Neurourology

Neurogenic Bladder Care for Women and Girls

Conditions that affect the brain, spinal cord or nerves often affect the bladder too. Leakage, urgency, difficulty emptying and repeated infections can be some of the hardest parts of living with a neurological condition. With the right assessment and regular review, they can be managed well, and your kidneys protected.

Dr Bob Achila has expertise in complex neurourology and urodynamics, and cares for women and girls with neurological bladder problems.

Conditions we see

  • Multiple sclerosis
  • Spinal cord injury
  • Stroke
  • Other neurological conditions affecting the bladder

Common bladder problems

  • Sudden urgency and leaking
  • Difficulty emptying the bladder, or needing a catheter
  • Repeated urine infections
  • Bowel control problems (see bowel leakage)

How care works

Assessment: a detailed history, examination, bladder scan and urodynamic studies to understand exactly how your bladder behaves.

Treatment is tailored to you and may include medicines, learning to empty the bladder with a catheter (intermittent self-catheterisation), bladder Botox injections, and managing infections.

Regular review: neurological bladder problems change over time. Follow-up testing, including repeat urodynamics where needed, helps protect the kidneys and keeps treatment right for you.

Care is coordinated with your neurologist, rehabilitation team and family doctor.

Common questions

Why do I need regular bladder checks?

In some neurological conditions, high bladder pressure can silently damage the kidneys. Regular review picks this up early.

Do you see girls under 18?

Yes. Dr Achila sees girls with neurological bladder problems, together with their parents or carers.

Do I need a referral?

No. You can book directly, or your neurologist or doctor can refer you.

General information only. It does not replace a medical consultation.

Take the Next Step

Ready to book your consultation?

Call or WhatsApp the practice, or book online at any time, including evenings and weekends. Our team will help you arrange a suitable appointment time.

Online bookings and all appointments are confirmed directly by the practice team.