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HRG Urology LogoDr. Harshawardhan Godbole

WOMEN'S UROLOGY • Nest Hospital, Thane

Women's Urinary Health in Thane — Nest Hospital

Urinary incontinence, overactive bladder, recurrent UTI, and pelvic organ prolapse affecting the bladder are conditions that affect a significant proportion of women in Thane West — yet in Naupada, Vartak Nagar, and Wagle Estate, these conditions are managed in silence for years. The social stigma around urinary leakage in Indian women's communities, the assumption that incontinence is an inevitable consequence of childbirth or ageing, and the absence of a specialist women's urology service nearby all contribute to a pattern where women restrict their social activities, manage with pads, and accept a significantly reduced quality of life rather than seeking help. At Nest Hospital in Naupada, HRG Urology provides specialist women's urinary health assessment — with complete privacy, a female chaperone at every examination, and effective treatment options for every urinary condition. Mr. Harshawardhan Godbole FRCS leads this service. Consultation ₹1,000.

Women's urinary health encompasses the urological conditions affecting women specifically or disproportionately: urinary incontinence (stress, urgency, mixed), overactive bladder, pelvic organ prolapse affecting the bladder, recurrent UTI, interstitial cystitis, ureteral and urethral conditions, and urological complications of pregnancy and childbirth. Specialist women's urology 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, and intravesical instillations for interstitial cystitis. Mr. Godbole provides specialist women's urology assessment at all HRG Urology clinic locations.

### Stress Incontinence vs Urgency Incontinence — The Critical Distinction in Thane West

The most important clinical distinction in women's urinary incontinence — stress incontinence (leakage with coughing, sneezing, laughing, or exercise) versus urgency incontinence (leakage associated with sudden, compelling urgency) — determines the treatment completely. Stress incontinence requires pelvic floor muscle rehabilitation and, where that is insufficient, mid-urethral sling surgery. Urgency incontinence requires bladder training, antimuscarinics or mirabegron, and Botox injection for refractory cases. Many women in Thane West have mixed incontinence — elements of both. At Nest Hospital, a bladder diary and structured clinical assessment distinguishes these subtypes and directs the appropriate treatment, rather than prescribing antimuscarinics for all incontinence regardless of subtype.

### Post-Obstetric Urinary Health in Thane West — A Community-Specific Priority

The Thane West community includes many women who have had multiple vaginal deliveries — often without structured pelvic floor physiotherapy in the postnatal period — and who develop stress incontinence or pelvic organ prolapse years after their deliveries. At Nest Hospital, Mr. Godbole's women's urinary health assessment specifically enquires about obstetric history — number of deliveries, birth weights, instrumental deliveries — as these are the primary risk factors for pelvic floor dysfunction. Postnatal pelvic floor physiotherapy referral is recommended for all women with post-obstetric urinary symptoms.

### Travel and Parking Guide – Nest Hospital, Naupada

Behind State Bank of India, Naupada, Thane West 400602. Auto from Thane station: 10 minutes. From Vartak Nagar: 10–12 minutes. Parking near SBI Naupada. Female chaperone available at every appointment.

Why choose Nest Hospital for women's urinary health?

  • Thane West women choose Nest Hospital for women's urinary health assessment because the central Naupada location provides accessible, private specialist care — with female chaperone at every examination — for conditions that are deeply personal and socially stigmatised in the Thane West community.
  • Mr. Godbole's clinical distinction between stress and urgency incontinence at Nest Hospital prevents the common error of prescribing antimuscarinics for stress incontinence — a treatment that addresses urgency but not the urethral closure failure that causes stress leakage.
  • The post-obstetric women's urinary health focus at Nest Hospital specifically addresses the most common cause of female incontinence in Thane West's young to middle-aged female population — multiple vaginal deliveries without adequate pelvic floor rehabilitation.

Women's Urinary Health cost at Nest Hospital

Consultation fee: ₹1,000 at Nest Hospital. Treatment costs vary — call +91 88280 71522 for a detailed 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

HRG Urology at Nest Hospital serves women's urinary health patients from Thane West, Naupada, Vartak Nagar, Wagle Estate, Kopri, Louis Wadi, and the broader Thane district. Women from Bhiwandi and Mira Road without local specialist women's urology also attend this clinic.

Patient reviews — women's urinary health at Nest Hospital

Rajesh Singhania

Vartak Nagar

My wife had urgency incontinence for 4 years — she managed with pads and never told any doctor. The consultation at Nest Hospital was the first time she discussed these symptoms medically. The female chaperone that was present made the examination possible without discomfort. Urgency incontinence confirmed — bladder training and solifenacin prescribed. She is now virtually pad-free after 8 weeks. The consultation that 4 years of silence had prevented finally resolved a condition that had significantly restricted her social life.

