Urinary incontinence affects millions of Americans, yet it remains one of the most under-discussed health conditions. If you're experiencing bladder leakage, frequent urgent trips to the bathroom, or worry about accidents during daily activities, you're not alone—and you don't have to live this way. Whether you leak when you laugh, cough, sneeze, or exercise, or you experience sudden, uncontrollable urges to urinate, these symptoms can significantly impact your quality of life, confidence, and ability to enjoy activities you love.
At Asuta Health, we've helped thousands of patients in Iowa and Nebraska overcome incontinence and regain bladder control without surgery or long-term medication use. Our proven, non-invasive treatment approach strengthens the pelvic floor muscles, improves bladder function, and restores your confidence. Many of our patients who once planned their lives around bathroom locations are now living freely and confidently, participating in activities they had given up on.
Our comprehensive treatment program addresses all types of urinary incontinence, including stress incontinence, urge incontinence, mixed incontinence, and overactive bladder. Using advanced technologies like our specialized pelvic chair therapy, combined with personalized care, we help you achieve lasting results that medication and traditional treatments often can't provide.
Incontinence isn't a one-size-fits-all condition. Understanding what type you have is crucial for effective treatment. At Asuta Health, we treat all forms of urinary incontinence
Leakage during physical activity, laughing, coughing, or sneezing
Sudden, intense urge to urinate with immediate leakage
Combination of stress and urge incontinence symptoms
Frequent, urgent need to urinate day and night
No matter which type of incontinence you're experiencing, our advanced treatment protocols can help you regain control and restore your quality of life. Many patients experience significant improvement within just a few weeks of starting treatment.
Incontinence symptoms can range from occasional minor leaks to complete loss of bladder control. If you're experiencing any of these symptoms, our treatment can help
Loss of urine when laughing, coughing, sneezing, exercising, or lifting objects—even small amounts of leakage can be distressing
Overwhelming urge to urinate that comes on quickly, often with little warning and sometimes resulting in leakage before reaching the bathroom
Needing to urinate more than 8 times per day or multiple times during the night (nocturia), disrupting sleep and daily activities
Feeling like your bladder isn't fully empty after urinating, leading to frequent trips to the bathroom
Waking up to wet sheets or not making it to the bathroom in time during the night
Unexpected leakage without feeling the urge to urinate beforehand
Anxiety about bladder control that limits social activities, exercise, travel, and intimacy
Relying on absorbent products daily to manage leakage and maintain confidence
These symptoms don't have to be a normal part of aging or something you just accept. With proper treatment, most people can achieve significant improvement or complete resolution of their incontinence symptoms, regardless of how long they've been dealing with the condition.
At Asuta Health, we take a comprehensive approach to treating incontinence and pelvic floor disorders. While our revolutionary Pelvic Chair Therapy is the cornerstone of treatment, we enhance results by integrating complementary therapies that support pelvic tissue health, reduce inflammation, and optimize bladder function. Your personalized treatment plan may include one or more of the following therapies
Our state-of-the-art pelvic chair is the foundation of incontinence treatment and represents a revolutionary breakthrough in pelvic floor rehabilitation. This non-invasive treatment uses high-intensity focused electromagnetic (HIFEM) technology to strengthen and rehabilitate pelvic floor muscles. You simply sit fully clothed in a specialized chair that delivers thousands of supramaximal pelvic floor contractions during each 28-minute session—equivalent to doing 11,000 Kegel exercises, but without any effort on your part. The electromagnetic field stimulates 100% of your pelvic floor muscles comprehensively, improves neuromuscular control and bladder function, restores the reflexive muscle contractions needed for continence, and rebuilds muscle strength, endurance, and tone. The treatment is completely external, painless, and requires no undressing or internal devices—maintaining your complete dignity and comfort. This FDA-cleared technology is the most effective non-surgical treatment available for stress incontinence, urge incontinence, and overactive bladder.
SoftWave shockwave therapy complements pelvic chair treatment by supporting overall pelvic tissue health and healing. The acoustic waves increase blood flow to pelvic tissues, promote tissue regeneration and repair, reduce any inflammation in the pelvic region, support collagen production for tissue strength, and enhance overall pelvic floor health. While pelvic chair strengthens the muscles, SoftWave therapy optimizes the health and function of the tissues themselves. This combination provides comprehensive pelvic floor rehabilitation addressing both muscular strength and tissue quality.
