Suffering From Bladder Leakage (Incontinence)?
The Permanent Solution is Here.
If you leak urine when you cough, sneeze, laugh or can't make it to the bathroom in time — you are not alone, and you don't have to keep wearing pads. An in-office, 20-minute procedure with a 97% long-term success rate. Back to work the next day. Covered by most major insurance plans.
97% Success Rate
Dr. Khandwala's proprietary DISST procedure delivers 97% long-term cure — published in peer-reviewed research. No one else achieves these results.
Insurance Covered
Completely covered by most major insurance providers. Stop spending money on pads every month — get a permanent fix that your insurance pays for.
20-Minute Procedure
An in-office, 20-minute outpatient procedure. No hospital stay. No general anesthesia. Return to work and all activities the very next day.
What Type of Leakage Do You Have?
Bladder leakage (urinary incontinence) is when a woman loses urine beyond her control. There are three primary types — all of which are treatable at AUGM.
Stress Bladder Leakage (Stress Urinary Incontinence / SUI)
Leakage during coughing, sneezing, laughing, jumping, or exercising. The most common type — and the primary focus of the DISST procedure. Affects women of all ages, including younger women.
Urgency Bladder Leakage (Urge Incontinence / Overactive Bladder)
A sudden, intense urge to urinate that cannot be controlled. Affects 15–35% of women. The bladder often empties completely before you can reach a bathroom.
Mixed Bladder Leakage (Mixed Incontinence)
A combination of stress leakage and urgency leakage. Both can be treated simultaneously by our specialized team — you don't need to choose between solutions.
What Untreated Bladder Leakage Does to Your Life
Left untreated, bladder leakage (incontinence) doesn't just cause inconvenience — it progressively takes over every area of your life.
Skin Problems
Constant wetness causes vulvar irritation, sores, rashes, and skin breakdown — increasing the risk of bacterial infections and permanently affecting vaginal hygiene.
Social Isolation
Women stop exercising, avoid social events, refuse to travel, and won't venture into unfamiliar areas. The fear of leakage becomes a prison that shrinks your world.
Work Productivity
Urgency and nighttime frequency cause sleep deprivation, daytime fatigue, and loss of concentration. Long meetings and conferences become impossible to attend.
Personal Relationships
Family members may grow frustrated or not understand. Partners may withdraw. The ripple effect of bladder leakage on relationships is profound and deeply damaging.
Sex Life
Fear of leakage during intimacy causes many women to avoid sex entirely, leading to marital strain. This has even been documented to cause erectile dysfunction in partners.
Mental Health
Anxiety, hopelessness, and depression affect nearly 30% of women with bladder leakage. The loss of dignity, self-esteem, and sense of control is devastating — and entirely avoidable.
"Pads should NEVER be worn. Pads hide the condition, weaken the pelvic muscle, create hygiene issues, increase cost, and affect a woman's self-esteem. ALL bladder conditions can be swiftly managed and cured."
— Dr. Khandwala, AUGMThe DISST Technique —
Nobody Else Does This
Bladder leakage affects millions of women — but most doctors are still relying on outdated methods with a 55% success rate. Dr. Khandwala developed the Dynamic Interactive Standing Sling Technique (DISST) — a breakthrough that has transformed the standard of care.
The key difference: the procedure is performed while you are fully awake. You cough during the sling placement, so Dr. Khandwala can confirm there is zero leakage before you even leave the office. The results speak for themselves.
"With a success rate of almost 100%, almost 0% complication rate, return to all activities the next day, and minimal to no pain — why would any woman continue to suffer in silence and keep wearing pads?"
— AUGM Patient- In-office, 20-minute outpatient procedure — no hospital stay
- Patient is fully awake — zero leakage confirmed before you leave
- Back to all activities — including exercise — the next day
- Published 3-year results — peer-reviewed white papers
- Patients never need to wear incontinence pads again
Common Myths About Bladder Leakage
Many women suffer in silence for years because of these myths. Don't let a misconception stand between you and your quality of life.
"As I grow older, bladder leakage is just going to happen."
Aging does not mean you must accept leakage. It is a medical condition — not an inevitable part of life — and it is very treatable at any age.
