Painful Bladder Syndrome and Bladder Instillation Clinic
Home > Private Painful Bladder Syndrome and Bladder Instillation Clinic in Birmingham
Living with persistent bladder pain, urgency, or discomfort can be exhausting, especially if your symptoms continue despite previous tests or treatments, and you’re left without clear answers. Understandably, you may be feeling frustrated, unsure what to try next, or worried that your symptoms are being dismissed or not fully understood.
At Midland Health, we offer private consultations for Painful Bladder Syndrome (sometimes referred to as Interstitial Cystitis), providing a calm, supportive space to talk through your symptoms, be properly listened to, and understand your options.
We offer direct access to experienced consultants, with no GP referral required and same-day or next-day appointments, subject to availability.
Painful Bladder Syndrome can be complex and difficult to live with, particularly when symptoms persist over time or fluctuate unpredictably. Many people come to us having already undergone urine tests, scans, or courses of treatment, yet still feeling unclear, unsupported, or unsure about what should happen next.
That’s why our team focuses on careful specialist assessment in a calm setting, taking the time to listen, assess your symptoms carefully, and help you understand what may be contributing to them. We will review any relevant history or previous investigations and talk you through the appropriate next steps.
You’ll be supported in understanding what options may be appropriate for you, what each step involves, and what a realistic next step looks like, so you can move forward feeling informed, heard, and supported.
If you are experiencing bladder symptoms that are ongoing, disruptive, or difficult to explain, speaking with one of our experts can help you get the answers you need.
We help people who are experiencing:
Persistent bladder or pelvic pain or discomfort
Urinary urgency or frequency that continues over time
Symptoms that worsen as the bladder fills
Recurrent “UTI-like” symptoms where infection is not consistently confirmed
Ongoing symptoms despite initial treatment or GP review
If you are uncertain about your symptoms, an initial consultation provides you with the opportunity to talk things through properly, review what has already been explored, and consider whether further assessment would be helpful.
Care begins with a private consultation, focused on understanding your symptoms in context before any decisions are made.
Your appointment may involve:
Detailed history and symptom review: We take time to understand symptom patterns, triggers, duration, previous treatments, and relevant medical history.
Review of previous investigations: Where available, we review prior test results, scans, or letters to avoid unnecessary repetition and identify any gaps.
Discussion of further investigations: If appropriate, we may discuss whether additional tests, such as urine analysis, imaging, or specialist assessments, could help clarify the picture.
Careful discussion of management options: Based on findings, we talk you through potential next steps, which may include monitoring, follow-up, or coordination with other services. In some cases, we may also discuss whether treatments such as bladder instillation could be helpful, based on your symptoms.
Ongoing bladder symptoms can take a real toll on your physical and emotional health. That’s why we aim to make the process clear, unhurried, and supportive, giving you space to talk things through properly.
*This price is per treatment and includes the cost of the drug administered.
You are likely to need an initial course of 4 weekly treatments. After this, the consultant will assess your symptoms and response to treatment before deciding on any further treatment required.
Mr Rupesh Bhatt is an experienced Consultant Urological Surgeon with specialist urology training, including advanced uro-oncology experience at the Christie Hospital in Manchester and a laparoscopic fellowship in Melbourne. Since 2006, he has held a senior Consultant post at the Queen Elizabeth Hospital Birmingham, where his work spans complex kidney and prostate conditions, minimally invasive surgery, and long-term catheter care.
Nationally recognised for his clinical expertise and judgement, Mr Bhatt’s work has featured on the BBC series Surgeons: At the Edge of Life, reflecting his role in managing some of the UK’s most challenging cases. Patients value his calm, reassuring manner and clear communication, with many appreciating the time he takes to explain complex issues and support informed decision-making.
Dr Fidan Bayli, Consultant Obstetrician and Gynaecologist
Dr Bayli is an experienced Consultant in Obstetrics, Gynaecology and Urogynaecology, providing specialist care for women with recurrent urinary tract infections, pelvic floor disorders and complex bladder symptoms. She completed her medical training and PhD in Azerbaijan before moving to the UK for advanced specialist training, developing strong expertise in hysteroscopy, pelvic floor assessment and female bladder health. Patients often value her calm, multilingual manner, which helps create a relaxed and supportive environment when discussing sensitive or intimate concerns.
Alongside her clinical work, Dr Bayli has a strong academic profile, including an MD from the University of Birmingham and leadership roles in national research trials such as C-STICH. Guided by a patient-centred philosophy, she is known for listening carefully, explaining options clearly, and ensuring every woman feels heard, supported and confident in her care.
What to Expect at Your First Appointment
Many people attend their first appointment with unanswered questions and understandable concern about ongoing symptoms. That’s why we take the time to listen and ensure your voice is heard.
