Expert Urogynecologist in Houston, TX

At LifeSculpt by Christi MD — Urogynecology in West Houston, we provide expert, patient-centered care for women’s pelvic health concerns. Led by Dr. Christi Pramudji Dawe, our team offers advanced evaluation and treatment for pelvic floor disorders and gynecologic conditions. We specialize in managing pelvic organ prolapse, urinary incontinence, overactive bladder, recurrent urinary tract infections, and related pelvic pain.

At the forefront of innovation, Dr. Christi employs sensitive, minimally invasive robotic surgery techniques that have become the gold standard in urology and urogynecology. With precision and care, these advanced urology procedures offer patients the opportunity for enhanced outcomes and quicker recovery times. Whether you’re seeking relief from discomfort, looking to restore functionality, or aiming to improve your overall quality of life, trust Dr. Christi and our dedicated team to provide you with expert urology care and support every step of the way.

LifeSculpt ChristiMD Houston Consulation

Enhance Intimacy and Confidence with Urology Care in Houston

Our team believes in rewriting the narrative of aging. At LifeSculpt™ by ChristiMD, we specialize in comprehensive urology care in Houston, TX, and are dedicated to enhancing sexual intimacy and reclaiming confidence in every aspect of your life. Dr. Christi Pramudji Dawe and our expert team are committed to helping you achieve results that exceed your expectations.

Whether you’re dealing with pelvic health issues, seeking advanced urogynecology solutions, or simply looking to improve your overall well-being, we empower you to feel better than ever before.

 

Why Choose Lifesculpt by Christi MD For Your Urogynecology Needs?

top urogynecologists

aWARD-wINNING care

Board-Certified Urologist & uROGYNECOLOGIST

20+

YEARS OF EXPERIENCE

Dr. Christi Pramudji-Dawe’s expertise extends far beyond wellness and anti-aging medicine. As a board-certified urologist specializing in comprehensive Female Urology and Urogynecology, she brings nearly 20 years of private practice experience to her patients and is widely considered one of the world’s foremost experts on urogynecological health. She currently serves as the President of the Medical Staff at Houston’s Methodist West Hospital, is Certified by The Menopause Society, and was honored with the Women’s Choice Award in 2024. Dr. Christi is also the author of The BioVitality Blueprint, a groundbreaking guide to aging intentionally and optimizing health.

houston urogynecologist near you
dr dereska urogynecologist

Dr. Nina Dereska, a fellowship trained and board certified Urogynecologist and Reconstructive Pelvic Surgeon, joined LifeSculpt Urology by ChristiMD in 2025. After completing fellowship at Mayo Clinic Scottsdale in 2004, she has practiced in both private and academic settings, focusing on medical and surgical management of pelvic floor disorders.

Our West Houston Location

LifeSculpt Urogynecology by ChristiMD

18300 Katy Fwy, Ste 565, Houston, TX 77094

Working Hours:

Mon to Thur: 9 AM – 4:30 PM

Fri: 8 AM – 12 PM

Sat/Sun Closed

Houston Urogynecology
& Pelvic Health

About 20 years ago, researchers began to use Botox for quadriplegics who had spastic bladders. The Botox injection proved to be so effective, they next tried it out for people with overactive bladder. The results were life changing.

Dr. Christi has used Botox to improve women’s lives for over 9 years, refining the technique to make it very easy on her patients.

Benefits:

  • Great alternative when medicine & exercise don’t work
  • Fewer strong urges to go to the bathroom
  • Less waking up at night from urges
  • Allows more time to get to the bathroom when you feel the need
  • Lasts for up to 6 months
  • Convenient outpatient treatment
  • Frequently covered by insurance

Botox for Bladders

 

 

When evaluating bladder health and searching for causes of medical conditions, a cystoscopy in Houston, TX can provide invaluable information.

Many women fear that it’s extremely painful. In the past, a rigid scope was used, often with significant discomfort. Today, a cystoscopy uses a much smaller flexible scope, and only takes a couple of minutes to complete.

