It depends on the cause of incontinence. If the cause is laxity of the pelvic floor muscles (hypotonia), AWT can help as part of an overall rehabilitation program, primarily by helping to improve circulation, as other physicians pointed out, but also by stimulating muscle fiber regeneration. If the cause is too much pelvic floor muscle tone (hypertonia), AWT is highly effective in addressing urinary problems. Another important consideration is whether there is comorbid interstitial cystitis, in which case a different AWT protocol might be required. A thorough evaluation by your urologist or urogynecologist will help determine the cause. If there is a neuromuscular cause, AWT will help.