Urinary incontinence
Urinary incontinence treatment in Sarasota
Leaking when you laugh, sneeze or run for the door is common, and it is treatable. We rebuild the pelvic floor and address what weakened it, without surgery or a lifetime of pads.
Urinary incontinence
Urinary incontinence treatment in Sarasota
Leaking when you laugh, sneeze or run for the door is common, and it is treatable. We rebuild the pelvic floor and address what weakened it, without surgery or a lifetime of pads.
CONCERN & CAUSES
Why leaks happen and why they get worse
Bladder control depends on muscle strength, healthy tissue and responsive nerves. Life tends to wear down all three at once.
01
A stretched pelvic floor
Pregnancy, delivery, surgery, chronic cough and heavy lifting all stretch and weaken the muscles that hold the bladder closed. Once weakened, they rarely recover on their own.
02
Low estrogen
As estrogen falls in perimenopause and menopause, the tissue around the urethra thins and loses its seal. Leaks that never happened before can start in your forties and fifties.
03
Nerves that respond slowly
The signal between bladder and brain can become less reliable with age, childbirth or hormone change, so urgency arrives suddenly and the muscles do not close in time.
04
Stress, urge or both
Stress leakage happens with pressure like a cough or jump. Urge leakage is a sudden need you cannot hold. Many women have a mix, and each needs a different approach.
HOW WE TREAT IT
Rebuilding control without surgery
Dr. Sarah Secor-Jones treats the muscles, the tissue and the drivers behind leakage together. Most patients are fully clothed for treatment and back to their day immediately.
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 root-cause pelvic wellness plan that addresses low estrogen, weight, bowel habits, chronic cough and medications that keep loading the pelvic floor.
Vaginal rejuvenation
Non-surgical treatments that restore the thinned tissue around the urethra and vaginal wall, improving support, moisture and comfort.
Staying dry for the long run
Pelvic floor strength is maintained the same way any muscle is. These habits keep the gains from treatment and reduce the load on your bladder.
Keep a simple symptom log
Hydrate, and time it
Train the right muscles
Address the pressure
Book a maintenance session
Your first visit is a conversation with a physician.
No referral needed. Telehealth in 10 states.
FAQ
Common questions about
urinary incontinence
Urinary incontinence in women is most often caused by weakened or uncoordinated pelvic floor muscles and changes in the tissues that support the bladder and urethra. Pregnancy, childbirth, menopause, pelvic surgery, chronic coughing, lifting and certain medical conditions all play a role. Dr. Sarah looks at your full history before recommending treatment.
EMSELLA can help many people with stress or mixed urinary incontinence by delivering thousands of strong pelvic floor contractions in each session. This helps rebuild muscle strength and support for the bladder and urethra. At Lesh Lifestyle in Sarasota, EMSELLA is often combined with guidance on habits and hormones for better, steadier results.
Most people see the best results with a series of EMSELLA sessions spread over several weeks. The exact number depends on your starting pelvic floor strength, how long you have had leakage, and whether other factors are involved. Dr. Sarah will outline a clear plan and timeline during your assessment so you know what to expect.
EMSELLA is not painful for most patients. You sit fully clothed on the chair while it creates deep, rhythmic contractions in your pelvic floor muscles. The sensation can feel unusual at first, but intensity is adjusted to your comfort. Sessions at Lesh Lifestyle are private, steady and clearly explained so you feel respected and at ease.
Some people improve with well-taught pelvic floor exercises alone, but many struggle to activate the right muscles or stay consistent. EMSELLA provides high-intensity, targeted contractions that are hard to match with home exercises. Dr. Sarah may still recommend simple daily exercises, but the device gives you a stronger starting point.
Yes. Lower estrogen around perimenopause and menopause can thin the tissues around the urethra and vaginal walls and reduce support. This often makes leakage and urgency worse. At Lesh Lifestyle in Sarasota, Dr. Sarah can assess hormone-related factors within a broader hormone or menopause program and fold that into your incontinence treatment plan.
EMSELLA is designed for people who have had children and for many who have had pelvic surgery, but safety depends on your specific situation. During your consultation, Dr. Sarah will review your obstetric and surgical history and discuss whether EMSELLA is appropriate or if another path makes more sense for you.
You do not need a referral to see Dr. Sarah for urinary incontinence at Lesh Lifestyle. The first step is a discovery call, where you speak directly with her about what you are experiencing. From there, she will recommend an in-person visit in Sarasota and, if appropriate, an EMSELLA treatment plan.
Dr. Sarah tells you plainly when pelvic floor treatment is not enough. If symptoms persist after a full EMSELLA series, she refers you to a urologist or an OB-GYN, depending on what is driving them, so the next step is already mapped before you leave.
Parts of your urinary incontinence assessment can start through telehealth if you live in one of the states where Dr. Sarah is licensed. Device-based treatments like EMSELLA still need to be done in person at the Sarasota office. Telehealth can help you understand your options and plan visits that fit your schedule. When you are ready to talk about what you are noticing, you do not have to downplay it or feel embarrassed. Bring your questions, your history, and your goals.