Quick Answer
Urinary leakage and incontinence is the involuntary loss of bladder control, commonly caused by weakened pelvic floor muscles after childbirth, aging, or hormonal changes. It affects women of many ages and can significantly impact daily confidence and quality of life. At ID Cosmetic Clinic in Markham and Toronto, Dr. Dan Xu, M.D. personally assesses each patient and offers non-invasive energy-based treatments that strengthen pelvic floor muscles to reduce leakage episodes. Most patients undergo a short series of sessions with gradual improvement over several weeks.
View Contents (14)
What Is Female Urinary Incontinence?
Female Urinary Incontinence (UI)Urinary incontinence refers to the involuntary leakage of urine that affects daily quality of life. North American statistics indicate that approximately 30% of women over 30 experience symptoms to varying degrees, with the rate rising to 50% after menopause. Yet only about 10–20% of those affected actively seek medical help — the majority choose”Endure” or “using a pad”,Resulting in ongoing decline in quality of life and significant psychological burden.
The 3 Main Types of Urinary Incontinence
Stress urinary incontinence (SUI) — the most common type
Coughing, sneezing, laughing, exercising, or lifting heavy objectsSudden increase in abdominal pressureInvoluntary urine leakage occurring at unexpected moments. Accounts for approximately 50% of female urinary incontinence cases. Primarily caused by weakened pelvic floor muscles and inadequate urethral support tissue.
Urgency urinary incontinence (UUI)
A sudden, intense urge to urinate that cannot be deferred, resulting in leakage before reaching the bathroom. Often accompanied by urinary frequency (8+ times during the day) and nocturia (2+ times per night). Accounts for approximately 20% of cases. Primarily caused by overactive bladder (OAB).
Mixed urinary incontinence (MUI)
Both stress and urgency symptoms are present simultaneously. This accounts for approximately 30% of cases and is particularly common in perimenopausal and postmenopausal women. Treatment must address both underlying mechanisms.
Overflow urinary incontinence (rare)
Difficulty fully emptying the bladder → continuous small-volume leakage. More commonly associated with neurogenic conditions or significant pelvic organ prolapse, requiringSpecialist evaluation. This clinic does not perform this type of treatment; a direct referral will be arranged.
Functional urinary incontinence (rare)
Bladder and urethral function are structurally intact, but due toCognitive or mobility impairment(dementia, severe arthritis) that prevents reaching the bathroom in time. This falls within the scope of medical management.
Severity assessment using the ICIQ-UI SF questionnaire
- 0–6 points:Mild — occasional leakage; conservative treatment appropriate
- 7–12 points:Moderate — impacts daily life; suitable for energy-based treatment + pelvic floor training
- 13–18 points:Severe — significant impact; combination therapy or surgery may be required
- 19–21 points:Severe — surgical intervention is often required
3 Major common impacts on daily life
limited mobility
Avoiding running, jumping, rebounding, or certain yoga poses. Most patients have given up one or more physical activities they previously enjoyed.
Social avoidance
Reluctance to travel far from home, take long car rides, or laugh freely while watching a comedy. Daily life becomes increasingly restricted.
Psychological burden
Reliance on pads, anxiety about odor, and a diminished self-image. More than 30% of affected patients experience related anxiety or depressive symptoms.
5 Step: initial self-assessment
- Coughing / sneezing / laughingDo you experience leakage at that time?
- Whether you have previouslySudden, intense urge to urinateCannot make it to the bathroom in time?
- DaytimeUrinary frequencyMore than 8 times?
- Whether at nightWaking more than twice per night to urinate?
- Whether it is necessary to usePadsPreventing urinary leakage?
2 Or more items”yes”,Medical evaluation is recommended. This is not”age-appropriate”,is a treatable medical condition.
Causes of Female Urinary Incontinence (6 Key Risk Factors)
Female urinary incontinence is multifactorial — pregnancy and childbirth, hormonal changes, obesity, chronic cough, constipation, and age all contribute to pelvic floor dysfunction.
Pregnancy and childbirth
Pregnancy itself (uterine pressure on the bladder) combined with vaginal delivery (pelvic floor muscle injury and nerve stretching) isThe leading cause of urinary incontinence in women. Each additional vaginal delivery increases risk by 30% or more.
Perimenopause and declining estrogen levels
Declining estrogen → thinning of the urethral mucosa → reduced urethral closure pressure → urinary leakage. Vaginal atrophy, dryness, and discomfort during intercourse frequently occur at the same time.
