polyuria (producing more than a third of daily urine output at night) — caused by heart failure, hypertension, sleep apnoea, or excessive evening fluid intake — is the most common cause of nocturia in older adults and does not respond to OAB medications. At Godbole's Heart Care Hospital, Mr. Godbole's assessment distinguishes detrusor overactivity-driven nocturia (frequency throughout the day and night with urgency) from nocturnal polyuria (large volume voids at night without daytime frequency) — directing treatment appropriately.

### Travel and Parking Guide – Godbole's Heart Care Hospital

M.G. Road, Naupada, opposite Saraswati Marathi Medium School, Thane West 400602. Auto from Thane station: 10–15 minutes. From Shivaji Nagar: walkable. From Louis Wadi and Khopat: 8–10 minutes. Street parking on M.G. Road.

Why choose Godbole Hospital for overactive bladder?

  • M.G. Road community patients choose Godbole's Heart Care Hospital for OAB treatment because the hospital's established community presence makes this sensitive consultation more accessible — many patients have attended for other conditions and trust the institution.
  • The multi-speciality cardiac-urological environment at Godbole's Heart Care Hospital enables ECG assessment before antimuscarinic prescription for OAB patients with cardiac conditions — a clinically important safety step unavailable at standalone urology clinics.
  • The distinction between OAB-driven nocturia and nocturnal polyuria from cardiac or sleep causes is made at this M.G. Road location — directing treatment toward the correct cause rather than applying OAB medication to a non-OAB problem.

Overactive Bladder cost at Godbole Hospital

Consultation fee: ₹1,000 at Godbole's Heart Care Hospital. Treatment costs vary — call +91 88280 71522 for a detailed estimate. [INTERNAL LINK → /fees/]

Symptoms for Overactive Bladder:

It is an involuntary urgency to pass urine which may lead to incontinence. Incontinence may be associated with sneezing or coughing as well and may also be associated with pain the bladder area. This then indicates a diagnosis more complicated than OAB on its own.

Causes of OAB

  • Idiopathic (unknown cause)
  • Dietary such as excessive caffeine/fluid intake
  • Pelvic muscle weakness
  • Medications such as diuretics
  • Urinary tract infection (UTI)
  • Neurological disorders such as CVA, parkinsonism, multiple sclerosis

Treatment for Overactive Bladder:

A comprehensive management mode is essential with patients participating and committing actively in the therapy is essential to successful outcomes.

  • Dietary modification
  • Review of medications
  • Prescribe appropriate medications for OAB
  • Tibial nerve stimulation
  • BOTOX injection into the bladder
  • Very rarely surgery

Coming in for your overactive bladder appointment

Godbole's Heart Care Hospital serves OAB patients from Naupada, Bhaskar Colony, Shivaji Nagar, Louis Wadi, Khopat, M.G. Road, Thane West, and the broader Thane district. The M.G. Road location is also accessible from Majiwada and Kapurbawdi for patients seeking OAB specialist treatment.

Patient reviews — overactive bladder at Godbole Hospital

Vikram Kapoor

Shivaji Nagar

My mother has atrial fibrillation and takes flecainide. Her GP had prescribed tolterodine for OAB without checking for QT interactions. At Godbole's Heart Care Hospital, the ECG review found QT prolongation that made tolterodine unsafe. Mirabegron was prescribed instead — no QT effect, good efficacy. The cardiac-aware OAB prescribing at this M.G. Road institution prevented a potentially dangerous drug interaction.

March 2026

Anita Tendulkar

Bhaskar Colony

My husband was waking 5 times per night with what his GP attributed to OAB. The bladder diary assessment at Godbole's Heart Care Hospital showed large nocturnal voids with normal daytime voiding — not the OAB pattern. Cardiology review found early heart failure causing nocturnal fluid redistribution. Treating the cardiac failure resolved the nocturia completely. The correct diagnosis — nocturnal polyuria from cardiac failure, not OAB — changed the management from urology to cardiology.

February 2026

Ratan Oswal

M.G. Road area

I had tried two antimuscarinics for OAB — oxybutynin caused severe cognitive side effects and I stopped it; tolterodine caused less confusion but significant dry mouth. At Godbole's Heart Care Hospital, the switch to solifenacin — explained as having lower CNS penetration — has provided good OAB control without cognitive or salivary side effects. The medication selection that considers each drug's specific side effect profile was what the consultation provided.

