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Stress Urinary Incontinence Surgery - Is it worthwhile?

Posted by Andrew on 13-Mar-2019 11:32:01

Stress Urinary Incontinence Surgery - Is it worthwhile?Stress Urinary Incontinence is a common condition effecting 30-40% women. The percentage of women may be much more due to many women not seeking advice on the condition. Even though the condition is not life threatening, it is a condition that is a cause of embarrassment and hinders quality of life.

There are management solutions such as absorbent pads which do not fix the situation. Recommended Kegel exercises can help reduce the condition, but it really depends on how frequent the person performs the exercises. Kegel exercises need to be performed 3 times a day, every day to be effective. Surgery has been the solution that most doctors go to, to offer a permanent treatment however, there are inherent risks with surgery and the efficacy of the procedure has been recently questioned.


Sling Surgery

Surgery for urinary incontinence has a reported success rate of 36% to 87%. The most performed surgery is sling surgery. This method utilises a strip of synthetic mesh that is surgically attached to the pelvic bone and then around the urethra. This is to support the downward movement of the bladder due to the weakened pelvic floor muscle. 

Often surgeons and patients define success differently and in many cases a surgeon’s idea of success doesn’t meet the same expectations of success in a patient. A lay person would define success in treatment for urinary incontinence to be, no leakage and to not have the constant urge to urinate. In many cases, the outcomes of urinary incontinence surgery have not met the expectations and goals of the patient.


Side Effects & Complications

In 2011, the FDA issued an update on the safety and efficacy of the use of mesh in urinary incontinence and reported complications for surgery is considered “not rare”. The most common complication is mesh erosion. This is the condition where the anchoring points erode out from the tissue. In severe cases the mesh then interferes with other organs like the bladder or bowel. This can then lead to bleeding, discharge and then additional surgery.

Minor complications like urinary tract infections can occur.

In some cases, the mesh has created too much tension and has caused an inability to completely vacate the bladder. This is in addition to not preventing 100% leakage. It has been reported in some of these cases the sling has also caused Urge Urinary Incontinence or overactive bladder.


Class action over the sling surgery

On 4 July 2017 the trial for a class action against Johnson & Johnson began in the Australian federal court for vaginal mesh implants. The class action consists of over 8,000 women that have had the vaginal mesh surgery and are suffering from irreparable complications.



Emsella: Non-Invasive option with 95% improvement

In 2018 BTL Aesthetics released the Emsella medical device. It was cleared by the FDA and TGA to offer 95% improvement in urinary incontinence conditions compared to surgery offering 36% to 87% improvement.



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The science behind the Emsella is based on High-Intensity Focussed Electomagnetic field to cause supramaximal contractions in the pelvic floor muscle. The supramaximal contractions then stimulate muscle fiber hypertrophy in the pelvic floor muscles leading to muscles strengthening and become more dense. The restored pelvic floor muscles become much stronger allowing its function of supporting the bladder and regulating the urethra. 



The Emsella is a breakthrough device that provides:

  • Emsella FDA approved and TGA cleared
  • 95% improvement after 2 treatments a week for 3 weeks
  • Strengthens and increases muscle density in the pelvic floor and vaginal muscles
  • 11,000 supramaximal contracts in 28 minutes
  • Treatment while fully clothed
  • Non-invasive
  • No downtime

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Article you might find helpful:

Bladder Leakage: Everything You Need To Know About Urinary Incontinence


Treatment Protocol

There is no treatment preparation. You sit on the Emsella chair fully clothed and you can read a magazine for 28 minutes.

You require 2 sessions a week, for 3 weeks.


The course costs $3000 for the 6 x 30 minute sessions. 


Free Consultation for Urinary Incontinence

The best way to understand more about Emsella is from a qualified clinician. At Detail Smoother Skin we offer a complimentary consultation where we can give you personalised information and you can briefly trial the Emsella to experience sensation of the HIFEM.

To book, simply call our friendly team on 02 9231 5999or click on the button below to book a free consultation online.

Book Free Consultation 

Topics: Emsella Chair, Bladder Leakage, Urinary Incontinence


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