Urinary Incontinence Treatment in Uroclínica
About the clinic
Urinary incontinence care at Uroclínica in Barcelona, Spain, includes testing, non-surgical therapies, neuromodulation and surgery. Its Urodynamics Unit has operated since 1996 and received a 2016 Professional Excellence Award from the Barcelona Medical Association.
Dr. José Emilio Batista, a urologist with an MD and PhD, has personally performed 25,000+ urodynamic studies. He trained at Boston University Hospital and Harvard Children’s Hospital and belongs to WHO/ICUD-sponsored incontinence committees.
Tests for urinary incontinence
The team selects tests based on symptoms and the suspected type of incontinence. Urodynamic testing can help guide treatment choices, including whether surgery is suitable.
- Specialist consultation: A urologist or gynecologist reviews symptoms and medical history.
- Urodynamic study with flowmetry: The 30–60-minute test measures bladder function and urine flow. A thin bladder catheter is used, with a rectal catheter occasionally added. Local anesthetic gel and antibiotic prophylaxis are part of the protocol. Temporary burning or pink urine may occur.
- Flowmetry: Measures urine flow rate and the volume passed.
- Pad test: A standardized 30-minute test weighs a pad to measure urine loss.
- Pediatric urodynamic study: Takes 30–60 minutes and is performed with a parent present.
- Home uroflowmetry: The MINZE system records urination at home and sends results to the clinic through an app. In selected cases, it may replace invasive urodynamics.
- Other monitoring: Options include home urodynamics, remote follow-up and an overnight nocturia study at Centro Médico Teknon. The nocturia study is funded by the Teknon Foundation and approved by its ethics committee.
Treatment options
A multidisciplinary team of urologists, gynecologists and pelvic floor physiotherapists plans care around the diagnosis. No single treatment suits every type of incontinence.
- Pelvic floor muscle rehabilitation: A physiotherapist supervises individual or group Kegel sessions. It can help with stress incontinence after childbirth, prepare patients for prostate surgery, or treat overactive bladder.
- Medication: Drugs that relax the bladder muscle during filling may treat overactive bladder and urgency incontinence.
- Posterior tibial nerve stimulation: This option may be considered for overactive bladder when rehabilitation and medication are not enough.
- Botulinum toxin bladder injection: Injection into the bladder wall can reduce muscle overactivity in persistent urgency incontinence.
- Sacral neuromodulation: Sacral nerve stimulation is an option for persistent urgency incontinence and voiding problems. Uroclínica urologist Dr. Virginia Martínez Barea directs a sacral neuromodulation course at HU Bellvitge.
- Male sling surgery: Mesh placement may treat stress incontinence after prostate removal. MRI findings, including mesh position and its footprint, affect the expected success.
- Other incontinence surgery: Surgery is considered when conservative care has not controlled symptoms, after urodynamic testing identifies the incontinence type.
- Bladder management and training: Nursing staff teach intermittent or permanent catheter use, urine collectors and suprapubic catheters. Bladder training can include timed urination every 2–3 hours and avoiding fluids just before sleep.
Patients can request a consultation through Bookimed to discuss suitable testing and treatment options.
Highlights
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Treatments prices in the clinic
| treatment | Price | |
|---|---|---|
| Vaporization (with GreenLight Laser) | Price on request | |
| Holmium Laser Enucleation of the Prostate | Price on request | |
| Sacral Nerve Stimulation (SNS) (Sacral Neuromodulation (SNM)) | Price on request | |
| Robotic da Vinci prostatectomy | Price on request | |
| Medication therapy for urinary incontinence | Price on request |
Clinic Doctors
How are we doing?
Uroclínica: more details about the clinic
Uroclínica is a private urology center established in 1996 in Barcelona. The facility operates from two locations: Centro Uroclínica Vía Augusta and Centro Médico Teknon. It specializes in general, functional, and stone-related urology, with a focus on micturition disorders and urinary incontinence.
Key Achievements and Statistics
The clinic has a specialized Urodynamics Unit that has studied over 25,000 patients since opening. In 2016, the Colegio de Médicos de Barcelona recognized this unit with the Professional Excellence Award. The center also pioneered GreenLight prostate laser surgery in Catalonia in 2003.
Specialties and Procedures
Functional Urology and Urodynamics
The clinic provides precise diagnostics for voiding-cycle disorders in women, men, and children. Specialists use urodynamic studies to identify causes of urinary incontinence and overactive bladder. Dr. José Emilio Batista has personally performed over 25,000 urodynamic studies during his career.
Treatment plans for pelvic floor disorders often include specialized rehabilitation. The multidisciplinary team works to reduce diagnostic delays for symptoms patients may hide due to embarrassment. Care extends to pediatric urology, including management of enuresis (bedwetting).
Prostate Care and Oncology
For benign prostatic hyperplasia (BPH), the clinic offers several transurethral laser options. These procedures remove obstructing tissue to improve urine flow. The surgical team uses various laser technologies:
- GreenLight laser vaporization
- Tulio laser vaporization
- Laser enucleation and morcellation for large prostates
Prostate cancer diagnosis relies on MRI-guided fusion biopsy. This technology combines multiparametric MRI with real-time ultrasound to locate suspicious lesions. Surgeons also perform robotic-assisted prostatectomy using the Da Vinci system for precise tumor removal.
Urolithiasis (Kidney Stones)
Specialists treat renal lithiasis using laser-based interventions. These minimally invasive techniques break down stones within the urinary tract. The surgical team includes consultants trained at Fundació Puigvert and Hospital Universitario Vall d'Hebron.
Technology and Equipment
The facility has multiparametric MRI for high-resolution prostate imaging. Advanced ultrasound systems work alongside MRI for fusion biopsies. For surgery, the clinic uses the Da Vinci robotic platform and specialized GreenLight and Tulio laser systems. The Urodynamics Unit uses specialized flowmetry equipment to assess bladder emptying.
Services for International Patients
A dedicated pelvic floor rehabilitation and urodynamics team supports international visitors. Staff speak several languages, so communication stays clear during sensitive diagnostic tests. The medical and support staff provide care in:
- English
- French
- Spanish
- Catalan
Specialists also offer consultations and medical reports for patients traveling from abroad. The clinic runs accredited urodynamics courses that align with International Continence Society standards.
Additional services
Patient reviews
Marta Fernandez
Greg
Carmen Gallardo
Julio
Cristiane Vidal
Vicente Aparicio
Yolyma Castro
Facundo Margulies
Pau Maya Sánchez
AI Martos
Via Augusta, 158, 3º,4º, Sarrià-Sant Gervasi, 08006 Barcelona, Spain
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