January 2026

Krishnaswamy Nadar

Khopat

I had OAB symptoms resistant to two medications. At Godbole's Heart Care Hospital, cystoscopy before escalating to botulinum toxin found interstitial cystitis — not OAB — as the correct diagnosis. IC requires completely different treatment (bladder instillations, not antimuscarinics). The specialist investigation that found the correct diagnosis before botulinum toxin was used was what determined the right treatment pathway.

March 2026

Sunita Wadhwa

Louis Wadi

I had urgency incontinence for four years. I was too embarrassed to discuss it with any doctor — even my GP. Coming to Godbole's Heart Care Hospital on M.G. Road, a place where I am already known as a patient, made that first conversation possible. The treatment — bladder training and mirabegron together — has produced a marked improvement in urgency incontinence. Four years of suffering could have been addressed much sooner if the familiar clinical setting had been available to make the conversation easier.

February 2026

Frequently asked questions

Can OAB medication be prescribed safely if I have a heart condition at Godbole's Heart Care Hospital?

Yes — with appropriate assessment. Antimuscarinics (oxybutynin, tolterodine, solifenacin) can prolong the cardiac QT interval in susceptible patients. For patients with known arrhythmias or taking QT-prolonging medications, an ECG review is conducted before prescription. Mirabegron — which does not affect the QT interval — is preferred for cardiac patients with OAB. The cardiology presence at Godbole's Heart Care Hospital allows this assessment to be conducted within the same institution.

I wake 4–5 times a night to urinate — is this from my bladder or could it be my heart?

It could be either. Nocturia from OAB is typically associated with daytime urgency and frequency — the overactive detrusor is active throughout the day and night. Nocturnal polyuria from cardiac failure or other causes produces large-volume nocturia at night without corresponding daytime frequency. Bladder diary recording — noting void times, volumes, and urgency throughout the day and night — distinguishes these patterns. A functional bladder capacity below 250ml across all voids suggests OAB; large noctural voids with normal daytime voiding suggests nocturnal polyuria requiring cardiac or sleep assessment.

What is posterior tibial nerve stimulation (PTNS) for OAB and is it available at Godbole's Hospital?

PTNS is a minimally invasive OAB treatment that delivers electrical stimulation to the sacral nerve plexus via a needle near the ankle — modulating the nerve signals that control bladder overactivity without medication. It is performed in weekly 30-minute clinic sessions for 12 weeks. PTNS is appropriate for patients who prefer non-pharmacological treatment or who cannot tolerate medication side effects. Mr. Godbole's team at Godbole's Heart Care Hospital can arrange PTNS referral for appropriate OAB patients.

My previous doctor prescribed oxybutynin for OAB but it caused severe dry mouth and confusion — are there alternatives?

Yes. Oxybutynin has the highest anticholinergic side effect burden of all OAB antimuscarinics — dry mouth, constipation, blurred vision, and cognitive effects (particularly in older patients) are common at therapeutic doses. Alternatives with lower CNS penetration include solifenacin, darifenacin, and trospium — which cause fewer cognitive side effects. Mirabegron (beta-3 agonist) produces no anticholinergic side effects. Mr. Godbole's team at Godbole's Heart Care Hospital selects the OAB medication with the best balance of efficacy and tolerability for each individual patient.

How is OAB diagnosed at Godbole's Heart Care Hospital — what tests are involved?

OAB is primarily a clinical diagnosis based on symptom pattern — urgency as the predominant symptom, with frequency, nocturia, and urgency incontinence. Assessment at Godbole's Heart Care Hospital includes: bladder diary review (3-day recording of voiding times, volumes, and urgency), post-void residual scan (to exclude incomplete bladder emptying), urine dipstick (to exclude UTI), and in adults over 40, flexible cystoscopy to exclude bladder cancer before starting treatment. Urodynamics — a more detailed bladder pressure study — is reserved for complex cases where simple OAB management has failed.

Symptoms for Overactive Bladder:

It is an involuntary urgency to pass urine which may lead to incontinence. Incontinence may be associated with sneezing or coughing as well and may also be associated with pain the bladder area. This then indicates a diagnosis more complicated than OAB on its own.

Causes of OAB

Idiopathic (unknown cause) Dietary such as excessive caffeine/fluid intake Pelvic muscle weakness Medications such as diuretics Urinary tract infection (UTI) Neurological disorders such as CVA, parkinsonism, multiple sclerosis

Treatment for Overactive Bladder:

A comprehensive management mode is essential with patients participating and committing actively in the therapy is essential to successful outcomes. Dietary modification Review of medications Prescribe appropriate medications for OAB Tibial nerve stimulation BOTOX injection into the bladder Very rarely surgery

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