Urinary incontinence occurs when the bladder, pelvic floor muscles, or the nerves controlling bladder function become weakened or disrupted. The good news is that effective, non‑surgical treatments are now available.

At Refine Clinic, we most commonly treat two main types of female urinary incontinence:

• Stress Urinary Incontinence (SUI)
• Urge Urinary Incontinence (UUI), also known as Overactive Bladder (OAB)

Understanding how these conditions differ helps guide the most effective treatment plan.

• A sphincter muscle, which keeps urine in the bladder
• The pelvic floor muscles, which support the bladder and urethra
• The nervous system, which signals when it’s time to urinate

When the pelvic organs – including the bladder, urethra, vagina, uterus, and rectum – are placed under stress or lose structural support, urinary leakage can occur.

Common Triggers Include:

• Coughing or sneezing.
• Laughing.
• Jumping or running.
• Exercise or lifting.
• Sudden movements.

Risk Factors for Stress Incontinence

Several factors can weaken the pelvic floor and increase the risk of SUI:

• Pregnancy and vaginal childbirth.
• Hysterectomy or pelvic surgery.
• Reduced pelvic muscle tone.
• Menopause and hormonal changes.
• Obesity.
• Chronic coughing (including smoking‑related cough).
• High‑impact sports and repetitive strain.

Women with UUI may feel they cannot reach the toilet in time, even when the bladder is not full.

Common Causes of Urge Incontinence

UUI may be associated with underlying nervous system or bladder conditions, including:

• Diabetes.
• Stroke.
• Parkinson’s disease.
• Spinal cord injury or nerve damage.
• Bladder irritation or inflammation.

PRP is a regenerative treatment that uses your body’s own blood to stimulate tissue repair, strengthen structural support, and improve function around the urethra and vaginal canal.

Well known for its success in skin and hair rejuvenation, PRP also promotes collagen production and tissue regeneration, making it an effective option for certain types of urinary incontinence.

1. A small sample of your blood is taken.
2. The blood is processed to isolate platelet‑rich plasma, concentrated in growth factors.
3. PRP is carefully injected into the tissue surrounding the urethra.
4. These growth factors stimulate healing, improve support, and strengthen the pelvic tissues.

What to Expect After Treatment

• Many women notice improvement within 1–2 weeks.
• Results continue to develop gradually over time.
• No surgery or implants are required.

The procedure is:

• Non‑surgical.
• Minimally invasive.
• Safe and well‑tolerated.
• Designed to support long‑term pelvic health.

PRP treatment may be suitable for women with:

• Mild to moderate stress urinary incontinence.
• Post‑childbirth pelvic floor weakness.
• Early menopausal tissue changes.
• Symptoms that have not responded to conservative measures.

A personalised consultation with Dr. Natalia Bratu is essential to determine suitability.