Leaking when you laugh, rush to the bathroom in a panic, or avoid leaving the house because of it, this is not something you just have to live with. There is a real, treatable reason it's happening.
We look beyond just pelvic floor strength.
We assess both your pelvic floor function and the nervous system signals that control it, because weakness alone rarely tells the whole story.
Advanced therapies matched to your specific type.
Stress, urge, mixed, and fecal leakage each respond to different approaches. We identify which type you have and build a plan around it.
Built-in support to make results last.
Gains fade when the program ends too soon. We guide you through a progressive plan and track your adherence so results actually hold.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
You leak when you cough, sneeze, laugh, or pick something up
You feel sudden urgency and can't always make it to the bathroom in time
You plan your outings, routes, and activities around bathroom access
You're dealing with fecal leakage or seepage and it's affecting your confidence
You've done Kegel exercises but haven't seen a real improvement
You're too embarrassed to bring it up, even though you know you should
You want a non-surgical, non-invasive path forward before considering other options
The Real Problem
Explore 4 slides on Incontinence: Stress, urge, or mixed urinary and fecal leakage.
Most people are told to do Kegels and leave it at that. But incontinence isn't just a muscle strength problem. There are usually several overlapping drivers, and treating only one of them is why symptoms keep coming back. Most people have several of these happening at once. That's why we assess the whole system, from pelvic floor mechanics to nervous system regulation, not just the muscle that seems weak.
OUR APPROACH
INITIAL VISIT
Full pelvic floor muscle assessment covering strength, coordination, timing, and tension patterns
Identification of your specific incontinence type (stress, urge, mixed, or fecal) and the drivers most relevant to your case
A clear written treatment plan with transparent pricing before you commit to anything
Weeks 1 Through 8
Pelvic health physiotherapy with targeted pelvic floor muscle training, biofeedback, and behavioural strategies
NESA neuromodulation to address autonomic nervous system regulation and bladder control pathways, typically 10 sessions twice weekly
Focused shockwave therapy where appropriate for stress urinary incontinence, with weekly sessions over 4 to 8 weeks
Reduce leakage episodes and urgency so daily life becomes manageable again.
Weeks 8 and Beyond
Progressive pelvic floor strengthening and coordination work tied to the activities that matter most to you
Home programming with adherence support, because durability depends on consistent practice after the clinical phase
Continued guidance on behavioural strategies, bowel habits, and functional movement to protect long-term results
What To Expect
Every case is different, but research and our clinical experience consistently show:
Noticeable changes can begin within the first 4 to 8 weeks. Shockwave trials for stress urinary incontinence showed measurable reductions in leakage by week 4, with continued improvement through 6-month follow-up. Pelvic floor programs typically show meaningful outcomes after 3 months of structured training.
Fewer leakage episodes and reduced urgency during daily activities. In structured fecal incontinence programs, 86% of patients reported improved continence, with benefits sustained at 2-year follow-up among those who maintained their home practice. Similar functional gains have been demonstrated in urinary incontinence trials.
A return to activities you've been avoiding. Whether it's exercise, travel, social events, or just leaving the house without planning around bathrooms, many patients report meaningful improvements in confidence and quality of life as symptoms reduce.
Our promise: we will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. Individual results vary. Outcomes are influenced by incontinence type, severity, and adherence to the home program.
EVIDENCE
Pelvic floor muscle training is a guideline-supported first-line treatment for stress urinary incontinence, with randomized trials demonstrating meaningful improvements in symptom severity and cure or improvement rates over a 3-month structured program.
Low-intensity shockwave therapy has been shown in randomized trials and a meta-analysis to reduce leakage volume and improve urinary symptom scores in women with stress urinary incontinence, with improvements maintained at 6-month follow-up.
NESA neuromodulation improved urinary symptom scores, bladder symptom impact, and sleep quality in women with overactive bladder in a pilot randomized trial over 10 sessions, with improvements maintained at 2-month follow-up.
Structured biofeedback-assisted pelvic floor rehabilitation programs for fecal incontinence showed 86% of patients reporting improved continence, with severity scores more than halved and benefits sustained at 2 years in those who maintained their home program.
Pelvic floor magnetic stimulation has been shown in a meta-analysis of six randomized trials to improve leakage episodes, objective cure rates, pad-test loss, and reported symptom scores compared to sham treatment in women with stress urinary incontinence.
Outcomes are group averages from clinical trials. Individual results vary based on incontinence type, severity, and adherence.
Here are answers to some of the most common questions about Incontinence: Stress, urge, or mixed urinary and fecal leakage..
6 results found
It usually means one of a few things. Your pelvic floor may already have adequate strength but poor coordination and timing. The exercises may not be targeting the right muscles. Or your leakage may have an urgency component that responds better to neuromodulation than to strengthening alone. Kegels are a starting point, not the whole answer. We sort out which driver is most relevant to your case and build from there.
For stress urinary incontinence specifically, there is emerging to moderate evidence from randomized trials and a meta-analysis showing that low-intensity shockwave therapy reduces leakage volume and improves symptom scores, with results maintained at 6-month follow-up. It is not the same as general shockwave therapy, and it is not established for urge or fecal leakage. Whether it fits your case is something we assess with you at your first visit.
Yes, and this is biologically plausible. Urgency involves the central nervous system and autonomic nervous system, not just the bladder itself. Anxiety can amplify urgency signalling and alter the autonomic balance that regulates bladder behaviour. Urgency linked to daily anxiety has been observed in overactive bladder populations. This is part of why approaches that address the nervous system, alongside local pelvic floor work, are a meaningful part of our program.
Published protocols vary. For stress urinary incontinence, structured PFMT trials often run over 3 months with supervised and home components. For fecal incontinence, structured biofeedback programs typically include 5 clinic sessions over 8 weeks plus home practice. At our clinic, most plans combine pelvic floor physiotherapy with other modalities, and meaningful improvement is typically expected over 10 to 20 sessions. We map this out clearly at your initial assessment.
The most common reason is that muscle coordination and strength gains decay without continued practice. Discontinuing or inconsistently following your home program is the leading cause of relapse. A secondary reason is phenotype mismatch: if the original treatment only addressed one driver (like strength) but your symptoms also have an urgency or nervous system component, that unaddressed layer often resurfaces. We build maintenance and adherence support into your plan to reduce this risk. We review this with you during your initial assessment.
This is one of the most common reasons people delay getting help for incontinence, and it results in years of unnecessary limitation. Our team assesses bladder and bowel concerns routinely. There is nothing unusual or shocking about it from our side. A first visit is confidential, unhurried, and judgment-free. If you're not ready for a full assessment yet, you can call us and ask questions before committing to anything.
YOUR NEXT STEP
Stop adapting your life around the problem and get a plan that treats the system, not just the symptom.
Initial Incontinence: Stress, urge, or mixed urinary and fecal leakage. Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full pelvic floor function and strength assessment, including coordination and timing
Identify which type of incontinence you have and which pain drivers are most relevant
Review of your history and any previous assessments or imaging
Clear written plan with transparent pricing before you commit to anything further
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
We use cookies to analyze site traffic and improve your experience. See our Privacy Policy for details.