Urinary incontinence
Leakage with coughing or activity, sudden urgency and incomplete bladder emptying can reflect different problems. Assessment considers symptoms, medicines, previous pelvic surgery and the effect on daily life.
Management may include pelvic floor rehabilitation, bladder training, medicines or surgery. Options such as a sling or an artificial urinary sphincter require careful selection. Continence assessment is relevant to both men and women.
Erectile and sexual health
Erectile dysfunction can have vascular, neurological, hormonal, psychological or treatment-related causes. Care may involve addressing contributing conditions, counselling, medicines, vacuum devices, injections or an implant when appropriate.
The consultation can also address sexual changes after prostate or bladder cancer treatment. A device or operation should be considered in the context of expectations, risks and the ability to use it.
Implants and reconstructive options
Penile implants and artificial urinary sphincters are among Dr. Sachin’s listed specialist interests. Assessment includes the cause and duration of symptoms, previous treatments, infection risks and expectations.
Ask about device use, recovery, possible revision and how future problems would be managed. No implant guarantees the same experience as natural function.
Preparing for an open conversation
- Describe the symptom and its impact in your own words.
- Bring details of cancer treatment, pelvic operations and current medicines.
- For leakage, a bladder diary and information about pad use may help.
- Tell the team what has already been tried and what matters most to you.
Common questions
Can I discuss these concerns during cancer follow-up?
Yes. Continence, sexual function and emotional wellbeing are relevant parts of survivorship and can be raised directly.
Will surgery be the first recommendation?
Not necessarily. The cause, severity, previous treatments and your preferences determine the sequence of options.