Bladder Conditions

Bladder Cancer

Bladder cancer occurs when cells multiply rapidly in the bladder and strait to grow out of control….

To find out more about Bladder Cancer


Overactive bladder

(Also known as urge incontinence)If you are often struck by a desperate need to urinate but you are unable to reach the toilet in time you may well be suffering from an overactive bladder (OAB).

This sudden uncontrollable urge may be triggered by the sound of running water, sipping a drink or for no apparent reason. You may find yourself needing to go to the toilet frequently often passing very little urine.

This is a very common condition which is estimated to affect about one in six people in the UK but also a very treatable condition with many treatment options available.

For more information on Overactive bladder (OAB)




Stress Incontinence

The main symptom of stress incontinence is the leakage of urine which occurs when you laugh,cough,sneeze jog or lift something heavy in severe case urine leakage can occur just by getting up from a seat or even sitting down.
Stress incontinence is a very common condition in women which is estimated to affect 40% of women at some point in their life.Stress incontinence is due to the weakening of the pelvic floor muscles which support the bladder.

Though less common men can also suffer from stress incontinence often as a result of injury or the symptoms of an enlarged prostate-Benign prostate enlargement (BPH)

For more information on Stress incontinence


Painful bladder syndrome/interstitial cystitis

Interstitial cystitis(IC) and painful bladder syndrome(PBS)are serious and debilitating conditions which have a major impact upon the life of the affected is estimated that IC/PBS affect half a million people in the UK (90)% of these being women.
Painful blader syndrome (alson referred to as chronic pelvic pain syndrome )includes a wide variety of painful conditions which affect the bladder,urethra ,vagina,groin,lower back and the prostate in men
Symptoms and pain very widely with IC/PBS patients can experience all or any of the following:-

Frequency– In early or mild cases the need to go to the toilet frequently may be the only symptom in more severe case people may need to go to the toilet up to sixty times in any twenty four hour period.

Urgency-An urgent need to urinate frequently day and night.This is often associated with a decreased bladder capacity.

Bladder/pelvic pain– pressure and tenderness around the abdomen,bladder,urethra,vagina,prostate in men,pelvis and perineum.Pain is often exacerbated by urination or sexual intercourse(ejaculation in men).

The pain from interstitial cystitis and the debilitating impact it can have is poorly understood,often underestimated and the diagnosis often delayed.
Fortunately we have good, effective treatments for both PBC and IC. Early diagnosis and treatment can help control the symptoms and alleviate chronic suffering which many patients endure over many years.

To find out more about Interstitial cystitis(IC) and painful bladder syndrome(PBS)


Urethral diverticulum

Urethral diverticulum (UD)is a condition in which “pockets” form on the urethra the tube carrying urine out of the body.These pockets can be of varying sizes and become filled with urine as these pockets cannot empty during voiding they can result in repeated infections,dribbling and pain during during sexual intercourse.

Normally affecting women between the ages of 30-60 Urethral diverticulum is more common in African women it is also much more common in women than in men.

Urethral diverticulum is often linked to repeated infections and /or the obstruction of the periuethral glands.Urethral diverticulum may also be caused by trauma experienced during childbirth

Many of the symptoms associated with urethral diverticulum are non-specific and mistaken for other conditions .This means that patients are often misdiagnosed and do not receive the effective treatment that is available for many years.
Most patients had been treated for cystitis,bladder overactivity,incontinence,interstitial cystitis and pelvic pain syndrome before the correct diagnosis is made.

By taking a thorough history with a high index of awareness,endoscopic examination of the bladder and urethra, specialised MRI imaging and using the latest video urodynamics to assess urethan and bladder function early diagnosis and effective treatment can be offered.

To find out more about Urethral diverticulum



What are stones

Bladder Stones

Kidney stones




Urinary Tract Infection (UTI)

Urinary Tract Infection (UTI) is the name given to an infection in any part of the urinary system, usually by bacteria. Bacteria enter the urinary system through the urethra, or more rarely, through the bloodstream.

Symptoms of urinary tract infections

The symptoms of urinary infection are often termed cystitis or urthritis, although this terminology more accurately refers to inflammation of the bladder or urethra which may be caused by diseases other than those of bacterial origin.

The symptoms of UTI can vary, depending on whether the infection affects the lower (bladder and urethra) or upper (kidneys and ureters) parts of the urinary tract.

Lower urinary tract infection symptoms

  • Burning sensation on passing urine.
  • Need to pass urine more frequently than normal.
  • Need to hurry to the toilet to pass urine.
  • Urine can be cloudy with an offensive odour.

Upper urinary tract infection symptoms

People with upper urinary tract infection are likely to experience the symptoms above, plus:


Bladder prolapse is a very common condition unique to women, with up to 30% of women who have had children developing some degree of prolapse.

Prolapse literally means “to fall out of place”.Normally the bladder is held in place by a group of muscles,tissues and ligaments situated in the pelvis, commonly referred to as the pelvic floor muscles.Stresses put on these pelvic muscles through childbirth can cause these pelvic muscles to weaken and deteriorate to a degree that they are no longer able to support the bladder.Enabling the bladder to “fall out of place”and descend into the vagina.

There are basically three degrees of prolapse

First degree prolapse- A small part of the bladder slips down into the vagina

Second degree prolapse- The bladder slips down enough to reach the opening of the vagina

Third degree- The bladder protrudes completely from the vagina.

Bladder Prolapse may cause

Discomfort or pain in the pelvis

Stress incontinence-urine leaking when coughing,laughing, sneezing,lifting

Causes and Treatment

The main cause of prolapse is childbirth,however normal ageing process can further weaken the pelvic floor muscles.being overweight, having a persistent cough may also cause damage to the pelvic floor muscles.

Mild cases of prolapse may be effectively treated by pelvic floor exercise to restore muscle tone or in some case lifestyle changes like weight loss to reduce the pressure placed upon the pelvic floor muscles.
For more severe cases surgery is an very effective treatment to secure the bladder back into the correct position by stitching or using a mesh to strengthen the pelvic floor weakness.

To find out more about the different types of pelvic organ prolapse

To find out more about Anterior and Posterior  repair for pelvic organ prolapse


Latest world news in the worldof urology

  • Prostate Cancer
    February 11, 2014

    DNA prostate test ‘will predict deadliest cancer risk‘ By James GallagherHealth and science reporter, BBC News  

Upcoming events

  • Up Pompeii Triathlon Challenge
    January 29, 2017

    THRILLS, SPILLS AND HIJINKS ON THE UP POMPEII TRIATHLON For their 2017 charity challenge, once again, Mr Jeremy Ockrim will be leading a group of intrepid adventures to support  The Parnell Fund  on their quest in raising awareness and funds for those suffering from urological conditions. Following the success of last years “All Roads Lead […]

  • All roads Lead To Rome
    January 29, 2017

    For their 2016 charity challenge to raise awareness and funds for those suffering from urological conditions, 16 intrepid cyclists from the field of Urology based at UCLH Westmoreland Street and from the world of business joined The Parnell Fund Founders Consultant Urological Surgeon Mr Jeremy Ockrim and patient Neville Parnell in raising nearly £3000 by […]