Overview
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.Read moreShow less
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. Dr. Harshawardhan Godbole FRCS leads this service. Consultation ₹1,000.
What to know
Women's Urinary Health at Nest Hospital, Naupada
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.Read moreShow less
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. Dr. 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.Read moreShow less
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.Read moreShow less
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, Dr. 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.Read moreShow less
Auto from Thane station: 10 minutes. From Vartak Nagar: 10–12 minutes. Parking near SBI Naupada. Female chaperone available at every appointment.
Why Nest
Nearby areas
Thane WestNaupadaVartak NagarWagle EstateKopri
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.Read moreShow less
Women from Bhiwandi and Mira Road without local specialist women's urology also attend this clinic.
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, Dr. 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.