Obesity and overweight
BMI Every 5-unit increase in BMI → urinary incontinence risk increases by 30–60%. Sustained elevation of intra-abdominal pressure places chronic stress on the pelvic floor. Losing 5–10% of body weight can significantly improve symptoms.
Chronic cough / constipation
Chronic conditions such as bronchitis, asthma, and constipation continuously elevate intra-abdominal pressure, accelerating pelvic floor decline. Addressing the underlying condition should take priority before treating pelvic floor dysfunction.
Age-related decline in pelvic floor function
Pelvic floor muscles and connective tissue deteriorate with age, and collagen quality declines. However,Age is not”Cannot be improved”Reasons for — 80 Years of age can still benefit from pelvic floor training.
Genetic predisposition + connective tissue constitution
Those with a family history of early-onset urinary incontinence, pelvic organ prolapse, or joint hypermobility carry a higher risk. Connective tissue genetics play a defining role in pelvic floor”Manufacturing quality”.
Stress vs. urgency vs. mixed / differential diagnosis of other types
Treatment differs significantly by type of urinary incontinence — energy-based therapy is most effective for stress urinary incontinence, while bladder training and medication are more important for urgency urinary incontinence. An incorrect diagnosis leads directly to treatment failure.
Stress urinary incontinence (SUI)
| trigger | Coughing / sneezing / physical activity |
| Volume | Small volume, triggered by sudden increase in abdominal pressure |
| urinary urgency | None |
| Treatment plan | Energy treatment + pelvic floor training(most suitable) |
| Prognosis | Significant improvement in the majority of cases |
Urgency-type UUI
| trigger | sudden urge to urinate |
| Volume | volume is significant and there is no time to reach the bathroom |
| urinary urgency | strongly |
| Treatment plan | Bladder training + medication ± energy treatment |
| Prognosis | Energy treatment provides effective adjunct support |
Mixed urinary incontinence (MUI)
| trigger | Both types present |
| Volume | Varies |
| assessment | Which type is predominant |
| Treatment plan | Comprehensive protocol |
| Prognosis | Longer treatment course required |
vs Cystitis / infection
| Underlying nature | Infectious |
| Chief complaint | Urinary frequency + burning sensation + urgency |
| Urine test | Elevated white blood cells (positive urinalysis) |
| Treatment plan | Antibiotics first · Energy treatment is not indicated |
| Key | Contraindicated during acute phase |
Urinary Incontinence in Asian Women: Clinical Characteristics and Cultural Barriers
Urinary incontinence among Asian women is significantly underreported and underaddressed — due to cultural stigma, limited access to information, and the mistaken belief that”Normal postpartum finding”,Leading many women to silently endure the condition for years.
1. Cultural silence — too embarrassed to speak up
In many Asian cultures, topics related to female intimate healthDifficult to talk about. Many patients would rather purchase ten years’ worth of pads than mention the issue to their family doctor.Patients who come to ID Cosmetic often tell me: this is the first time they have ever discussed this with a physician..
2. Mistaken for”Normal postpartum finding”
Many Asian women believe””Leaking after childbirth is just normal.””. This iscommon misconceptions — Even though some leakage is common in the early postpartum period, symptoms persisting beyond 6 months constitute a medical condition that warrants treatment.
3. Body composition and pelvic floor health
Asian women tend to have a smaller overall frame and a more compact pelvic structure, which theoretically means relatively denser pelvic floor support tissue. However,Vaginal delivery injury + multiparity + perimenopauseRemains the primary risk factor — comparable to rates seen in Western populations.
4. Female physician + private clinical environment
ID Cosmetic by Personal assessment by Dr. Dan Xu (female M.D.),Treatments are conducted in a private, dedicated room. Receiving pelvic floor care within a trusted medical aesthetic setting helps reduce the emotional barriers many women experience when addressing this concern.
