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  Urinary Incontinence & Emsella Treatment

What Is Urinary Incontinence?

Urinary incontinence is the loss of bladder control or an involuntary leakage of urine. It affects more women than men, owing to the structure of the female urinary tract and life events like pregnancy, childbirth and menopause.

Common Types of Urinary Incontinence

  • Stress incontinence is urine leakage caused by increased pressure on the bladder, usually occurring with activities such as laughing, sneezing, coughing and lifting heavy objects. Stress incontinence commonly affects more women than men, especially those who are pregnant or have given birth, due to the increased pressure on the pelvic floor muscles. It is also common with aging and after menopause.
  • Urge incontinence – Also known as having an overactive bladder, urge incontinence is marked by a sudden and intense urge to pass urine followed by a large volume of urine leakage. It is often a symptom of an underlying bladder problem such as an infection or stones.
  • Total incontinence – This is a condition in which the bladder is incapable of storing urine, causing urine to pass uncontrollably and continuously. It is the most severe form of incontinence and is caused by problems in the brain, nerves or spinal cord.
  • Functional incontinence – This is leakage of urine resulting from the inability to reach the toilet in time due to certain physical or mental conditions.
  • Mixed incontinence – This is when a patient experiences two or more types of urinary incontinence.

The Pelvic Floor

The pelvic floor is a dome-shaped muscular sheet that forms a sling at the base of the pelvis. It functions as a support of the abdomino-pelvic organs like bladder, intestines and uterus; providing resistance to increase in abdominal pressure during coughing or lifting heavy objects; and maintaining urinary and faecal continence through its sphincter action on the urethra and rectum. They are also part of the core muscles which help provide spinal and pelvic stability when we move and to maintain proper posture.

Weakness of pelvic floor muscles may result in urinary stress incontinence, uterus prolapse and chronic back pain. Factors that cause pelvic floor weakness include pregnancy and childbirth; chronic constipation; chronic cough; being overweight; repeated lifting of heavy objects (e.g. carrying grandkids), aging and menopause. At menopause there will be a decrease in the oestrogen level, leading to a reduction of the collagen and elastin component of the pelvic floor muscles, causing progressive weakening of the pelvic floor.

The pelvic floor muscles can be strengthened by Kegel exercise and the new Emsella treatment. When the muscles are weak or damaged, it may be difficult to perform the Kegel exercise. Emsella, however, will help to stimulate and strengthen the muscles, after which they are able to continue strengthening the muscles with the Kegel exercise.

Treatment for Urinary Incontinence

Treatments for urinary incontinence depends on the severity and include lifestyle adjustments, medicines and exercises, non-invasive therapy like Emsella and surgical procedures. Healthcare for Women is pleased to offer the Emsella treatment in Singapore, a non-invasive, FDA-approved and painless urinary incontinence treatment.

What Is Emsella?

Emsella is a non-invasive treatment that treats urinary incontinence and directly targets weak pelvic floor muscles. It comes in the form of a special chair that uses high-intensity focused electromagnetic (HIFEM) technology to strengthen the deep pelvic floor muscles.

The patient will only need to sit on the Emsella chair – fully clothed – for around 30 minutes per session, without any surgical risk or discomfort.

How It Works

Emsella uses HIFEM technology to induce thousands of supramaximal contractions to strengthen the pelvic floor muscles. The doctor will determine the number and frequency of sessions required for each patient for optimal outcomes.


What is the Emsella Treatment?
The Emsella is a new, non-invasive treatment for urinary incontinence and weak pelvic floor muscles that helps to restore bladder and pelvic muscle control.

What are the benefits of Emsella?

  • No downtime
  • Non-invasive
  • Remain fully clothed
  • No discomfort
  • Tangible improvement after one session

Who is a suitable candidate for Emsella?
The Emsella is suitable for women whose lives have been affected physically and socially by urinary incontinence and have not experienced significant improvement with Kegel exercise, but are hesitant to undergo surgery.

When will I see the results?
The results usually become noticeable after one session, and will continue to improve for the next few weeks and sessions. The results will also vary depending on the patient’s age, health condition and other factors.

Other Treatments
Apart from the Emsella, other treatments for urinary incontinence include:

  • Bladder and pelvic muscle exercises – These exercises, also known as Kegel exercises, can help strengthen the muscles in the pelvis, bladder and uterus for better urine control.
  • Lifestyle changes – Certain lifestyle changes can help reduce the symptoms and severity of urinary incontinence. These may include maintaining a healthy weight, limiting caffeine consumption and quitting smoking, among others.
  • Surgery – For the most severe of cases, surgery may be required to address urinary incontinence.

Emsella in Singapore is a new and effective modality of treatment for the common and embarrassing problem of urinary stress incontinence which is timely as the incidence is increasing in tandem with the aging population.

For more information or a personalised assessment, please consult our female gynaecologist, Dr Chen Chern Yi, today.

8 Sinaran Drive, Novena Specialist Center, #06-02, Singapore 307470
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