Advanced red light therapy enhances incontinence treatment by promoting cellular healing in pelvic tissues. For incontinence patients, red light therapy increases ATP production in pelvic floor cells (providing energy for healing and function), reduces inflammation in the pelvic region, improves circulation to pelvic tissues, supports collagen production for tissue strength and integrity, and enhances overall cellular health and function in the pelvic floor. The therapy penetrates deep into pelvic tissues to optimize cellular function at the foundational level. When combined with pelvic chair muscle strengthening, red light therapy ensures the tissues themselves are healthy, well-nourished, and functioning optimally. It's completely painless, requires no undressing, and provides complementary cellular support to the muscular training from the pelvic chair.
Whole body vibration therapy can enhance incontinence treatment outcomes by providing additional pelvic floor stimulation and strengthening. For incontinence patients, vibration therapy increases circulation to the pelvic region dramatically (up to 400%), provides additional pelvic floor muscle activation and strengthening, improves core stability which supports pelvic floor function, enhances neuromuscular coordination throughout the body, and strengthens the entire kinetic chain that supports pelvic health. While you're strengthening pelvic floor muscles with the pelvic chair, vibration plate therapy strengthens the surrounding core and support muscles, creating comprehensive pelvic stability. The improved circulation also supports tissue health and healing throughout the pelvic region. Some patients use vibration therapy as a complementary strengthening tool to enhance their pelvic chair results.
Electrical stimulation can support incontinence treatment by providing targeted pelvic floor muscle activation. For appropriate patients, electric stimulation causes pelvic floor muscles to contract, helping retrain neuromuscular pathways, improves awareness and control of pelvic floor muscles, can reduce urge sensations in overactive bladder, and supports muscle re-education. While our pelvic chair provides more powerful and comprehensive muscle stimulation (11,000 contractions per session), some patients may benefit from additional electrical stimulation as complementary therapy. The key advantage of our pelvic chair over traditional electrical stimulation is that the chair is completely external (no internal devices), more powerful and comprehensive, and treats 100% of pelvic floor muscles. However, for certain cases, we may integrate gentle electrical stimulation as supportive therapy.
Diet and nutrition play a significant role in bladder health and incontinence management. Our comprehensive nutritional guidance helps you identify and avoid bladder irritants (caffeine, alcohol, artificial sweeteners, acidic foods, spicy foods, carbonated beverages) that can worsen symptoms, recommend foods that support bladder health and tissue integrity, provide targeted supplementation to support pelvic floor muscle health, reduce inflammation systemically, promote tissue strength and repair, and support optimal hydration strategies (many people mistakenly restrict fluids, worsening symptoms). Proper nutrition supports the physical treatments by providing the building blocks for healthy tissue and optimal function. We also address any nutritional deficiencies that may be compromising pelvic floor health or bladder function.
| Treatment Modality | Primary Benefit for Incontinence | Best For | Used With Pelvic Chair |
|---|---|---|---|
| Pelvic Chair | Muscle strengthening (11,000 Kegels) | ALL incontinence types | PRIMARY TREATMENT |
| Red Light Therapy | Tissue/cellular health | Tissue quality, postmenopausal | Complementary |
| SoftWave Therapy | Tissue healing/regeneration | Tissue damage, inflammation | Complementary |
| Vibration Plate | Circulation, core strength | Supporting strength, circulation | Complementary |
| Electric Stimulation | Additional muscle activation | When extra activation beneficial | Complementary |
| Nutritional Support | Bladder health, tissue support | ALL patients | Essential support |
Our pelvic chair therapy remains the cornerstone of incontinence treatment—it's the most powerful, effective non-surgical option available. However, we enhance these remarkable results by addressing all aspects of pelvic health. The pelvic chair builds muscle strength and neuromuscular control (the foundation). Red light therapy optimizes cellular health and tissue quality. SoftWave therapy promotes tissue healing and regeneration. Vibration plate enhances circulation and strengthens supporting muscles. Electric stimulation may provide additional muscle training when appropriate. Nutrition supports healthy tissues and bladder function. This comprehensive approach—while keeping treatment completely dignified and non-invasive— provides superior outcomes compared to pelvic chair alone. All treatments maintain your complete comfort and dignity. You remain fully clothed, experience no embarrassment, and receive coordinated care from our compassionate team.
Understanding the root cause of your incontinence helps us create the most effective treatment plan. Incontinence can result from various factors, and often multiple factors contribute:
During your comprehensive evaluation, we'll identify which factors are contributing to your incontinence. This personalized approach allows us to design a treatment plan that addresses your specific situation, maximizing your chances of achieving complete bladder control.
