Sometimes making the urine less acid is good for this - you can buy over the counter preparations for this. Perhaps addressing the stress incontinence with physiotherapy or surgery if physio already tried should be considered.

This sounds like stress urinary incontinence - if home exercises have not worked I would recommend referral for specialist supervised pelvic floor physiotherapy. If this is not successful you may need to see a urologist or urogynaecologist to discuss surgery.

Have you seen a urologist - I would recommend you do. Sounds like you require some assessment of bladder function for these troublesome symptoms. The bladder can leak for many reasons and I would recommend further investigation to try and elucidate this in your case.

This can indeed be the case - in such cases I usually refer to a urogynaecologist for an opinion - sometimes find treating the fibroids helps with the bladder symptoms.

Sometimes adding in an anticholinergic tablet (Oxybutynin, Tolterodine, Solifenacin etc) to the Mirabegron can be useful. Failing that you could talk to your urologist about Botox?

You could try an anticholinergic drug (Oxybutynin, Solifenacin, Tolterodine etc) or Mirabegron which works in a slightly different way. You may even try a combination of anticholinergic and Mirabegron - could be worth discussing with your GP.

You are correct this is currently on hold pending the outcome of an independent review chaired by Baroness Cumberlege. This is likely to be the case at least until the end of the year. The latest publication is linked below (BMJ article from last week)

https://www.bmj.com/content/365/bmj.l1842

Yes - I see a handful of cases per year. Sometimes responds to hormonal treatment, other cases need surgery. There are UK endometriosis centres that would deal with this
See link below
https://www.bsge.org.uk/data-for-bsge-a ... s-centres/

The recently published ANTIC trial has shown that a daily preventative antibiotic can reduce UTIs by 50% in ISC patients - worth considering? See link below

https://www.thelancet.com/journals/lani ... 2/fulltext

There are a host of ISC catheters available - perhaps trial a few different types that may be more comfortable for you. Also important to make sure you are not getting catheter associated infections.