Bladder leakage & pelvic floor
Bladder leakage & pelvic floor specialist in Sarasota
Leaks with a cough, sneeze or laugh, sudden urgency, and pelvic heaviness are muscle and tissue problems. Muscle and tissue can be rebuilt.
Bladder leakage & pelvic floor
Bladder leakage & pelvic floor specialist in Sarasota
Leaks with a cough, sneeze or laugh, sudden urgency, and pelvic heaviness are muscle and tissue problems. Muscle and tissue can be rebuilt.
CONCERN & CAUSES
What weakens the pelvic floor
Most women are told to do Kegels and wait. That advice misses why the muscles weakened in the first place, and why so many cannot make them work.
01
The hammock stretches
Pregnancy, vaginal delivery and years of downward pressure lengthen and thin the muscles that support the bladder, uterus and bowel. They lose the tone that keeps the urethra closed.
02
Stress versus urge
Leaking with a cough, laugh or lift means the muscles cannot hold pressure. A sudden, overwhelming need to go is an overactive bladder signal. Many women have both.
03
Estrogen and tissue
Falling estrogen through perimenopause and menopause thins the vaginal and urethral tissue. Even a strong pelvic floor leaks when the tissue around it has lost its seal.
04
Why Kegels alone fall short
Most women contract the wrong muscles, or cannot reach the intensity that rebuilds strength. Without feedback and enough contractions, effort does not turn into results.
HOW WE TREAT IT
Strength, tissue and the whole picture
Dr. Sarah Secor-Jones combines pelvic floor strengthening with hormone and metabolic care, so the muscles get stronger and the reasons they weakened are handled too.
EMSELLA
A chair that uses HIFEM technology to deliver thousands of supramaximal pelvic floor contractions in one session, more than you could ever do on your own.
Sexual & pelvic wellness
A pelvic wellness plan that treats the pelvic floor as part of a system: hormones, tissue health, bowel habits, weight and the medications that affect bladder control.
Integrative medicine
A hormone evaluation and weight and metabolic assessment, since estrogen loss, insulin resistance and extra abdominal weight all add pressure to the pelvic floor.
Telehealth visits
Secure video visits with Dr. Sarah for consultations, follow-ups and plan adjustments, with labs drawn locally and prescriptions sent to your pharmacy.
Keeping the floor strong
Once the pelvic floor has been re-trained, it stays strong with the same steady care as any other muscle. These habits protect your progress.
Daily contractions, done right
Lift and exhale
Keep bowels regular
Support tissue through menopause
Maintenance sessions
Your first visit is a conversation with a physician.
No referral needed. Telehealth in 10 states.
FAQ
Common questions about
bladder leakage & pelvic floor
Bladder leakage usually comes from changes in the pelvic floor muscles, connective tissue, and nerves that support the bladder and urethra. Pregnancy, birth, surgery, chronic coughing, constipation, heavy lifting, and hormonal shifts can all strain that support. At Lesh Lifestyle in Sarasota, Dr. Sarah looks at all of these factors before recommending pelvic floor treatment.
EMSELLA uses focused electromagnetic energy to trigger thousands of deep pelvic floor contractions in a single session. Those contractions help strengthen and retrain the muscles that support your bladder and control urine flow. Over a series of treatments, many patients notice fewer leaks and better control. Dr. Sarah will explain how this applies to your specific symptoms.
Most people describe EMSELLA as strong, rhythmic contractions with a tapping or tingling sensation, but not pain. You remain fully clothed and sit on a chair-like device; there are no internal probes. At Lesh Lifestyle, your privacy and comfort are a priority, and everything is explained before the session begins.
The number of EMSELLA sessions varies based on how long you have had symptoms and how severe they are. Many patients complete a series over several weeks, then may choose maintenance. Dr. Sarah will outline a clear plan for you during your consultation in Sarasota so you know what to expect.
EMSELLA can support stress incontinence by improving pelvic floor strength and support under the urethra. It may also help some patterns of urge and mixed incontinence by improving neuromuscular control. Dr. Sarah will first determine which type of incontinence you have and whether EMSELLA is a good fit, or if other treatments should be added.
Yes, many people in perimenopause and menopause are candidates for EMSELLA, since hormonal shifts can worsen pelvic floor weakness and bladder leakage. At Lesh Lifestyle, Dr. Sarah often considers hormone health alongside EMSELLA when building a pelvic wellness plan, especially for Sarasota patients in midlife.
EMSELLA can do a large amount of pelvic floor work in a short time, but everyday muscle use still matters. Dr. Sarah may recommend simple home exercises or habits to support your treatment. She will keep it realistic so the plan feels doable and fits into your daily life.
No. EMSELLA can be helpful for women and men, with or without a history of pregnancy. Pelvic floor weakness can result from surgery, heavy lifting, chronic cough, prostate treatments, or aging. During your Lesh Lifestyle evaluation in Sarasota, Dr. Sarah will review your full history to see if EMSELLA makes sense for you.
Telehealth works well for the first conversation about pelvic floor symptoms, especially if you live outside Sarasota but in one of the 10 states where Lesh Lifestyle offers virtual care. Dr. Sarah can review your history, medications, and prior testing, then advise whether you need in-person EMSELLA sessions or other treatments.
The first step is a discovery call with Dr. Sarah. You will talk through your symptoms, what you have already tried, and what matters most to you. From there, you can schedule an in-person evaluation in Sarasota and discuss EMSELLA and other options in detail. When you are ready, you can Book a Discovery Call → When you are ready to stop planning your life around the nearest bathroom, we are here. No pressure, no rush. Just clear answers and a plan that fits your body and your day.