Urinary Incontinence Therapy

Bladder training and urinary incontinence therapies

Urinary incontinence therapy ranges from Botox injections to many hours of Kegel exercises to BTL Emsella treatment. FemTouch vaginal therapy may also help.

BTL Emsella

  • BTL Emsella is a non-invasive treatment for incontinence—patients remain fully clothed.
  • This modality utilizes High-Intensity Focused Electromagnetic technology (HIFEM®) to cause deep pelvic floor muscles stimulation and restoration of neuromuscular control.
  • A typical plan of 6 treatments schedules two a week for three weeks.


  • Decreased estrogen levels may result in thinning of the walls of your vagina, cause urine leakage, and make sexual intercourse painful, affecting intimacy between partners.
  • Younger women may experience symptoms following prolonged breastfeeding or progesterone-only contraception, premature or induced menopause, and extended periods on cancer medications like Tamoxifen.
  • FemTouch provides very gentle controlled ablation and remodeling of the vaginal lining.

Kegel exercises

  • Kegel exercises are simple clench-and-release exercises that you can do to make the muscles of your pelvic floor stronger. Your pelvis is the area between your hips that holds your reproductive organs.
  • The pelvic floor is a series of muscles and tissues at the bottom of your pelvis that forms a sling, or hammock and hold your organs in place. A weak pelvic floor may lead to issues such as the inability to control your bowels or bladder.
  • When you first start doing Kegel exercises, tense the muscles in your pelvic floor for a count of three, then relax them for a count of three. Keep going until you’ve done 10 repetitions. Over the next several days, practice until you can hold your muscles tense for a count of 10. Your goal should be to do three sets of 10 repetitions every day.
  • Kegel exercises may take as long as a few months to affect urinary incontinence.


  • Injections can be used to treat severe bladder symptoms, such as severe urgency, inability to delay urination, and urinary sphincter spasm
  • It works by blocking the ability of some nerves to communicate with bladder or sphincter muscles.
  • Botox begins to work at about 1 week, but the full effect of the medicine may take up to two weeks.
  • The effect is not permanent and as a result, will only last about six to eight months in the bladder.

Call 281-298-5476 to book your free consultation with Dr. Nangrani and our Spa Director. Together, you will discuss your expectations and design your treatment plan.

Vedas is minutes from I-45 (Houston’s North Freeway) in The Woodlands. We look forward to seeing you soon!

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Disclaimer: This website does not provide medical advice. Our information is for education and information purposes only.

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