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Patient guide · Pelvic health

Bladder leakage: what actually helps

Leaking when you laugh, or not making it to the bathroom in time, is common and treatable. Here is where to start at home, and where Emsella fits.

Two kinds of leaks

  • Stress incontinence — leaking when you cough, sneeze, laugh, lift or exercise.
  • Urge incontinence — a sudden, strong need to go, and not always getting there in time.

Many people have some of both. Childbirth and menopause commonly weaken the pelvic floor in women, and men leak too.

Start with these at home

The National Institute of Diabetes and Digestive and Kidney Diseases describes two first steps (NIDDK):

  • Bladder training. Go to the bathroom on a schedule, slowly stretch the time between trips, and keep a bladder diary to see the pattern.
  • Pelvic floor muscle exercises. Often called Kegels — squeezing and relaxing the muscles that hold urine in. The NIDDK reports that women who did pelvic floor training had fewer leaks.

The catch is that many people find it hard to tell whether they are squeezing the right muscles, and harder still to keep at it every day.

Where Emsella comes in

Emsella does the pelvic floor work for you. You sit fully clothed in a chair for 28 minutes while electromagnetic stimulation makes those muscles contract over and over. A usual course is 6 sessions, once or twice a week, with a touch-up every 3 to 6 months.

It treats stress and urge incontinence, weakness after childbirth or menopause, and leakage in men. Some insurance plans may cover it for incontinence; the office will help you check. Details are on the Emsella page.

Keep doing the home work

Emsella and the NIDDK’s first steps are not either-or. Bladder training and daily exercises help keep the strength Emsella builds.

Questions

Questions about this guide

What is bladder training?

Going to the bathroom on a set schedule and slowly lengthening the time between trips, often with a bladder diary. The NIDDK lists it as a first step for bladder control problems.

Do Kegel exercises help bladder leakage?

They can. The NIDDK reports that women who did pelvic floor muscle training had fewer leaks; the hard part is squeezing the right muscles consistently.

What is the difference between stress and urge incontinence?

Stress incontinence is leaking with pressure — a cough, laugh, lift or workout. Urge incontinence is a sudden strong need to go and not always reaching the bathroom in time.

Can I keep doing Kegels while having Emsella?

Yes. Bladder training and daily pelvic floor exercises help maintain the strength that Emsella sessions build.

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