Innovative Nonsurgical Treatments for Urinary Incontinence (O-Shot, V-Lase)

Incontinence affects a large part of the population. Even though it may be an uncomfortable subject, the more you know, the better you’ll be able to control the situation. Older women are the hardest hit. In fact, it’s been estimated that more than 4 in 10 women age 65 and older suffer from it. However, it can occur at any age, as well as in men, especially those with prostate problems.

At Kennesaw Gynecology in Kennesaw, Georgia, Angel Paas, MD, combines her extensive experience in gynecology, surgery, and aesthetics with innovative, high-quality medical care. She and her expert team are dedicated to helping their patients with all types and degrees of incontinence.

What are the types of urinary incontinence?

There are two major types of urinary incontinence:

Stress incontinence

This is the more common type, and it’s also the type that affects a larger proportion of younger women. Stress or pressure on the bladder causes leakage. The pressure can come from common occurrences, such as coughing, sneezing, laughing, or sudden movements. Stress incontinence can also occur when weak pelvic floor muscles put pressure on the bladder and urethra, making them work harder.

Urge incontinence

Also known as “overactive bladder,” with urge incontinence, the person may experience a strong, sudden urge to urinate but can’t make it to a bathroom in time. Others can get to a bathroom, but they feel the urge to urinate more than eight times a day, though they don’t produce much once they actually go. The urge can come at any time, even when hearing the sound of running water.

What are some risk factors for incontinence?

There a number of risk factors that can lead to incontinence, the biggest of which is simply being a woman. Women experience stress incontinence two times as often as men. That’s because events, such as pregnancy, childbirth, and menopause, may affect both the urinary tract and the surrounding muscles. The pelvic floor muscles support the bladder, urethra, uterus, and bowels, and the strain can weaken or damage them. That means they have to work harder to hold in urine.

Men have a greater risk for urge and overflow incontinence, the latter of which involves the failure to evacuate completely, leading to leakage as new urine builds up.

Other risk factors include:

How is incontinence traditionally treated?

Urinary incontinence can be treated in different ways depending on the type and severity of symptoms.

If the pelvic floor muscles have been weakened, physical therapy to retrain those muscles can prove very helpful. Medications, including anticholinergics, may help to calm an overactive bladder, and alpha-blockers may help to relax bladder neck muscles in men with urge or overflow incontinence.

In some situations, urinary incontinence may not respond to medications and behavioral therapy. When urge incontinence doesn’t respond to therapy or medications, Botox® injections may help. Injections can interrupt nerve signals to the bladder and sphincter muscles by relaxing the surrounding muscles.

You may also be able to make lifestyle changes to help relieve the condition. These include:

What are some innovative treatments?

In addition to the traditional treatments, Kennesaw Gynecology uses two, new, innovative techniques that can treat incontinence:


The O-ShoT® is a nonsurgical procedure that uses platelet-rich plasma therapy and your own growth factors to stimulate the rejuvenation of vaginal tissue. One of its side effects is that it helps combat stress urinary incontinence.


V-LASE® is also a painless, nonsurgical in-office treatment that shrinks and tightens vaginal and vulvar tissue, in this case using fractional nonablative CO2 laser technology. In addition, it stimulates the production of new blood vessels, restoring moisture and normal vaginal pH. Like the O-Shot, one of its side effects is that it helps combat stress urinary incontinence.

There’s no need to be embarrassed about a leaky bladder. You’re not alone, and we can help. To learn more, book an appointment online or over the phone with Kennesaw Gynecology today.

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