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Urinary Incontinence and Weak Pelvic Floor: Causes, Symptoms and Treatment Options

Urinary incontinence and weak pelvic floor symptoms are extremely common, particularly after childbirth, during perimenopause and menopause, and as we age.

Many women experience leaking when they cough, laugh, sneeze, exercise or rush to the toilet. Others notice reduced pelvic confidence, reduced intimate sensation or a feeling that their pelvic floor is no longer as strong as it once was.

Although these symptoms can feel embarrassing, they are treatable and many people see meaningful improvement with the right support.

At The Medi-Shed, we offer a discreet, supportive approach to pelvic floor strengthening using BTL Emsella, a non invasive treatment designed to stimulate the pelvic floor muscles while you remain fully clothed.

What can help with urinary incontinence?

Urinary incontinence can be caused by weak pelvic floor muscles, childbirth, ageing, menopause, lifestyle factors or certain medical conditions. First line support usually includes pelvic floor muscle training, lifestyle changes and assessment where needed. For suitable patients, Emsella may help strengthen the pelvic floor by using electromagnetic stimulation to contract the pelvic floor muscles. NICE recommends supervised pelvic floor muscle training for at least three months as first line treatment for women with stress or mixed urinary incontinence.

What is urinary incontinence?

Urinary incontinence means leaking urine when you do not intend to.

This may happen occasionally or regularly, and it can affect confidence, exercise, intimacy, sleep and everyday life.

Common types include:

  • Stress incontinence

Leaking when you cough, sneeze, laugh, jump, run or exercise.

  • Urge incontinence

A sudden, strong need to pass urine, sometimes followed by leaking before you reach the toilet.

  • Mixed incontinence

A combination of stress and urge symptoms.

What causes a weak pelvic floor?

The pelvic floor is a group of muscles that supports the bladder, bowel and, in women, the uterus.

These muscles can become weaker or less effective due to:

  • Pregnancy and childbirth

  • Perimenopause and menopause

  • Ageing

  • High impact exercise

  • Chronic coughing

  • Constipation

  • Weight changes

  • Previous pelvic surgery

  • Reduced muscle strength or poor muscle coordination

Pelvic floor exercises can help strengthen the muscles around the bladder and improve bladder control when performed correctly and consistently.

Symptoms of a weak pelvic floor

You may have a weak pelvic floor if you experience:

  • Leaking when coughing, sneezing or laughing

  • Leaking during exercise

  • A sudden urge to pass urine

  • Going to the toilet more often than usual

  • Reduced bladder control

  • Reduced intimate sensation

  • Pelvic heaviness or reduced pelvic confidence

If symptoms are new, worsening, painful, associated with blood in the urine, recurrent infections, pelvic pain or significant prolapse symptoms, it is important to seek medical advice.

Emsella Medished

Can Emsella help with urinary incontinence?

BTL Emsella is a non invasive pelvic floor treatment that uses electromagnetic energy to stimulate thousands of pelvic floor muscle contractions during a treatment session.

You remain fully clothed and sit on the Emsella chair while the device activates the pelvic floor muscles.

For suitable patients, this may help improve pelvic floor strength, bladder control and confidence.

It is often considered by women who struggle to perform pelvic floor exercises effectively or who want additional support alongside a pelvic floor strengthening routine.

Benefits of BTL EMSELLA​

  • A non-invasive procedure with no
    recovery time.

  • Remain fully clothed during treatment.

  • Restores bladder and pelvic muscle control without time-consuming exercises.

  • A comfortable procedure that lets you relax during the 28-minute treatment.

  • You may observe improvement after a single session. Results will typically
    continue improving over the next
    few weeks.

  • Tangible results after about six sessions, scheduled twice a week.

Dr Dil's clinical perspective

Many women tolerate urinary leakage for years because they feel embarrassed or assume it is simply part of ageing, childbirth or menopause.

At The Medi-Shed, we believe these concerns deserve to be discussed openly and sensitively.

The most important step is understanding what type of incontinence you have and whether your symptoms are appropriate for non invasive pelvic floor strengthening. Emsella can be a helpful option for suitable patients, but it should be part of a thoughtful approach to pelvic health rather than a one size fits all solution.

Who may be suitable for Emsella?

  • Emsella may be suitable for women who:

  • Leak urine when coughing, sneezing, laughing or exercising

  • Have noticed reduced pelvic floor strength after childbirth

  • Experience mild to moderate stress incontinence

  • Feel less confident with bladder control

  • Want a non invasive treatment with no downtime

  • Prefer a treatment performed fully clothed

Suitability should always be assessed during consultation.

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Patient satisfaction

Non-invasive

suitable for everyone

Why choose DrDil?

• I am an experienced cosmetic dentist with over twenty seven years of expertise, now specialising in non-surgical facial rejuvenation. Patient safety is central to my practice

• I combine my excellent understanding of facial anatomy and medical knowledge with an artistic eye. My skill lies in assessing your features and proportions and creating the right treatment approach based on your individual needs and concerns

• I specialise in high quality, expert-led skincare and non-invasive “tweakments” to restore beauty and revive inner wellbeing

• Reputation is one of my core values, which means no time-limited treatment offers, proper cooling-off periods for treatment consideration and full aftercare and support

• I am known for my discreet, natural approach – I believe that when treatments are done well, you get that well-rested, glowing appearance which others can’t help but compliment!

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Frequently asked questions

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