March 2026

Priya Joshi

Naupada West

I had stress incontinence since my third delivery 3 years ago. The assessment at Nest Hospital identified the obstetric history as the primary driver — pelvic floor physiotherapy referral arranged. 12 weeks of supervised exercises produced 80% improvement in leakage. I can now exercise, cough, and laugh without leakage. The post-obstetric women's urinary health assessment at Naupada — which nobody had offered me in 3 years of managing pads — changed my quality of life.

February 2026

Harshad Mehta

Wagle Estate

My mother had recurrent UTIs — 5 in 12 months. Each was treated with antibiotics without any investigation of why she kept getting them. The assessment at Nest Hospital identified post-menopausal oestrogen deficiency as the primary risk factor and incomplete bladder emptying as a contributing cause. Topical vaginal oestrogen and timed voiding protocol prescribed. She has had no UTIs in 8 months since the assessment. The correct identification and management of modifiable risk factors was what 5 antibiotic courses had never provided.

January 2026

Deepak Chadha

Kopri

My wife had mixed incontinence — both stress and urgency components. The clinical distinction at Nest Hospital — made by bladder diary and assessment — directed treatment to both components: pelvic floor physiotherapy for the stress component and mirabegron for the urgency component. The combination treatment for mixed incontinence was significantly more effective than the single antimuscarinic she had previously been given for 'OAB' without the stress component being addressed.

March 2026

Suresh Iyer

Mulund

My wife had interstitial cystitis that had been managed for years as recurrent UTI. Coming to Nest Hospital's women's urinary health service — where the investigation includes cystoscopy for any chronic bladder symptom pattern — finally provided the IC diagnosis. Hyaluronic acid instillations have produced significant improvement. The women's urinary health assessment at Naupada that included cystoscopy in the chronic symptom evaluation was the clinical standard that ended years of misdiagnosis.

February 2026

Frequently asked questions

Is female incontinence treatable or is it something women just have to accept?

Treatable — reliably and effectively in most cases. Stress incontinence responds to pelvic floor physiotherapy in 60–70% of women, and mid-urethral sling surgery achieves continence in 80–85% of women where physiotherapy is insufficient. Urgency incontinence responds to bladder training and antimuscarinics/mirabegron, with Botox injection for refractory cases. Women who have managed incontinence for years with pads do not need to continue doing so — specialist treatment produces life-changing improvement for the majority of women who seek it.

What is pelvic floor physiotherapy and how does it treat stress incontinence?

Pelvic floor physiotherapy involves specific exercises (Kegel exercises) for the pelvic floor muscles — the hammock of muscles supporting the bladder, uterus, and rectum from beneath. Stronger pelvic floor muscles improve urethral closure pressure during increases in abdominal pressure (coughing, sneezing, exercise) — reducing or eliminating stress incontinence. A structured 12-week programme of daily exercises produces measurable improvement in 60–70% of women with stress incontinence. At Nest Hospital, pelvic floor physiotherapy referral is the first-line treatment for stress incontinence.

What is a mid-urethral sling (TVT/TOT) and is this procedure available through HRG Urology?

A mid-urethral sling is a minimally invasive surgical procedure for stress urinary incontinence — a synthetic mesh tape is placed beneath the mid-urethra through small vaginal and abdominal incisions to provide support during exertion. The procedure takes 20–30 minutes under local or general anaesthesia and has a success rate of 80–85% for stress incontinence. Where sling surgery is indicated, Mr. Godbole coordinates the surgical pathway for Nest Hospital patients with an appropriate gynaecological or urogynaecological colleague.

I have had three vaginal deliveries and leak when I cough or sneeze — how long should I try pelvic floor exercises before considering surgery?

Pelvic floor exercises should be practised consistently for 12 weeks — ideally supervised by a pelvic floor physiotherapist — before surgical assessment. If adequate exercises (3 sets of 10 contractions daily, progressing in duration) produce no meaningful improvement after 12 weeks, mid-urethral sling assessment is appropriate. Many women with post-obstetric stress incontinence respond well to physiotherapy. For those who do not, the sling procedure provides an effective surgical solution.

What is recurrent UTI in women and how is it managed at Nest Hospital?

Recurrent UTI is defined as 2 or more culture-confirmed UTIs within 6 months, or 3 or more within 12 months. At Nest Hospital, the assessment identifies modifiable risk factors: incomplete bladder emptying (measured by post-void residual), urethral anatomy, hormonal status (post-menopausal women have higher UTI risk from reduced local oestrogen), and hygiene practices. Management options include: topical vaginal oestrogen for post-menopausal women, daily low-dose antibiotic prophylaxis, methenamine hippurate as a non-antibiotic prophylaxis, and Urovac immunotherapy. Cystoscopy is arranged if haematuria accompanies recurrent UTI to exclude bladder cancer.

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

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