Severity Grade × Recommended Approach
| ICIQ-UI SF | Severity | Recommended treatment plan |
|---|---|---|
| 0–6 | mild | Pelvic floor training + behavioral modification |
| 7–12 | Moderate | Energy-based treatment × 3–5 sessions + pelvic floor training |
| 13–18 | severe | Energy treatment + physiotherapy ± urogynecological evaluation |
| 19–21 | Extremely severe | Referral to urogynecologic surgery |
Female urinary incontinence is not”Something that must simply be tolerated with age” — It isA medical condition that can be significantly improved or even resolved. I want more Asian women to know: this is a treatable condition. Among patients who come to ID Cosmetic, more than 80% regain confidence in their daily lives within 3–6 months — able to laugh, exercise, and travel without worry. — Dr. Dan Xu, M.D., CCFP
Female Urinary Incontinence Treatment Plan
None / No”One protocol for every condition” — Treatment must be tailored based on incontinence type, severity, co-existing conditions (such as vaginal atrophy), and personal lifestyle goals, using a multimodal combination protocol.
Vaginal radiofrequency / laser energy treatment SUI first-line choice
By delivering heat to the vaginal mucosa and submucosal layersStimulating the regeneration of collagen and elastin fibers,Improves urethral support. Non-invasive, minimal downtime, with clinical data supporting a significant reduction in ICIQ-UI SF scores.
- 15–20 minutes per session
- 3–5 sessions per treatment course, every 3–4 weeks
- Minimal downtime · resume normal activities immediately after treatment
- 48 Avoid sexual activity for the specified number of hours
- Maintenance: 1–2 sessions per year
Pelvic floor muscle training (Kegel exercise) guidance foundational essentials
The foundation of all non-surgical incontinence treatments.CorrectPelvic floor training requires 3 sets of 10 contractions daily for 12 or more weeks before meaningful improvement is typically seen. Dr. Xu provides guidance on correct muscle engagement and assesses contraction strength.
Specialized pelvic floor physiotherapy (by referral) Recommended for moderate to severe cases
Provided by a licensed pelvic floor physiotherapistBiofeedback, electrical stimulation, manual therapy, and personalized exercise programs. Our clinic collaborates with multiple pelvic floor physiotherapists in Toronto and Markham, and provides referrals based on individual needs.
Topical vaginal hyaluronic acid Perimenopausal support
Addresses vaginal dryness, atrophy, and discomfort. Frequently combined with energy-based treatments to meaningfully improve quality of life for perimenopausal women. Hormone-free with a strong safety profile.
Behavioral therapy + bladder training UUI specializes in
First-line treatment for urge urinary incontinence: timed voiding + urge suppression techniques + fluid intake management + caffeine avoidance. Can be combined with energy-based treatment.
Referral + medication / surgical evaluation
Our clinic specializes in non-surgical solutions. If the assessment reveals:
- Severe SUI → referral to urogynecology for sling procedure evaluation
- Severe overactive bladder (OAB) → referral for mirabegron, anticholinergic medication, or intravesical Botox® injection
- Pelvic organ prolapse grade III–IV → surgical referral
- Recurrent UTI / neurogenic concerns → specialist referral
Lifestyle modification long-term
- weight loss(BMI > 25 Patients prioritized)
- AvoidExcessive caffeine intakeAnd carbonated beverages
- TreatmentChronic cough / constipation
- Smoking cessation (directly linked to both chronic cough and urinary incontinence)
- Restrict fluid intake in the evening
Combination treatment example
| client profile | recommended protocol |
|---|---|
| Mild postpartum SUI | Pelvic floor training + energy treatments × 3 + 6-month reassessment |
| 30–45 Moderate SUI | Energy-based treatment × 4–5 sessions + pelvic floor training + physiotherapy referral |
| Perimenopausal MUI + vaginal atrophy | Energy-based treatment × 3–4 sessions + HA + behavioral therapy |
| Severe SUI / Grade III prolapse | Referral to urogynecological surgery + post-operative adjunct energy treatment |
| Predominantly urgency-type overactive bladder (OAB) | Bladder training + medication + adjunctive energy-based treatment |
Dr. Xu’s 6-Step Female Urinary Incontinence Assessment & Treatment Process
The key to effective female pelvic floor treatment is”Accurate diagnosis + comprehensive protocol + long-term management”.