When you're dealing with incontinence, you need a healthcare provider who understands the condition and offers proven, effective solutions. Here's why patients throughout the Midwest trust Asuta Health
Our treatments require no surgery, no catheters, no internal devices, and no invasive procedures. The pelvic chair therapy is completely external—you simply sit fully clothed while the technology strengthens your pelvic floor muscles. There are no incisions, no recovery time, and no risks associated with surgery.
While medications for incontinence can provide some relief, they often come with significant side effects including dry mouth, constipation, blurred vision, and cognitive issues. Our treatments work by actually strengthening and retraining your pelvic floor muscles, providing lasting improvement without relying on daily medications.
Our pelvic chair therapy uses FDA-cleared electromagnetic technology that's supported by clinical research. This isn't experimental—it's a proven treatment that has helped thousands of people regain bladder control. The technology delivers results that traditional Kegel exercises alone often cannot achieve.
While many clinics offer only Kegel exercises or internal devices (which many patients refuse due to discomfort and embarrassment), we provide the revolutionary pelvic chair as our foundation PLUS five additional modalities to optimize results. This comprehensive approach addresses muscle strength (pelvic chair, vibration plate), tissue health (SoftWave, red light), neuromuscular function (pelvic chair, electric stimulation), and nutritional support. Our patients achieve superior outcomes because we're not limited to a single approach—we optimize pelvic health from every angle while maintaining complete dignity and comfort. Everything is external, non-invasive, and designed to restore your confidence and freedom.
Many patients notice improvement within the first few weeks of treatment. While individual results vary, most people experience significant reduction in leakage episodes, decreased urgency, fewer nighttime bathroom trips, and improved confidence in daily activities. The improvement continues to build throughout your treatment program.
We understand how embarrassing and isolating incontinence can feel. Our team provides compassionate, judgment-free care in a private, comfortable environment. You'll never feel embarrassed or uncomfortable during treatment—in fact, most patients find the pelvic chair sessions relaxing.
Every case of incontinence is different. We create customized treatment plans based on your type of incontinence, severity of symptoms, contributing factors, and personal goals. You're not just a number—you're an individual with unique needs.
Our healthcare professionals specialize in treating pelvic floor disorders and incontinence. We have extensive experience helping patients overcome this condition, and we're committed to supporting you throughout your journey to better bladder control.
With two offices in Iowa and Nebraska, you can access expert incontinence treatment close to home. We're here to serve you in Ankeny and Lincoln.
Our comprehensive approach to incontinence integrates multiple therapies. Learn more about each modality
Asuta Health serves patients throughout the Midwest with two convenient locations. Find the office nearest you:
210 NE Delaware Ave Suite 110
Ankeny, IA 50021
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3540 Village Drive Suite 200
Lincoln, NE 68516
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Taking the first step toward overcoming incontinence is easier than you think. Here's what happens when you visit Asuta Health
Your journey begins with a private, judgment-free conversation about your symptoms. We'll discuss when your incontinence started, how it affects your daily life, what triggers your symptoms, and what treatments you may have tried before. We understand this is a sensitive topic, and we create a comfortable environment where you can speak openly about your concerns. Everything you share is completely confidential.
We'll conduct a thorough evaluation to determine the type and severity of your incontinence. This may include questions about your bladder habits, fluid intake, medical history, and lifestyle factors. We may also perform simple tests to assess your pelvic floor muscle strength and bladder function. This comprehensive approach helps us understand exactly what's causing your symptoms.
Many patients begin their first pelvic chair therapy session during their initial visit. The treatment is simple—you sit fully clothed in the specialized chair for about 28 minutes while it stimulates your pelvic floor muscles. Most patients find the sensation unusual at first but not uncomfortable, and many even find it relaxing. You can return to all normal activities immediately after treatment with no downtime required.
Many patients begin their first pelvic chair therapy session during their initial visit. The treatment is simple—you sit fully clothed in the specialized chair for about 28 minutes while it stimulates your pelvic floor muscles. Most patients find the sensation unusual at first but not uncomfortable, and many even find it relaxing. You can return to all normal activities immediately after treatment with no downtime required.
Answer: While incontinence becomes more common with age, it is not a normal or inevitable part of aging that you simply have to accept. Incontinence is a medical condition with identifiable causes and effective treatments. Many older adults maintain perfect bladder control throughout their lives. The good news is that regardless of your age or how long you've had symptoms, treatment can help. We've successfully helped patients in their 70s, 80s, and beyond regain bladder control and improve their quality of life.
