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Back to ConditionsPelvic Health

Female Incontinence

Overview

You should not have to plan your life around the nearest bathroom.

It starts small. A little leakage when you cough, sneeze, or laugh too hard. Maybe during a workout, or when you pick up your child. Over time, it becomes something you think about constantly: where the bathrooms are, whether you packed extra protection, whether anyone noticed.

Many women assume this is just a normal part of aging, childbirth, or menopause. It is not. Urinary incontinence affects approximately half of all women at some point in their lives, and the majority never mention it to a healthcare provider. At ReNueva, bladder control concerns are treated with the same clinical attention as any other health condition, in a private, professional setting where you can discuss your symptoms openly.

What Is Actually Happening / Risk Factors

What Is Actually Happening

The pelvic floor muscles function like a hammock, supporting the bladder and urethra from below. Under normal conditions, they contract automatically when abdominal pressure increases, keeping the urethra sealed. When the pelvic floor is weakened, this closure mechanism fails and urine escapes.

But the problem is not always muscle weakness alone. Connective tissue and fascia that anchor the urethra and bladder in position also lose integrity over time. Pregnancy stretches these structures significantly. Hormonal changes during menopause reduce tissue elasticity as estrogen declines, which is why incontinence often worsens during and after the menopausal transition.

Neuromuscular coordination also matters. Even when pelvic floor muscles have adequate strength, poor timing of contraction can result in leakage. This is why traditional Kegel exercises, while helpful for some women, do not work for everyone. If the problem involves tissue laxity, poor coordination, or nerve signaling rather than pure muscle weakness, a different intervention may be needed.

Risk Factors

Pregnancy and vaginal childbirth. Menopause. Age. Excess body weight. Smoking. Family history. Prior pelvic surgery.

When to Seek Evaluation

If bladder concerns are causing you to modify your daily life, limit activities, or feel anxious about leakage, it is worth seeking evaluation. This condition does not have to define how you live. Most women experience meaningful improvement with appropriate treatment.

Types

Stress urinary incontinence

The most common type. Leakage occurs when physical activity places pressure on the bladder: coughing, sneezing, laughing, exercising, or lifting. The issue is structural support, not bladder overactivity.

Urge incontinence

A sudden, strong urge to urinate followed by involuntary leakage before reaching the toilet. Often includes frequent urination during the day and waking at night. More common after menopause.

Mixed incontinence

Both stress and urge symptoms are present. This is one of the most common patterns and may require a treatment approach that addresses both components.

Overflow incontinence

The bladder does not empty completely and becomes overfilled, leading to continuous or frequent small-volume leakage.

Treatment at ReNueva

Treatment at ReNueva

EMSELLA

Uses high-intensity focused electromagnetic (HIFEM) technology to deliver thousands of deep pelvic floor contractions in a single session, far exceeding what traditional exercises can achieve. Sessions are performed fully clothed, require no internal devices, and involve no recovery time. Systematic reviews report a favorable safety profile with no significant adverse events.

Learn more

EMFEMME 360

A non-invasive radiofrequency treatment that delivers controlled thermal energy to vaginal and pelvic tissues, stimulating collagen production, improving blood flow, and enhancing tissue tone. May be particularly beneficial for women whose leakage is related to childbirth, menopause, or pelvic tissue laxity.

Learn more

FREEDOM+ Command Stack

An advanced neuromuscular stimulation platform designed to strengthen pelvic floor muscles and improve bladder control through targeted electrical stimulation. Can be used as a standalone therapy or in combination with EMSELLA and EMFEMME 360.

Learn more

Behavior Modification

Lifestyle and pelvic floor training strategies may be recommended as a first-line approach or alongside advanced treatments. These may include bladder training and scheduled voiding, pelvic floor exercises with proper technique guidance, weight management, smoking cessation, and biofeedback to improve muscle awareness and coordination. Pelvic floor muscle training is well supported by clinical evidence, with studies showing that women who perform supervised training are significantly more likely to report improvement than those who do not.

What to Expect

Improvement is typically gradual. Most women notice reduced leakage episodes over the course of six treatment sessions, typically scheduled twice a week for three weeks. You remain fully clothed throughout. For EMSELLA, you sit on a specialized chair that delivers thousands of targeted pelvic floor contractions in just 28 minutes. No insertion. No undressing. No preparation required. Full results typically develop four to eight weeks after your final session. These are walk-in, walk-out treatments with no anesthesia and no recovery period. In Fort McMurray, the physical demands of many occupations place ongoing stress on the pelvic floor. You do not have to live with bladder leakage. Book a consultation for a private, individualized evaluation. There is no judgment and no pressure.

Clinical Insight

At ReNueva, we find that most women presenting with bladder leakage have more than one contributing factor. EMSELLA addresses muscle strength and neuromuscular activation. EMFEMME 360 addresses tissue quality and connective tissue integrity. FREEDOM+ Command Stack retrains coordination and pelvic muscle control. Behavior modification supports long-term habits. When your clinician assesses your situation, the goal is to identify which components are present and build a protocol that addresses them together.

Frequently Asked Questions

Is bladder leakage normal after having children?

It is common, but it is not something you have to accept. Pregnancy and delivery can weaken the pelvic floor, but these changes are treatable.

Do I need to undress for treatment?

No. EMSELLA sessions are performed fully clothed. You sit on the treatment chair and the technology does the work.

How many sessions will I need?

A typical EMSELLA protocol is six sessions over three weeks. Your clinician may recommend additional sessions or combination therapy depending on your type and severity of incontinence.

Will it work for urge incontinence too?

EMSELLA has been studied for stress, urge, and mixed incontinence. Your clinician will assess which type you have and whether EMSELLA alone or a combination approach is most appropriate.

Is this covered by insurance?

Coverage varies. Our team can provide the information you need to check with your provider.

What if Kegels have not worked for me?

Kegel exercises are effective for some women, but they rely on proper technique and adequate muscle activation. EMSELLA delivers thousands of contractions at an intensity that voluntary exercise cannot match, which is why it may succeed where Kegels alone have not.

Ready to Address Your Female Incontinence?

Book a consultation to discuss your concerns in a confidential, professional setting and create a personalized treatment plan.

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