"It only affects older women."
Bladder leakage is very common in younger women too — especially those who have had children or engage in high-impact exercise.
"There is no treatment — pads are the only solution."
Pads hide the problem. They don't fix it. A permanent cure exists — a 20-minute in-office procedure with a 97% success rate. Pads should never be worn.
"Treatment leads to mesh complications I've seen in ads."
Dr. Khandwala's DISST technique has a less than 1% complication rate. The mesh scare from TV ads refers to outdated techniques — not this procedure.
"I'd need major surgery and it might not even work."
The DISST procedure is in-office, takes 20 minutes, requires no general anesthesia, and has a 97% long-term success rate. It is not major surgery.
"I feel like I'm the only one who has it this bad."
You are not alone. 1 in 3 women experience bladder leakage. Millions suffer in silence — you don't have to be one of them.
Managing Overactive Bladder (OAB)
Is This Your Reality?
Women with OAB describe a sudden, overwhelming urgency — and before they can take another step, urine is gushing down their legs. It affects 15–35% of women and destroys quality of life when left untreated.
You Don't Have to Live Like This
About 30% of patients develop depression as a result of untreated bladder leakage. Many stop leaving their homes. Stop managing symptoms with pads — get treated and get your life back.
Request an AppointmentOur OAB Management Approach
- Lifestyle ModificationsFluid management and timed voiding. Reducing caffeinated beverages can significantly improve OAB symptoms.
- Pelvic Floor TherapySpecialized in-house therapy by certified physical therapists using advanced equipment — a highly effective adjunct.
- Targeted MedicationsCarefully chosen based on your age, medical history, and current medications — avoiding long-term side effects like dementia risk.
- Advanced In-Office TherapiesIf medications don't work, several additional procedures are available in-office — no hospitalization needed.
Reclaim Your Active Lifestyle
Women in West Bloomfield, Livonia, Novi, and the Downriver/Trenton areas no longer have to live with the limitations of bladder leakage. Here's what sets AUGM apart.
Proprietary In-Office Procedure
Dr. Khandwala's DISST technique is not available anywhere else. He developed it, published it, and has perfected it over hundreds of cases with a 97% cure rate.
Published Research & White Papers
Unlike most physicians, Dr. Khandwala has published peer-reviewed white papers on his results. This is evidence-based medicine backed by real long-term data.
Insurance Covered
The procedure is completely covered by most major insurance plans. You shouldn't have to keep paying for pads when a covered, permanent solution exists.
Dedicated Women's Pelvic Health Team
Drs. Khandwala and Baratono specialize exclusively in female pelvic floor conditions. This is all they do — which means you get unmatched expertise.
Same-Day Treatment in Most Cases
No months of waiting. Most patients leave their first visit with a diagnosis and a treatment plan — and many begin treatment the same day.
Pads Are Not the Answer
Pads hide the problem, weaken pelvic muscles, create hygiene issues, and cost you money every month. All bladder conditions treated here can be swiftly managed and cured.
Your Path to Being Pad-Free
Most patients are diagnosed and started on the correct treatment the same day. Here's how it works.
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1
Complete Your History Online
Fill out your patient history through our HIPAA-compliant AUGM Portal before your visit — saving time and ensuring a thorough intake.
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2
Watch Educational Videos
You'll review videos about your condition so you arrive informed and know exactly what to expect.
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3
Comprehensive In-Office Exam
A thorough urogynecologic examination and testing — about 10–15 minutes — results in an accurate diagnosis with no guesswork.
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4
Clear Consultation
Your doctor discusses findings and all treatment options with you and any family members — no rush, no confusion.
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5
Treatment Begins — Same Day in Most Cases
Most patients start the right treatment the same visit. The DISST procedure is done in-office — 20 minutes, awake, and back to your life the next day.
Real Women. Real Results.
Don't just take our word for it — hear directly from patients who have experienced Dr. Khandwala's DISST procedure and reclaimed their lives.
Request an Appointment
Fill out the form below and our team will reach out to confirm your appointment at the earliest convenience. Taking this one step could change your life.
Visit Our Office
22731 Newman Street, Suite 200 • Dearborn, MI 48124