Detailed medical history + ICIQ scoring
- Onset, triggers, and severity
- Obstetric history (number of deliveries, mode of delivery, injuries sustained)
- Menopausal status and hormonal levels
- Co-existing conditions (diabetes, chronic cough, constipation)
- ICIQ-UI SF ScaleScore
- Quality-of-life impact assessment
Pelvic examination and baseline screening
- Vulva + vaginaexamination (atrophy, infection)
- Pelvic organ prolapseAssessment using POP-Q staging
- Pelvic floor muscle strengthPalpation assessment (Modified Oxford Scale)
- when necessaryUrinalysisRule out infection
- Post-void residual measurement (screening for incomplete bladder emptying)
Type classification and treatment pathway triage
Each type follows an entirely different treatment pathway:
- Mild to moderate pure stress urinary incontinence (SUI) → primary approach: energy-based therapy combined with pelvic floor training
- Pure UUI → behavioral therapy as the primary approach
- MUI → Comprehensive protocol
- Severe / prolapse → referral to urogynecological surgery
- Active infection → treat the infection first
Designing a phased 3–6 month treatment plan
Female Pelvic Floor Treatmentis not”Results after a single session”:
[From week 0]Daily pelvic floor exercises (following guided instruction)
[Sessions 1–4]Vaginal energy-based treatment, once every 3–4 weeks
[Week 8]2 Mid-course assessment after the treatment session
[Week 16]Post-treatment ICIQ re-assessment
[Week 24]6 month final outcome assessment
[annually]1–2 Maintenance treatment session
ICIQ tracking at every follow-up appointment
- ICIQ scoring before each treatment session
- Pelvic floor muscle strength re-assessment
- Subjective satisfaction assessment
- Treatment plan adjusted when needed
- Simultaneously verifying the accuracy of pelvic floor training technique
Long-term management + referral when clinically indicated
- 1–2 maintenance treatments per year
- Ongoing pelvic floor training (lifestyle-based)
- Addressing newly emerging risk factors (obesity, chronic illness)
- If symptoms return or worsen → reassess treatment plan
- Surgical indication present → Proactive referral(we do not “retain” the client)
The foundation of female pelvic floor health treatment is“Knowing what can be done — and equally, knowing what should not be done”. Energy-based treatments are effective for mild to moderate cases, but offer limited benefit for severe incontinence or pelvic organ prolapse. Setting honest, realistic expectations is a core responsibility of the treating physician. — Dr. Dan Xu, M.D.
How Soon Can Results Be Expected from Female Urinary Incontinence Treatment?
The following three tables are designed to help you set realistic expectations.
How soon will results be visible?
| phase | duration | expected changes |
|---|---|---|
| After the 1st energy treatment session | 2–4 weeks | Initial improvement · ICIQ score reduced by 2–3 points |
| After the 2nd session | 6–8 weeks | Significant improvement |
| After the 4th session | 3–4 months | optimal results |
| 6 monthly assessment | Stable phase | Assess whether maintenance treatment is needed |
How many sessions are needed?
| Type | Recommended number of sessions | Interval |
|---|---|---|
| Mild SUI | 3 sessions | Every 4 weeks |
| Moderate SUI | 4–5 sessions | Every 3–4 weeks |
| MUI | 4 sessions + behavioral therapy | Every 3–4 weeks |
| maintenance | 1–2 times per year | Personalized |
Realistic improvement expectations
| degree | After energy-based treatment + pelvic floor training |
|---|---|
| Mild SUI | 80%+ Significant improvement |
| Moderate SUI | 70%+ Significant improvement |
| MUI | 60%+ Significant improvement |
| Severe stress urinary incontinence (SUI) | Surgical evaluation required |
| III–IV Grade prolapse | Surgical intervention required |
Am I a Candidate for Female Pelvic Floor Energy Treatment?
The following questionsMost responses”yes”,You may be a good candidate.
6 Quick self-assessment questionnaire
- PrimarilyStress-related or MixedUrinary incontinence?
- degree ofMild to moderate(ICIQ 6–15)?
- Pelvic organ prolapseNo higher than grade II?
- None / NoActive UTI / vaginal infection?
- willing to comply3–5 treatment sessions + At-home pelvic floor training?
- Not currently pregnant?
You may be a candidate for energy-based treatment if you:
- 18 years of age and older
- Mild to moderate stress urinary incontinence (SUI) or mixed urinary incontinence (MUI)
- No grade III–IV pelvic organ prolapse
- No active infection
- Not pregnant / not breastfeeding
- Willing to commit to a long-term treatment plan
- Willing to commit to pelvic floor training
- For “Significant improvement”rather than”100% cure”Realistic expectations
Not suitable, or requires careful evaluation, if you:
- Pregnancy / breastfeeding
- Active urinary tract infection (UTI) or vaginal infection
- Unexplained abnormal vaginal bleeding
- Within 6 weeks of recent gynecological surgery
- III–IV grade pelvic organ prolapse (surgical intervention required)
- Severe pure SUI (mid-urethral sling surgery is more effective)
- Neurogenic bladder
- Currently undergoing cancer treatment
- Unable to commit to a staged 3–6 month treatment plan
Why”Intimate wellness spa”Often fails to address the root cause?
