In this situation I often try and insert a larger than usual SPC - say 18 or even 20 French. The other issue is who is changing the SPC - it maybe better to have the changes in hospital if you are not already.

I would advise seeking help on this issue - initially from your GP (which you may already have done) or if necessary from a specialist paediatric urologist - sounds like further assessment should be undertaken. From the info you give my first simple test would be a post void bladder scan to see if t...

Recurrent cystitis or UTI is certainly something that you should seek help to control. It can be a huge interference with your quality of life and there are several potentially successful treatments available.

It sounds like your bladder is overactive - during periods where your conscious level drops - eg overnight/afternoon sleep this is resulting in urinary leakage - there are medications that may be able to help with that. I'm not sure what level of investigation you have had and whether you have under...

I would advise completing a bladder diary in order to investigate whether you are making too much urine at night. This is a condition called nocturnal polyuria and the treatment is different to that given for overactive bladder syndrome - this is the first step in trying to find out what the problem...

I think its a difficult issue - persuading patients to seek help for urinary incontinence is a bit of a taboo subject. It may be better to see if this individual would be willing to talk to a health care professional as we could offer alternatives to pads/containment and even prevent the incontinenc...

Sexual activity certainly can be associated with urinary tract infections. The link between incontinence and UTI is less well defined. UTIs can cause worsening of existing incontinence but there is little evidence to show that incontinence can cause UTIs. The mechanism of UTIs following on from sexu...