Urinary leakage is common among women, but that does not mean it should be accepted as a normal part of aging, childbirth or menopause. While reviewing women’s health services in Mumbai, I examined the treatment approach described by Dr. Maitreyee Parulekar for women experiencing urinary incontinence. For patients researching Urinary Incontinence Treatment in Mumbai, understanding the type of leakage, its causes and the available non-surgical and minimally invasive options can make it easier to seek appropriate care. Dr. Maitreyee Parulekar’s practice focuses particularly on stress urinary incontinence, with treatment tailored to the severity and underlying cause of symptoms.
Urinary incontinence refers to involuntary leakage of urine. Stress urinary incontinence, or SUI, occurs when activities that increase pressure inside the abdomen—such as coughing, sneezing, laughing, lifting or exercising—cause urine to leak. Dr. Maitreyee Parulekar’s treatment page identifies weakened pelvic floor muscles after childbirth, hormonal changes around menopause, obesity, chronic cough and previous pelvic surgery among contributing factors.
Women may notice leakage only during exercise initially, while others may experience it during routine activities. Symptoms can also be accompanied by urinary urgency, frequent urination or disturbed sleep. When leakage begins affecting social activities, exercise or confidence, a medical consultation can help identify the underlying problem instead of treating it as something a woman simply has to live with.
Typical symptoms of stress incontinence include urine leakage while coughing, laughing, sneezing, lifting weights or exercising. Some women may also experience increased urinary urgency or frequent trips to the bathroom.
The timing and circumstances of leakage are important because different forms of incontinence can require different treatment approaches. Stress incontinence is associated mainly with physical pressure on the bladder, whereas urgency incontinence involves a sudden, difficult-to-control need to urinate. A gynaecological assessment can help distinguish between these patterns and identify whether more than one type is present.
Women should also mention previous childbirth, pelvic operations, menopause, chronic coughing and other relevant medical history during consultation. These details can help the doctor understand whether pelvic support, bladder function or another factor is contributing to the symptoms.
**Dr. Maitreyee Parulekar is a gynaecologist and specialist in gynaecological oncosurgery and minimally invasive surgery. Her qualifications include MBBS, MS in Obstetrics and Gynaecology from KEM Hospital, MRCOG (UK), and FMAS from MUHS. Her professional profile states that she completed her master’s degree at Seth G.S. Medical College and K.E.M. Hospital, Mumbai, where she was a Gold Medallist.**
Her advanced training includes a Fellowship in Gynaecological Oncosurgery and Robotic Surgery at Seoul National University Hospital, South Korea, and a visiting-scholarship programme in minimally invasive gynaecology at Mount Sinai Hospital and Women’s College Hospital in Toronto, Canada. She has also undertaken fellowship training in minimally invasive gynaecology and gynaecological oncology at Galaxy Care Laparoscopy Institute in Pune.
Her clinical expertise covers laparoscopic and robotic surgery for benign and malignant gynaecological conditions, along with urinary incontinence, endometriosis, fibroids, menstrual disorders, fertility-preserving surgery and gynaecological cancers. Her profile also describes academic and research work, including publications in peer-reviewed journals and presentations at national and international conferences.
Patients searching for a Top Gynae Oncologist In Mumbai may therefore find her background relevant not only for cancer surgery but also for complex minimally invasive procedures involving women’s pelvic health.
Treatment is not automatically surgical. For women with mild to moderate stress incontinence, Dr. Maitreyee Parulekar’s treatment page describes pelvic floor strengthening as an important first-line approach. Personalised physiotherapy may include Kegel exercises and techniques designed to improve pelvic muscle control and support.
Lifestyle measures may also be incorporated into the treatment plan. The clinic’s information mentions dietary modification and timed voiding, while hormonal treatment may be considered in selected women where appropriate. Managing factors such as obesity and chronic cough can also be relevant because repeated increases in abdominal pressure can aggravate leakage.
The page also describes laser vaginal tightening as a non-surgical option for selected mild to moderate cases, with the stated aim of stimulating collagen and improving support around the vaginal walls and urethra. Patients should discuss whether this treatment is appropriate for their specific diagnosis rather than assuming every form of urinary leakage will respond in the same way.
When conservative measures do not provide sufficient relief, surgical treatment may be considered for moderate to severe stress urinary incontinence. Dr. Maitreyee Parulekar’s practice describes minimally invasive, mesh-free approaches as well as selected sling procedures.