Painful Bladder Syndrome Treatment

Home > Private Painful Bladder Syndrome Treatment 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.

How We Can Help

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.

Do I Need an Appointment?

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.

Our Treatments

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.

Pricing 

New Gynaecology Consultation

£265

(30 min)

New Urology Consultation

£265

(30min)

Bladder Instillation Proceedure

£POA

Meet Our Specialists

Mr Rupesh Bhatt, Consultant Urological Surgeon

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:

  1. A private consultation with an experienced clinician
  2. Time to explain your symptoms and what you have already tried
  3. Review of relevant records you bring with you, if available
  4. 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.

Your Follow-Up Care

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.

Why Choose Midland Health?

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.

What Our Patients Say About Us

402 Total Reviews

Average Rating 4.4

Five star review

Great, professional service as always at Midland Health.

T F | 28th Sep 2025

Midland Health

Five star review

Dr. Pav Dhesi is really amazing and caring :)

Cecília Álvares | 21st Sep 2025

Midland Health

Five star review

Thank you Dr Rupa Parmar you have been an amazing attentive person and I feel comfortable to discuss matters with you in your clinic and feel you are very knowledgeable and can provide solutions for my needs that I’ve come...

Pammy Bains | 21st Sep 2025

Midland Health

Five star review

Fantastic!! Efficient service talking through process made my son feel comfortable most of all cleaned out his ears safely and to the best of ability.

Saima SARWAR | 18th Sep 2025

Midland Health

Five star review

Second time here, all the staff are lovely and felt very welcomed at reception by Dia And health care assistants Vee Emily and Jo

Jaycoxhair | 9th Sep 2025

Midland Health

Five star review

I saw Dr Sam Smith (gastroenterologist) at this practice. The information on the website was clear and helpful and making an appointment was easy.The practice is nice and modern and the admin staff were polite, kind and helpful, both on...

simone bacchini | 4th Sep 2025

Midland Health

Five star review

This has been the best service I have received in my life. I am so grateful for the support I’ve gotten, it has been life saving. Thank you again !

Nafizah Bi farooq | 30th Aug 2025

Midland Health

Five star review

Have used the services of Midland Health in two of their sites as I needed a Medical examinantion (and innoculations) to support a work permit application. The process has taken approximately 10 weeks fdrom start to finish and at all...

Sean OB | 26th Aug 2025

Midland Health

Five star review

I had an appointment with Ms Fidan Bayli and was very pleased with the experience. She was very welcoming and gentle, and the examination never felt uncomfortable or rushed. I could truly feel her professionalism throughout the consultation. She gave...

Анна Гаджиева | 19th Aug 2025

Midland Health

Five star review

Had a excellent service top notch I recommended anyone ear wax removal

Ahmed Mohamed | 15th Aug 2025

Midland Health

Five star review

I have had two appointments with Dr Sam Smith, Gastroenterology and have been very happy with with my treatment and treatment plan, he was friendly and approachable which made me more comfortable to discuss any concerns. Overall very informative which has...

Romaine Sumner | 14th Aug 2025

Midland Health

Five star review

We recently saw Dr Prasad Nagakumar for a clinic appointment for our daughter. He was very professional and empathetic and listened to all our concerns and answered all our questions. The staff at Midland Health in Edgbaston clinic were fantastic...

Sally El-Ghazali | 12th Aug 2025

Midland Health

Five star review

I want to say a massive thank you to Dr Pav Hare for her outstanding service. I came in for an appointment, and she instantly put me at ease and started gathering an extensive history and my current concerns. Throughout...

Sahil | 9th Aug 2025

Midland Health

Five star review

Highly recommend Dr Kudlur. Excellent service and prompt diagnosis. He has been brilliant at articulating the problem in a way that is easy to understand and helpful in creating tools to best manage my condition. I have seen vast improvement...

Angus | 31st Jul 2025

Midland Health

Five star review

*I recently had a consultation with Dr. Dawson for my 4-month-old daughter, and I couldn’t be more grateful.** He is a highly qualified and understanding pediatrician, with a wonderfully caring approach to little ones. My baby was calm and relaxed...

Lesya Fedorovych | 28th Jul 2025

Midland Health

Five star review

I recently attended Midland Health for a full Health Assessment/Medical Examination required for work purposes, and I couldn't be more impressed with the service I received.Dr. Pav Dhesi (GP) was fantastic—she was attentive, thorough, and took the time to listen...

Sabrina A. Said | 18th Jun 2025

Midland Health

Five star review

Throughout multiple experiences over the past few months, the service has been consistently excellent. Appointment availability is remarkable – I'm always seen almost immediately, typically within a day or two at most.The GPs and consultants provide genuinely attentive care, listen...

Sibylle | 5th Jun 2025

Midland Health

Five star review

Excellent doctor sam

time lapse | 30th May 2025

Midland Health

Five star review

Midland Health has quite literally changed the course of my life.After years of struggling without answers, I finally took the step to get assessed for ADHD and ASD — and choosing Midland Health was the best decision I could have...

Unknown Reviewer | 27th May 2025

Midland Health

Five star review

We visited Midland Health last week for some peadiatric blood tests. I had read some of the negative reviews posted previously so was a little hesitant, however from our experience it could not have been any better.We were greeted on...

Melanie Lovegrove | 27th May 2025

Midland Health

Five star review

We are currently seeing Dr Rupa Parmar who has written up a personalised immunisation schedule for our baby daughter. Dr Parmar is excellent she's professional, listens, offers advice and genuinely cares. We are really pleased with the service we have...

Ellie Steer | 15th May 2025

Midland Health

Five star review

We took our 4 month old daughter due to rash from suspected allergies, as NHS GP appointment did not lead to answers/ referrals. An appointment was available for two days later at Midland Health. Her allergies were confirmed in one...

Laura Bains | 4th May 2025

Midland Health

Five star review

I had waited years on the NHS regarding my mild tongue tie. I had a frenectomy carried out by The NHS Coventry Hospital their maxilliofacial department, which was a bit of a fight to get as it seemed they considered...

Tasneem Abrahams | 29th Apr 2025

Midland Health

Five star review

Excellent, service Dr Kudlur was very kind and knowledgable and didn’t interrupt me (Which I think would have been reasonable as I overran our time!)

Tom Owens | 23rd Apr 2025

Midland Health

Five star review

From my personal experience, I am so grateful to be in a position where I was able to book a private assessment for diagnosing my ADHD with Dr Kudlur.Due to my circumstances, this prognosis required immediate action, whereas the NHS...

Jordan | 23rd Apr 2025

Midland Health

Five star review

Mine experience was very good 👍. Dr very nice and polite. She checked my son very well and he improved .

Sidra Ahmed | 15th Apr 2025

Midland Health

Five star review

Dr Naganna and the other members of the team were excellent when we attended with our daughter. They were thorough and answered all our questions. An excellent team and an excellent location

Kashini Andrew | 12th Apr 2025

Midland Health

Five star review

I’ve had two treatments so far with Emma Conway, just want to say she is absolutely brilliant - still on the journey to achieve my results but she really makes an effort and cares, she provides great customer service even...

Saira M | 7th Apr 2025

Midland Health

Five star review

Received excellent and consistent support with no issues and I recommend the service fully.

Callum Peters | 30th Mar 2025

Midland Health

Five star review

Yes I was happy with my consultation

Sue Gardner | 28th Mar 2025

Midland Health

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.

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Digital Prescription

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To find out more about our digital prescription service please click here.

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