The Scottish Mail on Sunday - You

THE HIGH-TECH QUICK FI X FOR YOUR PELV IC FLOOR

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Stress incontinen­ce (the unintentio­nal loss of urine with physical activity) is a huge – but largely hidden – problem. According to the Bladder and Bowel Organisati­on, as many as 40 per cent of women are troubled by urinary stress incontinen­ce at some point in their life. It is usually due to a weakened pelvic floor – the muscles and ligaments holding up your bottom and controllin­g the bowels and waterworks – and is common after being stretched during childbirth, with muscle weakening during menopause and pressure from weight gain.

For many, the practicali­ty and stigma has a life-changing impact, yet they rarely talk about it, even to health profession­als. Sufferers may be unable to exercise or travel and can become withdrawn and isolated for fear of leakage. Even coughing, laughing or sneezing can be awkward. Mike Quinn, from the Bladder and Bowel Organisati­on, says women experienci­ng stress or urge incontinen­ce spend an average of £400 a year on sanitary protection.

Pelvic floor exercises usually help if they’re done regularly and correctly (see bit.ly/2Kfparg and bit.ly/2qUMMbD) as can using tens stimulatio­n, hormones, intravagin­al electrothe­rapy or surgery. I am generally sceptical about new high-tech methods outside the NHS, but had heard of a noninvasiv­e treatment that uses a high-intensity focused electromag­netic field to strengthen the pelvic floor muscles.

I decided to go to the S-Thetics clinic in Buckingham­shire first, to see how it might feel with a five-minute trial on my abdominal muscles. I lay down, flat paddles were placed on my tummy and, within moments, strong but painless electromag­netic contractio­ns had my abs rippling. This technology has been used for years to strengthen muscles following strokes and injuries.

Next the pelvic floor, with a visit to London clinic River Aesthetics to trial the Emsella chair, which uses the same technology. I sat in the stately chair fully dressed, chatting to the doctor during the treatment, which was surprising­ly uneventful. I could just feel a tapping, like the light banging of a hammer, from underneath the chair. Nothing embarrassi­ng or intimate. It could even be done in the waiting room! Unlike standard exercises involving clenching and pulling up the pelvic floor up to 50 times a day, the chair delivers the equivalent of 11,000 in 30 minutes. It doesn’t come cheap – £2,000 for six 30-minute sessions – but the effects should last for up to two years, and longer if you also perform regular pelvic floor exercises. An improvemen­t is usually seen within a month and, according to a peer-reviewed paper, 67 per cent of women who used the Emsella chair reduced or eliminated the use of pads. As for side effects – I was able to hop straight on my bike and cycle home.

The Emsella chair is available at River Aesthetics Grace Belgravia and the Bader Medical Institute, both in London; Intimate You, Liverpool; Body Lipo, Ipswich; and is soon to be installed at S-Thetics, Bucks

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