Answer: The pelvic chair alone is remarkably effective and is indeed the most powerful non-surgical incontinence treatment available. Many patients achieve excellent results with pelvic chair therapy alone. However, we've found that some patients achieve even better outcomes when we add complementary therapies that address other aspects of pelvic health. Here's why the comprehensive approach can help: The pelvic chair strengthens muscles powerfully, but red light therapy optimizes the health of the tissues themselves at the cellular level. The chair builds muscle strength, but vibration plate enhances circulation and strengthens supporting core muscles. The chair provides comprehensive muscle activation, but nutrition ensures you're not consuming bladder irritants that work against your progress. Think of it as optimizing every factor that affects continence—not just muscle strength, but also tissue health, circulation, inflammation control, and lifestyle factors. We customize your protocol based on your specific situation. Some patients do wonderfully with pelvic chair plus nutrition. Others benefit from adding red light or SoftWave. The choice depends on your individual assessment and response to treatment. Our goal is your best possible outcome, which sometimes means using complementary therapies to enhance the already-powerful effects of the pelvic chair.
Answer: Treatment duration varies depending on the type and severity of your incontinence, how long you've had symptoms, and your individual response to therapy. Most patients complete a series of 6-12 pelvic chair therapy sessions over several weeks. Many people notice improvement within the first few weeks, with continued progress throughout their treatment program. During your initial consultation, we'll provide you with a realistic timeline based on your specific situation.
Answer: No, pelvic chair therapy is not painful. During treatment, you'll feel the muscles in your pelvic floor contracting and relaxing, which can feel unusual or strange at first, but it's not uncomfortable. Most patients describe the sensation as a strong tingling or pulsing feeling. Many people actually find the sessions relaxing and some even read or use their phones during treatment. There's no pain, no downtime, and you can immediately return to all normal activities after each session.
Answer: No, absolutely not. One of the major advantages of pelvic chair therapy is that you remain fully clothed during the entire treatment. You simply sit in the specialized chair wearing your regular clothes. There are no internal devices, no undressing, and nothing invasive or embarrassing. Treatment is performed with complete dignity and respect for your privacy.
Answer: Our treatment approach strengthens your pelvic floor muscles and retrains bladder function, providing lasting results. Many patients maintain their improvement long-term, especially when following our recommendations for pelvic floor maintenance exercises and lifestyle modifications. Some patients choose to have periodic maintenance sessions to keep their pelvic floor muscles strong. We'll work with you to develop a long-term strategy for maintaining your bladder control.
Answer: Yes! While incontinence is more common in women, many men struggle with bladder control issues, especially after prostate surgery or due to an enlarged prostate. Our pelvic chair therapy is effective for both men and women. The treatment strengthens the pelvic floor muscles that control bladder function in both sexes, and we've helped many men overcome incontinence and regain confidence.
Answer: Success rates vary depending on the type and severity of incontinence, but studies on pelvic floor electromagnetic stimulation show that the majority of patients experience significant improvement. Many people achieve complete continence, while others experience substantial reduction in leakage episodes and urgency. During your consultation, we'll discuss realistic expectations based on your specific condition. Most patients are extremely satisfied with their results and wish they had sought treatment sooner.
Answer: Yes! One of the benefits of our non-invasive treatment approach is that there are no restrictions on your normal activities. You can work, exercise, travel, and maintain your regular routine throughout your treatment program. In fact, as your symptoms improve, you'll likely find yourself returning to activities you had previously avoided due to fear of accidents. There's no downtime, no recovery period, and no lifestyle disruption.
Answer: While Kegel exercises can be helpful, they have significant limitations. Many people perform them incorrectly without realizing it, they require consistent daily effort that many people struggle to maintain, and they may not be strong enough to address moderate to severe incontinence. Our pelvic chair therapy delivers thousands of supramaximal contractions in a single 28-minute session—far more than you could achieve on your own. The electromagnetic technology ensures perfect form and targets all the pelvic floor muscles comprehensively. It's like having a personal trainer for your pelvic floor that guarantees you're getting an effective workout every session.
Don't settle for Kegel exercises that may not work or embarrassing internal devices you'd rather avoid. Our revolutionary pelvic chair provides the most powerful non-surgical incontinence treatment available—11,000 muscle contractions per session while you sit fully clothed. For patients who want to optimize results even further, we offer complementary therapies that support tissue health, circulation, and overall pelvic function.
Thousands of patients have overcome incontinence and regained confidence with our pelvic chair program. Whether you choose pelvic chair alone or enhanced with complementary therapies, you'll receive compassionate, dignified care designed to restore your freedom and quality of life. Schedule your confidential consultation today at one of our two convenient Midwest locations.
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