Benefits:

  • Short treatment time
  • Nonsurgical
  • Helps diagnose bladder conditions immediately
  • Improved treatment management for bladder issues
  • Can be done for women or men
  • Minimal discomfort
  • Usually has no downtime

Cytoscopy Bladder Evaluation in Houston

 

Urge urinary incontinence: that sudden, eye-opening, you-can’t-fight-it need to pee. When it hits, the proximity to a bathroom means the difference between relief, or disaster. Urge incontinence, also called overactive bladder (OAB), becomes more problematic for individuals with mobility issues.

eCoin tibial stimulation provides an advanced, FDA-approved treatment for urge urinary incontinence (UUI). Using a nickel-sized neurostimulation device inserted near the ankle, you can significantly reduce those constant, daily sudden urges to urinate.

Benefits:

  • Reduced incidence of urge urinary incontinence episodes
  • No recurring office visits
  • Minimally invasive, with little downtime
  • Little need for lifestyle/behavioral change
  • No medications or injections
  • FDA approved
  • Little to no side effects
  • Can be used in conjunction with other urinary incontinence treatments

Urge Urinary Incontinence Treatment in Houston

Seeing blood in your urine can be scary when you see it. Hematuria has many causes, so the time to seek medical attention is the first time it happens. Don’t ignore even a small amount of blood. It could be something quite minor—or not.

Whether it’s gross hematuria with visible blood, or microscopic hematuria, only hematuria evaluation can discover the issue and the ways to address it.

Benefits:

When you see blood in your urine, something may be wrong. Hematuria evaluation at LifeSculpt™ by ChristiMD️ not only determines the cause and treatment options—it gives you peace of mind. The worst thing you can do is ignore the signs. Instead, move toward better health with a hematuria evaluation.

Treatment for Blood in Urine

Interstitial cystitis (IC) causes pain as the bladder fills. Science doesn’t fully understand what causes it. Worse, accurate diagnoses take approximately 2 years, because IC mimics recurrent bladder infections.

That doesn’t mean there isn’t help. Dr. Christi has developed an Interstitial Cystitis Pathway with many treatment options that can be tailored to your symptoms and needs.

Benefits:

  • Improved bladder pain relief
  • Lessened urinary urgency
  • Treatment confidence (IC Pathway is guided by American Urological Association)
  • Multiple avenues to help with painful bladder syndrome
  • A doctor with proven success and years of experience

Interstitial Cystitis Treatment in Houston

 

When medications and pelvic floor exercises fail to fix an overactive bladder, it’s time to move to the next step of treatment.

The Interstim device has been around for more than 20 years, and is a proven treatment that permanently addresses overactive bladder symptoms. Dr. Christi has implanted many successful Interstim devices—and the results are life-changing.

Benefits:

  • Pronounced decrease in trips to the bathroom and/or bladder accidents
  • Permanent results
  • Best results for quality of life
  • Works for men and women
  • Minimal downtime
  • Outpatient procedure

Overactive Bladder Implant in Houston

 

Women who have had natural childbirth, and then had a kidney stone, say the kidney stone is worse!

Most people don’t realize that women have kidney stones almost as often as men. Kidney stones are pretty much the most painful condition that humans endure.

Dr. Christi has extensive experience with stones and will help get you through this process as easily as possible.

Benefits:

  • Prevents potential or further kidney damage from the stone
  • Stops the nausea and/or vomiting
  • Allows the remnants to pass naturally, relatively pain-free
  • Eliminates associated hematuria (blood in the urine)
  • Laser stone removal and shock waves require no surgery

Kidney Stone Removal in Houston

Mild to moderate overactive bladder or stress urinary incontinence is based in your pelvic floor. After women experience childbirth, or as part of the natural aging process, pelvic floor muscles no longer function as well as they used to. Pelvic floor therapy can cure the issue.

