If you plan an outing based on how close the bathroom is located, or if you have stopped working out at the gym because of accidental urine leakage, you are not alone. Over 50% of adult women and 11-34% men experience urinary incontinence in the United States, but most are reluctant to talk about problems with bladder control.
Most don’t seek help for this condition. Instead, they find themselves changing their lives to avoid embarrassing situations. Those who do see their doctor find that traditional treatments, like doing Kegel exercises at home, fall short. Medications prescribed for urinary incontinence can have adverse effects. Surgery for urinary incontinence comes with significant risks and complications.
If you have urinary incontinence, suffer no longer! With the FDA-approved Emsella™ chair, we can safely and effectively treat you for urinary incontinence at Inner Vitality in Bellevue.
What causes incontinence?
When you urinate, the contracting muscles of the pelvic floor help push urine out of the bladder and into the urethra. At the same time, sphincter muscles around the urethra relax to release the urine. Incontinence results when the muscles and nerves that help release or retain urine become damaged.
Women are more likely to suffer than men, but both experience urinary incontinence with advancing age. In women, common causes include pregnancy, vaginal childbirth, and menopause. In men, prostate enlargement is a common cause. In both, other health conditions including chronic cough, constipation, obesity, and recurrent urinary tract infection can cause weak pelvic floor or bladder muscles.
Stress urinary incontinence:
This is the most common and is characterized by involuntary leakage during physical exertion such as coughing, laughing, jumping, or running. This is usually due to pelvic floor weakness.
Urge incontinence is also called overactive bladder. There is a sudden “urge” to urinate followed by involuntary urine loss. Abnormal nerve signals cause bladder muscles to contract. The overactive muscles of the bladder overpower the sphincter muscles, causing involuntary urination.
You can have a combination of stress and urge incontinence.
What is Emsella™?
BTL Emsella™ is a break-through treatment cleared by the FDA for treatment of vaginal laxity, overactive bladder and urinary incontinence. The Emsella™ chair utilizes High-Intensity Focused Electromagnetic technology (HIFEM) to stimulate pelvic floor muscles and restore neuromuscular control. A single Emsella™ 30-minute session produces 11,200 supra-maximal pelvic floor muscle contractions. This is equivalent to performing 11,200 Kegel exercises with consistent and maximal power.
How does Emsella™ help urinary incontinence?
Emsella™’s pelvic floor muscle training increases the tone of the pelvic muscles and causes hypertrophy and strengthening of the muscle fibers. This leads to elevation of the pelvic floor and restores the protective continence mechanism. With these contractions, the pelvic floor muscles become stronger, and the vaginal wall becomes tighter. The tissues supporting the pelvic organs are, in a sense, rebuilt during this incontinence treatment. This process leads to a decrease in urge and stress incontinence, better urine retention, and increased sexual satisfaction.
What is involved in the treatment session?
This is a completely non-invasive treatment lasting less than 30 minutes. You sit fully clothed on the Emsella™ chair. Proper positioning is important. You must not have any metal or electronic devices in the vicinity of the chair. The typical treatment plan includes six treatments, two sessions per week for three weeks. But depending on your specific situation, Dr. Kuntz may recommend fewer or more sessions.
What will I feel?
This is not painful at all. You will feel some tingling and experience strong pelvic floor contractions during the treatment. There will be varying pattern of contractions during the course of the treatment session.
Is there any downtime after the treatment?
No. You will resume normal activity immediately after the visit.
How soon will I notice any improvement?
You may notice some change even after the first treatment but most likely you will appreciate reduction in urinary incontinence by the end of the 6-session course of therapy. Results will continue to improve as your pelvic floor muscles respond to therapy with increase in muscle fibers and strength. Clinical studies have shown continued improvement in follow up out 3-6 months from completion of the treatments.
Does this treatment really work?
A recent multi-center research study showed Emsella™ to be very effective in treating stress urinary incontinence, urge urinary incontinence and mixed urinary incontinence. There was 95% increase in quality of life after completing the Emsella™ 6-session protocol. At baseline, patients reported they had leakage about one time per day. After completing the program, patients leaked urine once a week or less. The usage of pads decreased by 70% or more. The study showed improvement overall by end of the 6th session, and continued improvement seen at 3 months follow up.
Will I need further treatment?
You will benefit from maintenance treatments to keep your pelvic floor muscles robust. The baseline severity of your condition and your response to initial therapy will determine the frequency of maintenance treatments.
Who is not a candidate for Emsella™ treatment?
You will not be a suitable candidate for Emsella™ treatment if you have:
- Pacemaker or defibrillator
- Insulin pump
- Implanted neurostimulator
- Hip replacement surgery
Start on your journey to staying dry today
If you struggle with urinary incontinence, Emsella™ may be the ideal solution for you. Schedule your consultation with Dr. Alice Kuntz today.