Client E — 38-year-old Asian female · Moderate SUI · Underwent 6 sessions at a medspa”Intimate rejuvenation and tightening”Symptoms have not improved
Visiting a medspa Package-based · no medical assessment
- No medical diagnosis established (SUI / UUI / MUI?)
- No ICIQ-UI SF scoring performed
- No pelvic examination or prolapse grading performed
- Standardized parameters for 6 sessions”One-size-fits-all”
- No pelvic floor training guidance provided
- Without addressing co-existing conditions
- 6 sessions completed: no improvement in leakage symptoms
- Disappointment + wasted time
Visit ID Cosmetic Physician-led · Comprehensive Treatment Plan
- Personal assessment by a female M.D.
- ICIQ-UI SF Questionnaire score
- Pelvic examination + prolapse screening
- Diagnosis: moderate SUI + pelvic floor muscle strength 3/5
- Plan: Energy treatments × 4 + pelvic floor training + physiotherapy referral
- ICIQ tracking at each treatment session
- 4 Months later: ICIQ score improved from 14 to 3
- Client returned to physical activity without reliance on pads
Female pelvic floor health isA medical condition, not”Cosmetic procedure”. It requires diagnosis, classification, and a comprehensive protocol — not”Deliver energy treatment and send the patient on their way”. This is why at ID Cosmetic, assessment and treatment are personally performed by a female M.D. — Dr. Dan Xu, M.D.
Dr. Dan Xu, M.D., CCFP
ID Cosmetic Clinic Founder & Medical Director · Female M.D. · Author of Timeless Asian Beauty
As a widely respected Chinese-Canadian medical aesthetic expert in Toronto, Dr. Dan Xuis herself a female physician,This gives her a distinctly higher level of patient comfort and trust when addressing female pelvic floor health. She holds M.D. + CCFP Family medicine specialtybackground, with comprehensive systematic training in women’s health, and approximately 1,500+ proceduresclinical experience.
Dr. Xu’s approach to female pelvic floor health treatment is founded on“Medical assessment first, comprehensive treatment plan, referral when indicated”as a core principle — she will never”retain”For patients with a clear surgical indication, we maintain an active referral relationship with leading urogynecology specialists in Toronto.
Professional Credentials & Certifications
- Education — M.D. + CCFP (Family Medicine Specialty Certification)
- Experience — 80,000 Clinical · 1,500+ female pelvic floor
- Expertise — Female pelvic floor diagnostic classification + ICIQ assessment + comprehensive treatment plan
- Authority — Allergan / Botox / Juvederm North America Trainer
- Authority — Sofwave Medical Canada KOL
- Authority — Cynosure PicoSure Pro Canada KOL
- Authority — McMaster University Clinical Teaching Physician
- Network — Established referral network with urogynecology specialists in Toronto
- Trust — CPSO Registered Physician · Publicly verifiable ↗
- Trust — Author of Timeless Asian Beauty (2024)
《Timeless Asian Beauty》
In Dr. Dan Xu’s book Timeless Asian Beauty, a dedicated chapter discusses“Women’s overall health and aesthetics” — Emphasizing women’s”beauty”Aesthetic wellness extends beyond facial appearance — it encompasses physical function, intimate health, and psychological well-being. Pelvic floor health is an integral part of this holistic picture.
Not to change who you are — but to embrace the most authentic version of yourself.
Identify with your own beauty. — Dr. Dan Xu, M.D.
Why Trust ID Cosmetic Clinic for Female Pelvic Floor Treatment?
Google The E-E-A-T framework sets its highest standards for YMYL (Your Money or Your Life) health topics — and female pelvic floor health is a core YMYL subject.
Real-world clinical experience
- Personal assessment by a female M.D.