During your first consultation, you can expect:
A private consultation with an experienced clinician
Time to explain your symptoms and what you have already tried
Review of relevant records you bring with you, if available
A clear summary of considerations and practical next steps
Your consultation is a chance to talk things through at your own pace, including any questions or concerns you may have. For many patients, being listened to and gaining clarity is an important part of the consultation itself.
How to Prepare
Preparing beforehand can help you get the most out of your appointment:
Make a brief note of your symptoms, including when they started, how they vary, and anything that seems to trigger or relieve them
Bring along any relevant test results, GP letters, or details of previous treatments, if you have them
Note any factors you’ve noticed that worsen symptoms, such as bladder filling, certain foods or drinks, physical activity, or sexual intercourse
Bring a list of current medications or supplements you take
Drink water beforehand if you’re able, as a urine sample may be requested during the assessment
Write down any questions or concerns you’d like to discuss, even if they feel minor
If you don’t have all of this information, that’s absolutely fine. Our team will guide you through the consultation and help you feel comfortable and supported throughout your visit.
Follow-up is a key part of managing ongoing bladder symptoms. Painful Bladder Syndrome often requires review and adjustment over time, and we aim to support you beyond the initial consultation.
Your follow-up plan may include:
Reviewing any test results or investigations arranged following your appointment
Discussing how your symptoms are evolving and whether anything has changed
Revisiting possible triggers, flare patterns or lifestyle factors
Considering additional management options where appropriate, including discussion of treatments such as bladder instillation
Planning further review or onward referral if needed
Continuity of care is important to us. Wherever possible, you will continue to see the same clinician, allowing your care to remain consistent, informed, and tailored to you. Our aim is to ensure you feel supported, reassured, and clear about next steps at each stage.
Bladder pain, urgency and frequency can be difficult to live with. At Midland Health, we focus first on understanding your symptoms and what may be contributing to them. Where appropriate, we can discuss specialist treatments such as bladder instillation and whether they are suitable for you, helping you decide on a sensible next step with clear professional guidance.
That’s why patients choose our Birmingham clinic:
Consultant-Led consultations: We take the time to understand your symptoms properly before discussing next steps
Access to expert clinicians: There are no long NHS waiting times or unnecessary referrals
Clear, honest explanations: We take time to explain findings, options and suitability in plain language, so you can make informed decisions with confidence.
Continuity of care: Your follow-up is planned thoughtfully, with care tailored to your individual needs wherever possible.
A calm, private medical setting: Appointments take place in an environment designed to support sensitive discussions and careful specialist assessment.
Modern facilities in Birmingham: Our clinic offers up-to-date facilities with access to onward services where appropriate.
Had Louise Bradshaw as my GP.Lovely and easy to talk to! Highly recommend and will be back if needs be.
KKaltrina Krasniqi
they went out of their way and beyond. I would recommend to anyone who is considering this clinic!
SSvetlana Gracova
Šeit strādā brīnišķīgi ārsti, iesaku šo klīniku.🥰
AAndrew Frost
the receptionist Leanne who lovely friendly welcome put me at ease immediately, she was very friendly and efficiently handled a query
JJoanne Austin
Dia and Imaan have been extremely helpful in sorting appointments. Had a great experience end to end, thank you
BBritanya Smith
Dr. Darr (ENT) is amazing at his job!! He is so patient and understanding and really validated my concerns
Visit Our Clinic in Birmingham
Our private clinic is located on Highfield Road in Edgbaston, offering a discreet and comfortable environment for specialist consultations. When you book, our team can provide directions, parking information, and accessibility details to help make your visit as straightforward as possible.
FAQ
Not necessarily. Symptoms can overlap, but Painful Bladder Syndrome is not defined by bacterial infection. Assessment focuses on symptoms, history, and test results together.
No. If you have previous results, they can be helpful, but an assessment can still take place without them.
Management options are discussed following the assessment. In some cases, further information or investigations may be recommended before any plan is agreed upon.
If instillation isn’t the right option, we will discuss other management approaches based on your history and priorities. This may include reviewing triggers, optimising current treatments, considering pelvic floor input, or discussing whether further investigation is needed before making any procedural decisions.
We agree in advance what “improvement” would look like for you. For example, changes in pain/pressure, urgency, frequency, nocturia, and flare intensity. We also discuss a sensible timeframe for review and what to do if you notice side effects or no meaningful change. Your follow-up plan is based on your response rather than assuming a fixed course.
Midland Health has partnered with a highly reputable electronic prescription provider, SignatureRx, to make receiving your prescriptions faster and easier. With our new paperless system, you can choose to collect your medication using your secure prescription code or have it delivered directly to your home free of charge. There’s no need for paper prescriptions or multiple pharmacy visits.