Urinary & Fecal Health — Men & Women
Leaking when you cough, laugh or lift. Sudden urgency. Getting up through the night. It affects roughly 1 in 3 women and a significant number of men — and most have never been properly assessed, because they were told it was normal, or told to do Kegels and left there. There is more to it than that.
Pelvic floor strengthening
Where it is clinically appropriate, the EMSELLA® chair does the muscle work. You sit fully clothed for 28 minutes.
Health teaching
We work through the four things that drive bladder control: hydration, bladder irritants, pelvic floor muscle strength, and bladder retraining.
Strengthening does the muscle work. The teaching is what helps you understand and support your bladder health beyond the treatment sessions.
What happens first: a Pelvic Floor Consultation with Shannon Lapointe, a Certified Continence Advisor. She works out what type of incontinence you have and whether treatment is appropriate. Not everyone needs treatment — and we will tell you if you don't.
Types of Incontinence
The type of incontinence determines the most effective treatment approach. Shannon assesses this specifically at your consultation.
Stress Incontinence
Leaking triggered by physical pressure — coughing, sneezing, laughing, jumping, lifting. The pelvic floor muscles cannot hold urine against sudden pressure changes. Most common type. Highly responsive to EMSELLA® and O-Shot®.
Urge Incontinence
Sudden, urgent, difficult-to-control need to urinate — often followed by leaking before reaching the bathroom. The bladder contracts involuntarily. Responds well to EMSELLA® and may benefit from hormone optimization.
Mixed Incontinence
Combination of stress and urge components. Very common. Shannon assesses the dominant type and treats accordingly with a combination approach.
Fecal Incontinence
Urgency or leakage of stool. Affects the anal sphincter complex. People rarely seek help because it is even more difficult to discuss than urinary incontinence. EMSELLA® strengthens the entire pelvic floor including the anal sphincter and is effective for this condition.
The Treatments
EMSELLA® — Pelvic Floor Rehabilitation
EMSELLA® uses High-Intensity Focused Electromagnetic (HIFEM) energy to induce thousands of supramaximal pelvic floor contractions per session — the type and depth of contraction that voluntary Kegel exercises cannot achieve. You sit fully clothed on the EMSELLA® chair for 28 minutes. No undressing, no preparation, no discomfort beyond a strong pelvic floor sensation. Six sessions over three weeks. In the manufacturer’s reported data (BTL clinical white paper, not independent peer-reviewed research): 95% of patients reported significant quality-of-life improvement and 67% eliminated or significantly reduced pad use. Individual results vary. FDA-cleared for urinary incontinence. Shannon holds a Certified Continence Advisor designation, so your assessment includes clinical expertise in continence — not just operation of a device.
O-Shot® PRP — Tissue Regeneration
The O-Shot® injects platelet-rich plasma into the anterior vaginal wall — the tissue that supports the bladder neck and urethra. This is the structural support that fails in stress urinary incontinence. PRP growth factors stimulate tissue regeneration, collagen production, and improved urethral support in the treated area. Many women experience meaningful improvement in stress incontinence following the O-Shot® alone. Combined with EMSELLA®, the effect addresses both the muscular and tissue components of the problem simultaneously.
For Men
Urinary incontinence in men is most common following prostate surgery (radical prostatectomy) and affects a significant proportion of men post-operatively. EMSELLA® is effective for post-prostatectomy incontinence — strengthening the external urethral sphincter and pelvic floor muscles that maintain continence. Men also experience urge incontinence and overactive bladder, both of which respond to EMSELLA®.
If you are a man dealing with urinary leakage and have been told nothing can be done short of further surgery, that is not accurate. Book a Pelvic Floor Consultation and get an honest assessment of your options.
What to Expect
EMSELLA® Protocol
6 sessions, 1–2× weekly
Session Length
28 minutes, fully clothed
Downtime
None
Initial Response
Often after 1–3 sessions
Full Effect
4–6 weeks after completing protocol
Maintenance
Most choose monthly; some every 2–3 months
Bladder and pelvic-floor care begins with a complimentary consultation with Shannon — so you understand what is happening and what would help before you decide anything.
Meet with Shannon for a complimentary continence and pelvic floor consultation. She will review your symptoms, relevant medical history, bladder or bowel concerns and contributing factors, explain how pelvic floor strengthening and health teaching may help, and discuss the most appropriate next steps.
An EMSELLA® experience may be included when clinically appropriate — the pelvic-floor treatment you sit on, fully clothed. Whether it suits your situation is Shannon's clinical judgment, discussed at your consultation.
From there you choose the approach that fits — a physiotherapy-led program or our standard program — with pricing laid out plainly and Shannon guiding which is right for you.
This is more than access to a chair. Depending on what your consultation finds, your care may include clinical history review, continence education, bladder and bowel health teaching, pelvic floor strengthening, behavioural recommendations, and referral or medical follow-up where appropriate.
Validated screeners for leakage (ICIQ) and overactive bladder (OAB-V8). Women can also take the Prolapse Screener; men can check prostate-related urinary symptoms (IPSS).
How We Actually Treat It
EMSELLA® is a useful tool and it does a specific job well — it strengthens the pelvic floor without you having to do the work perfectly on your own. But it is one part of continence care, not the whole of it, and a clinic that offers you only a chair is offering you an incomplete plan.
What proper continence care includes:
Health teaching and behavioural strategy
Often the highest-value part, and the part most often skipped: bladder retraining and timed voiding · urge-suppression technique · fluid strategy — how much, and when · caffeine, alcohol and bladder irritants · managing constipation, which loads the pelvic floor · correct pelvic-floor engagement, which many people are doing wrong without knowing it.
Pelvic-floor training
Assessment of what your pelvic floor is actually doing, then training it deliberately. Some people need strengthening; some need to learn to release. Treating the wrong one makes symptoms worse, which is why we assess rather than assume.
Technology where it helps
EMSELLA® and, where appropriate, other in-clinic treatment — used because your assessment indicated it, not by default. If EMSELLA® is part of your plan, the cool-down after each session matters — a short breathing sequence that releases the pelvic floor after the work. Why the cool-down matters →
Medical review and referral
Some symptoms need a physician’s work-up before anything else, and some need urology, gynaecology, urogynaecology or pelvic-floor physiotherapy. We will tell you plainly when that is the honest answer rather than treating around it.
Reassessment
Continence care is measurable, so we measure it. At the end of your active care there is a progress review comparing where you are against where you started — not a vague conversation about whether you feel better.
That review decides what happens next: results reached and care moves to maintenance; more improvement wanted and we plan further active care; or something is not adding up and we investigate or refer. If it did not work, we will say so.
Your complimentary consultation with Shannon is the first step — no pressure, completely confidential. We will tell you honestly whether treatment is likely to help and what realistic improvement looks like.
Book Your Pelvic Floor ConsultationHere for bladder or bowel control alone? Book your Pelvic Floor Consultation above. If you're also looking to address sexual function or intimacy, start with Find My Starting Point instead — we'll map the full picture in one path.
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