- 1,500+ female pelvic floor energy-based treatment cases
- Extensive experience with postpartum and perimenopausal cases
- Individual ICIQ tracking records maintained for every patient
Medical professional training
- M.D. Full medical school training + CCFP family medicine specialty certification
- Systematic training in female pelvic floor classification and diagnosis
- Multimodal combination treatment plan design
- Referral to urogynecological surgery when clinically indicated
Industry-recognized accreditation
- CPSO Registered Physician
- Sofwave Medical Canada KOL
- Trainer and lecturer for multiple international aesthetic and medical training institutions
- McMaster University Clinical Teaching Physician
- Toronto urogynecology specialist referral network
Transparent and verifiable
- CPSO Registered and licensed physician (publicly verifiable)
- Google 4.9★ · 283 genuine reviews
- Female physician + private treatment setting
- Honest assessment + referral when indicated
- Author of Timeless Asian Beauty (2024)
Female pelvic floor health is”Medical”,is not”Aesthetic”
That is why every assessment is performed personally by a female M.D., treatments are carried out according to medical protocols, and surgical referrals are made proactively when needed. We do not”retain”patients who clearly require surgery — that is the responsibility of a physician.
About the Cost of Female Pelvic Floor Treatment
The most important distinction between female urinary incontinence treatment and standard aesthetic procedures is that it isA medical condition, not a cosmetic choice. Asking “How much does a single session cost?”has limited meaning here — because meaningful improvement typically requires 3–5 energy treatment sessions + ongoing pelvic floor training + possible physical therapy referral + long-term annual maintenance. Think of it as”3–6 Month medical rehabilitation program”rather than”single session”,decisions can be made rationally.
At ID Cosmetic Clinic, female pelvic floor treatmentPersonal assessment conducted by Dr. Dan Xu (female M.D.),This step cannot be skipped — a diagnostic classification, ICIQ scoring, pelvic examination, and prolapse screening must be completed first to determine whether energy-based treatment is appropriate for you, or whether a referral to a urogynecologist or urologist is needed. Diagnosis and treatment planning are performed by the physician; the delivery of energy-based treatment may be carried out by trained members of the medical team under physician supervision, which is reflected in a different cost structure for that component. Complex cases, perimenopausal patients presenting with multiple concurrent symptoms, revision cases, and older patients are best managed with direct, in-depth physician involvement throughout.
We do not publish a standardized price list online, as this may lead patients to make decisions based solely on”Making decisions based on price alone”— and overlooking the most important step: an accurate medical diagnosis. Following your Free 30-Minute Consultation, Dr. Xu will clearly explain your diagnosis, suitable treatment options and associated pricing, and when a surgical evaluation is more appropriate than energy-based treatment.Treatment decisions should be driven by clinical need, not by cost — and this is especially true for medical concerns..
- We accept VISA / Mastercard / Amex / Debit / E-transfer
- Affirm / PayBright financing available for select treatment packages
- Private insurance: select extended health benefit (EHB) plans may cover consultation fees — inquire for individual cases
- OHIP:Cosmetic energy-based treatments are not covered; urogynecological assessments are covered when referred by a family physician.
- All new clients receive a complimentary 30-minuteFreeConsultation and assessment
Common risks · Contraindications · Referral criteria
As a YMYL medical topic, female pelvic floor treatment carries a professional obligation to transparently disclose all risks and the limitations of each indication.
Common reactions (short-term, post-treatment)
- Mild vaginal discomfort following treatmentMild warmth sensation(24 hours to resolve)
- Small amountWatery discharge(2–3 days)
- MildUrinary discomfort(1–2 days)
- 48 Avoid sexual activity for the specified number of hours
- 1 Avoid baths and swimming for the first week(s)
Serious risks (rare, but important to disclose)
- infection — Preventable with strict sterile technique
- Overstimulation / thermal injury — Excessive treatment parameters — physician oversight prevents this
- Results are unsatisfactory — Incorrect indication selection (e.g., applying energy-based therapy to severe SUI)
- Temporary worsening of symptoms — Extremely rare; typically resolves on its own within 1–2 weeks
- Recurrent UTI (if susceptibility was present before treatment)
Relative contraindications (require careful assessment)
- During menstruation (treatment not recommended)
- Within 6 weeks of recent gynecological surgery
- During an acute episode of recurrent UTI
- Unexplained abnormal vaginal bleeding
- Currently on anticoagulant therapy
Absolute contraindications (treatment not performed)
- Pregnancy / breastfeeding
- Active UTI / vaginal infection
- During active treatment for gynecologic malignancy
- III–IV grade pelvic organ prolapse (surgical intervention required)
- Severe pure SUI: mid-urethral sling surgery is the preferred first-line option
- Neurogenic bladder
- Cognitive impairment that prevents cooperation with treatment
Dr. Xu’s Referral Principles
- Severe SUI → referral for urogynecological evaluation and mid-urethral sling
- III–IV Grade prolapse → surgical referral
- Refractory OAB → referral for evaluation of intravesical Botox® injection or neuromodulation
- Recurrent UTIs / hematuria → referral to urology
- Abnormal bleeding → gynecology referral
- Principle: do not”retain”Patients who clearly require surgical intervention
Additional Comparison & Reference Data
| Triggering activity | Coughing / sneezing / jumping / laughing |
|---|---|
| Volume of leakage | Small volume, ranging from a few drops to a few milliliters |
| Urgency sensation | None |
| Typical patient profile | Postpartum women aged 30–45 |
| First-line treatment | Emsella + Fotona IntimaLase |
| Triggering activity | Sudden, intense urge to urinate with insufficient time to reach the bathroom |
|---|---|
| Volume of leakage | larger volume — sometimes a complete bladder emptying |
| Urgency sensation | Strong urgency with increased nighttime urination |
| Typical patient profile | 50 years of age and older / neurological conditions |
| First-line treatment | Emsella + Bladder training + medication where indicated |
Toronto Urinary Incontinence & Leakage — Frequently Asked Questions
What Is Urinary Leakage & Incontinence? How Does It Work?