LifeSculpt™ by ChristiMD️ is one of the only practices to offer Pelvic Floor Therapy in Houston, TX.

Benefits:

  • Less urine leakage (stress incontinence)
  • Increased control of urinary urgency
  • Improved sexual function (bonus!)
  • Prepares a better base for other treatments if needed

Pelvic Floor Therapy in Houston

It happens to almost 1 in 3 women.

Due to age, genetics, childbirth, or hormonal changes, the pelvic walls and support structures can stretch. This allows the bladder and rectum to travel downward, toward the vaginal opening.

It’s called “prolapse,” and it can cause problems with bladder, rectal and even vaginal functionality. Dr. Christi provides effective surgical options to repair prolapse.

Benefits:

  • Surgery for pelvic organ prolapse in Houston, TX, puts your parts back where they belong.
  • It can stop the bulge that often happens as the organs push on the vaginal opening.
  • It can also alleviate the pressure on your vagina, and stem problems with bladder/rectal functionality such as constipation or difficulty emptying the bladder.
  • It also alleviates the discomfort caused by prolapse during intercourse.

Prolapse Surgery in Houston

Here’s news: your ankle may affect your bladder! The posterior tibial nerve, which sits just behind your ankle, mingles with the bladder nerve and affects urinary incontinence.

PTNS at LifeSculpt™ by ChristiMD️ aims to retrain the bladder nerve via that tibial nerve, for a calmer bladder and improved control.

Benefits:

  • Non-invasive and pharmaceutical-free
  • Outpatient visit
  • Zero downtime
  • Reduction in frequency & intensity of urges to pee
  • Reduction in “accidents” from sudden need to urinate

PTNS Treatment in Houston

Urinary tract infection (UTI) is a catch-all term for an infection that occurs anywhere in the urinary tract.

For women, this includes infections in the kidneys (pyelonephritis, characterized by fever) or bladder (also called “cystitis,” with typical painful urination, frequency and urgency). We often use the terms “UTI” and “bladder infection” interchangeably.

Benefits:

  • Keeps infection from spreading to kidneys
  • Stops pain/burning caused by UTI
  • Lessens/eliminates false need to urinate
  • Lessens/eliminates UTI-related cramping
  • Stops UTI-related fatigue/malaise

Recurring UTI Treatment in Houston

In the vagina, harmless bumps and lumps are common. They can be too small to see, or as large as an orange.

The problem arises when that cyst causes discomfort, pain, adjacent organ problems, or infection. Most importantly, women above 40 years old should have cysts removed to ensure the cyst is non-cancerous.

Benefits:

  • Ensures cyst is not cancerous
  • Relieves pain
  • Eliminates discomfort
  • Return to normal glandular flow (Bartholin’s gland)
  • Re-establishment of healthy flora
  • Gets rid of infection odor

Vaginal Cyst Removal in Houston

Hear From Our Satisfied Patients

FAQS 

A urogynecologist is a physician who specializes in treating pelvic floor disorders in women, including bladder, bowel, and pelvic organ conditions.

A general OB/GYN provides preventive care, screenings, and treatment for common reproductive health issues.

Urogynecologists specialize in pelvic floor disorders affecting the bladder, bowel, and pelvic support structures.

You may benefit from seeing a urogynecologist if you experience:

  • Urinary leakage with coughing, sneezing, or exercise

  • Sudden, urgent need to urinate

  • Frequent urinary tract infections

  • Vaginal pressure or a bulge (possible prolapse)

  • Difficulty emptying your bladder

  • Persistent pelvic pain related to bladder or support issues

Conditions a Urogynecologist Treat; 

  • Urinary incontinence (leakage with coughing, sneezing, or urgency)

  • Overactive bladder

  • Pelvic organ prolapse (when organs drop or bulge into the vaginal canal)

  • Fecal incontinence

  • Chronic pelvic pain

  • Recurrent urinary tract infections

  • Complications from prior pelvic surgery