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A DEDICATED CLEVELAND HEALTH CENTER SERVICE
You shouldn't have to plan your day around bathroom visits or worry about a leak when you cough, exercise or laugh. Whether symptoms started after childbirth, during menopause, or following prostate treatment, understanding the cause is the first step toward better control.
We provide respectful, individualized evaluation for both women and men, with noninvasive options including BTL EMSELLA when appropriate.
Urinary leakage is common, but it has different causes and does not always indicate a weak pelvic floor. These concerns are reasons to seek a medical evaluation.
Often called stress incontinence. We evaluate muscle strength, childbirth or surgery history, and other contributors.
An overactive bladder, infection, fluid/medication factors, or other problems can contribute.
A tailored evaluation is important; some patients need specialist options beyond muscle-focused care.
Pelvic-floor weakness may play a role, but symptoms can have more than one cause.
Nocturia can have bladder, sleep, hormonal, prostate, cardiovascular, or medication-related contributors.
Improving comfort and daily confidence is a meaningful treatment goal, too.
NONINVASIVE · FULLY CLOTHED · FOR WOMEN & MEN
Imagine working on pelvic-floor strength without changing into a gown, using internal devices, or having injections. With BTL EMSELLA, you sit comfortably on a specialized chair while electromagnetic stimulation activates pelvic-floor muscles.
For eligible patients, the goal is to improve muscle function and help reduce urinary leakage. The usual research protocol is six visits of about 28 minutes each, although your treatment plan may differ.
We discuss when leaks happen, urgency, pad use, medical history, medications, lifestyle goals and any concerning changes.
Your evaluation may include an examination, urinalysis or other testing or referral when indicated. Not all bladder symptoms need the same intervention.
We review pelvic-floor exercise/physical therapy, bladder strategies, medications, EMSELLA and specialist treatment options when appropriate.
Many people benefit from proven conservative approaches such as pelvic-floor exercises guided by a therapist, bladder training, lifestyle measures, and treatment of contributing medical conditions. Depending on the diagnosis, medicines or specialized procedures may also be options.
BTL EMSELLA may be considered alongside established care for selected patients. We will explain where the clinical evidence is encouraging and where further research is needed. For intimate discomfort or sexual-function concerns, explore our separate Men’s & Women’s Sexual Wellness pages.
Urinary leakage becomes more common with age, but it should not simply be dismissed as inevitable. The type and cause of leakage determine what may help.
No. Pelvic-floor physical therapy often teaches awareness, coordination, relaxation and strengthening, while EMSELLA provides electromagnetic muscle stimulation. Learn more on the EMSELLA page.
Yes. We welcome women and men. Urinary symptoms after prostate treatment require individualized evaluation.
We evaluate both. Stress leakage and urgency can have different causes; some patients have a mixture of symptoms. Treatment is chosen after assessment.
Pelvic Floor Therapy is a standalone service. It may be relevant to sexual wellness, so our Sexual Wellness section includes helpful cross-links.