Urinary leakage and incontinence treatment is a physician-led program offered at ID Cosmetic Clinic in Markham/Toronto. Dr. Dan Xu (M.D., CCFP, Allergan/Juvéderm North America Trainer) personally conducts all consultations and develops individualized treatment plans. Mechanisms, devices, and indications vary by patient — we recommend a Free 30-Minute Consultation for a personalized assessment.
Who Is a Candidate for Urinary Incontinence Treatment?
Most healthy adults aged 18 and older may be considered candidates following a consultation and clinical assessment.Not suitable:Pregnancy / breastfeeding / active phase of serious chronic illness / active infection at the treatment site / known history of severe allergy. Individual suitability is determined by Dr. Xu during your consultation, based on your medical history, anatomy, and treatment goals.
How long do results from urinary leakage and incontinence treatment last?
Results depend on the specific protocol, individual metabolism, and maintenance frequency. Dr. Xu will provide you with a clear, realistic expectation based on your individual situation during your consultation — We do not promise outcomes beyond what is medically reasonable。
What Are the Side Effects and Risks of Urinary Incontinence Treatment?
All aesthetic procedures carry some risk. With Dr. Dan Xu M.D., CCFP overseeing every case, strict sterile protocols, and personalized dosage and depth assessment, risks are kept within a reasonable and manageable range. Common mild reactions such as bruising and swelling typically resolve within 5–10 days. A detailed informed consent form will be reviewed and signed following your consultation.
Emsella Is treatment for urinary leakage truly effective? How many sessions are needed?
Emsella FDA and Health Canada dual-approvedNon-invasive device for stress urinary incontinence treatment,evidence-based. Clinical data show that 95% of clients experience improvement in urinary leakage symptoms after completing the full treatment course, and 67% no longer require the use of pads.Standard course: 6 sessions (1–2 per week),Perimenopausal or refractory cases may require 6–8 sessions. Upon completion, a maintenance session every 3–6 months is recommended.
Emsella Do I need to undress for the treatment? Will it be uncomfortable or embarrassing?
No undressing required whatsoever,This is one of the most significant distinctions between Emsella and conventional pelvic floor treatments. Clients remain fully clothed in their everyday attire (metal zippers and underwire bras should be avoided) and simply sit in the chair for 28 minutes — no internal examination, no physical palpation, no exposure of any kind. This is a key reason why acceptance among Asian women is so high: it is perfectly aligned with the cultural sensitivity many Chinese-Canadian women feel regarding intimate areas.
How soon after childbirth can I start Emsella?
Recommendation for vaginal delivery casesAfter 6 weeks postpartum(lochia has cleared and initial pelvic floor recovery is established); for cesarean section, it is recommended3 months later(abdominal incision is fully healed). BTL Emsella® can be performed while breastfeeding — the HIFEM electromagnetic field does not enter the bloodstream or affect milk production. That said, Dr. Xu will assess each patient's individual recovery status at consultation rather than applying a one-size-fits-all rule.
My leakage isn't serious — just a little when I cough. Do I still need treatment?
