Pelvic Floor Weakness
Loss of muscle tone in the pelvic sling reduces sphincter pressure and lets urine escape during effort or urgency.

Reclaim Confident Bladder Control
Recognizing the Signs
Urinary incontinence is the involuntary loss of urine, ranging from a few drops with a cough or laugh to a sudden, overwhelming urge that cannot be deferred. It affects both women and men, with roughly 30 percent of women over age 30 reporting some degree of leakage and a meaningful share of post-prostatectomy men experiencing the same. It is a medical condition, not a normal part of aging, and it responds well to targeted care.
Clinicians group incontinence into stress (leakage with coughing, sneezing, lifting, or jumping), urge (sudden, intense need to urinate), and mixed (both patterns together). At Spine-Ability we serve patients across Apollo Beach, Riverview, Tampa, Brandon, Ruskin, Sun City Center, Gibsonton and surrounding Hillsborough County. Emsella pelvic floor therapy is available at our Apollo Beach location only.
Understanding the Root Causes
A healthy pelvic floor is a hammock of muscle and connective tissue that supports the bladder, urethra, uterus or prostate, and rectum. When these muscles weaken or lose coordination, the sphincters that hold urine in cannot generate enough pressure during effort or cannot stay relaxed during filling, and leakage results.
The National Institute of Diabetes and Digestive and Kidney Diseases identifies pregnancy, childbirth, menopause, prostate surgery, chronic cough, and aging as the most common contributors. Treatments like Emsella pelvic floor therapy rebuild that muscle support without surgery or downtime.
How a Team Approach Improves Outcomes
Urinary incontinence can have overlapping causes, so a complete workup often involves your primary care provider, a urologist, or a urogynecologist before or alongside pelvic floor strengthening. Imaging, urodynamic testing, and bladder diaries help confirm whether leakage is stress, urge, or mixed, and rule out infection, prolapse, or neurologic factors.
At Spine-Ability our Apollo Beach team welcomes patients already working with a urologist or OB-GYN and is happy to coordinate care. Emsella is non-invasive, fully clothed, and pairs well with medical management, behavioral therapy, and home pelvic floor exercises. We also help connect patients in Tampa and the surrounding area with appropriate specialists when a fuller evaluation is needed.
Expert Care in Apollo Beach
Finding Your Best Approach
| Treatment | Best For | Session Time | Results Timeline | Maintenance |
|---|---|---|---|---|
| Emsella Pelvic Floor Therapy | Stress, urge and mixed incontinence | 28 minutes | 2-4 weeks | Quarterly touch-ups |
| Body Sculpting with Emsculpt Neo | Core strength and trunk support | 30 minutes | 4-8 weeks | Quarterly touch-ups |
| Soft Tissue Therapy | Pelvic and hip muscle tension | 20-30 minutes | 1-3 sessions | As needed |
| Therapeutic and Rehabilitative Exercises | Long-term core and pelvic floor strength | 20-30 minutes | 4-6 weeks | Home program |
Recognizing When to Seek Help
About Urinary Incontinence
Yes. Emsella uses high-intensity focused electromagnetic (HIFEM) energy to contract the entire pelvic floor thousands of times per session, retraining the muscles that support bladder control. The device is FDA cleared for stress, urge, and mixed incontinence in women, and is widely used for post-prostatectomy leakage in men. Learn more on the manufacturer site at btlaesthetics.com.
Most patients complete a series of six 28-minute sessions, scheduled twice a week over three weeks. Many notice fewer leakage episodes by session three or four, with continued gains for several months afterward. Some patients benefit from quarterly touch-up sessions.
Yes. Men with stress incontinence after prostate surgery often respond well, since the muscles being targeted are the same ones that support the urethra in both sexes. Dr. Marissa and our team regularly treat male patients in Apollo Beach for post-prostatectomy leakage.
No. You remain fully clothed for the entire session. You simply sit on the Emsella chair, which delivers the HIFEM energy through your clothing. Many patients read, listen to music, or take a phone call during the session.
Emsella is generally considered an elective wellness treatment and is not covered by most insurance plans. We offer transparent self-pay pricing and package options. Call (813) 938-7500 to discuss what works for you.
Yes, for many patients. Emsella works well alongside medical management, behavioral therapy, and home pelvic floor exercises. We are happy to coordinate care with your primary care provider, urologist, or urogynecologist.
If urinary leakage affects your sleep, intimacy, exercise, or daily confidence, it is time to be evaluated. Incontinence is common but not normal, and most patients see meaningful improvement with the right combination of care.