More than a third of women and a quarter of men in the Midlands suffer from some sort of bladder problem yet are too embarrassed to seek help, according to one of the region's leading urologists.
Incontinence, prostate problems and kidney stones can cause chronic pain as well as embarrassment but many patients choose to suffer in silence.
In an attempt to help people address the problems, Zaki Almallah has opened the first private dedicated bladder clinic in the West Midlands.
Mr Almallah pioneered the use of botox - commonly associated with cosmetic surgery - in the treatment of incontinence and overactive bladders.
The new Birmingham and Solihull Bladder Clinic, staffed by a team of urology specialists, opened earlier this month at the Priory Hospital in Edgbaston.
Mr Almallah first introduced the use of botox - botulinum toxin type A - in severe incontinence cases. The sub-stance is more commonly used for smoothing out wrinkles by freezing muscles to make the skin appear younger.
In patients with an overactive bladder, the botox binds itself itself to the nerve endings of muscles, blocking the release of the chemical which causes bladder muscles to contract involuntarily.
Mr Almallah said the success rate was high and most people could control their symptoms through bladder retraining, physiotherapy or medication.
"One in four women suffer from incontinence and it's also a growing problem for men, but they don't want to talk about it," he said.
"I have seen many patients who have endured years of bladder problems which have dominated their lives, frequently causing misery and embarrassment.
"So I set up this clinic to provide a dedicated service for people, to encourage them to come forward and to offer all the tests, treatment, support and care they need under one roof.
"The key is to understand the patient - not only their medical condition, but also the impact it is having on their life and to identify the treatment which is right for them."
Another common complaint is kidney stones, hardened mineral deposits that form in the kidneys which filter waste products from the blood and add them to the urine.
But when waste materials do not dissolve completely, crystals and kidney stones are likely to form. It is a condition that affects three in 20 men and one in 20 women, and can cause serious pain and discomfort.
New surgical techniques mean kidney stones can now be 'dissolved' using specialist laser equipment.
Alison Giles, a 30-year-old nursery nurse from Birmingham, who had surgery to have a kidney stone removed in 2003, said: "I haven't had a baby but I'd been told if you can cope with the pain from kidney stones, you can cope with labour.
"I had to have surgery to remove the kidney stone because it was so large. It was all explained to me and everything was fine. Mr Almallah saw me immediately, and that is really important."