RecommendationThe earlier treatment begins, the better the outcome。Urinary incontinence is a progressive pelvic floor condition — it does not resolve on its own. Leaking a single drop when you cough may seem minor, but once the pelvic floor muscles begin to weaken, the decline is continuous. Left untreated, it can progress over five years to leaking with jumping, walking, or laughing. Patients with an early ICIQ score of 3–6 can often achieve full recovery in just 6 sessions; those who wait until their score reaches 10 or above frequently require twice the number of treatments, or a combined protocol with Votiva®.
I have a metal IUD (copper coil / Mirena®) — can I still do BTL Emsella®?
Copper IUD is an absolute contraindication,HIFEM The electromagnetic field can cause a copper IUD to overheat or become displaced.Hormonal plastic IUDs such as Mirena® are generally compatible with treatment,During consultation, Dr. Xu verifies each device model against the manufacturer's compliance checklist on a case-by-case basis. Any internal metallic implants — including hip or knee joint replacements, bone screws, or cardiac pacemakers — must be disclosed in advance.
For perimenopausal women dealing with both urinary leakage and vaginal dryness — what is the right treatment approach?
This is a classic presentation ofGenitourinary Syndrome of Menopause (GSM) + mixed urinary incontinence。Recommended Emsella + Votiva Combination protocol:Emsella 6 sessions of BTL Emsella® to strengthen the pelvic floor, interspersed with 3 sessions of Votiva® internal radiofrequency to address vaginal mucosal atrophy and dryness. The two devices work in combination to simultaneously address the three most common perimenopausal concerns — leaking, dryness, and laxity — and this is Dr. Xu's standard protocol for perimenopausal patients at the Markham clinic.
Emsella What is the difference between BTL Emsella® and inexpensive pelvic floor electrical stimulation?
fundamentally different.Emsella High-Intensity Focused Electromagnetic (HIFEM),The electromagnetic field penetrates through skin and clothing to directly stimulate the deep pelvic floor muscle groups, generating 11,000 maximum-intensity contractions in a single 28-minute session — with no electrodes contacting the skin.Standard electrical stimulationelectrodes must be inserted vaginally to deliver direct-current stimulation to the superficial muscles; intensity is limited by the pain threshold, and the actual number of contractions achieved is approximately 1/50 of what Emsella delivers. The two modalities are simply not in the same clinical league — and confusing them is one of the most common and costly misconceptions in the market today.
Can I go back to work or exercise on the same day as my Emsella session?
Absolutely yes。Emsella There is minimal downtime. Clients can resume all normal activities immediately after each session — many go straight to work, yoga class, or school pickup the same day. A mild sensation of pelvic floor muscle soreness (similar to post-workout fatigue) is possible and typically resolves within 1–2 days. We recommend staying well hydrated on treatment days and avoiding caffeine and alcohol.
How much does a single urinary incontinence session cost? What about the full treatment course?
The specific pricing structure isSubtype / treatment length / whether Votiva is includeddetermined, as pricing varies significantly across protocols. The specific plan is prescribed by Dr. Xu following consultation, based on the client's ICIQ score and individual circumstances. Every new client receives a complimentary 30-minuteComplimentaryConsultation & assessment — we classify your subtype before discussing your options. The right protocol is determined by your condition, not your budget.
I live in downtown Toronto / North York / Richmond Hill / Scarborough — is it worth making a special trip to Markham?
ID Cosmetic Clinic Located at 30 Gibson Dr., Markham — approximately 30–40 minutes from downtown Toronto, 20–25 minutes from North York, 15–20 minutes from Richmond Hill / Vaughan, and 20–30 minutes from Scarborough. Conveniently situated at the intersection of Highway 7 and 404 / 407. With a treatment time of just 28 minutes, a round trip takes no more than half a day. Urinary incontinence isLong-term management program,Choosing a clinic with genuine HIFEM technology and physician-led care matters more than proximity. The cost of completing 6 sessions of basic electrical stimulation at the wrong clinic with no improvement far outweighs the inconvenience of a single commute.
Real Clients · Google Reviews
What Our Clients Say
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
Ready to begin your treatment journey?
Book a free 30-minute consultation with Dr. Dan Xu (M.D., CCFP). She will conduct a professional assessment and design a treatment plan tailored to you — no upsell, no pressure, just answers to the questions you truly want to know.
Free 30-Minute Consultation
Every consultation is conducted personally by Dr. Xu (Mon–Sat).
24 hr response · English/Chinese OK
Technology defines what is possible. Your physician defines the right path. Identify with your own beauty.
