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Urinary Incontinence Treatment in Covington, KY

Reclaim Control and Confidence

Common In:
Women over 40, and men after prostate surgery
Primary Causes:
Childbirth, menopause, pelvic floor weakening
Treatment Time:
28 minutes, fully clothed
Results:
Often noticed within 2 to 4 weeks
Confident woman in her fifties after urinary incontinence treatment at Applegate Dentistry and MedSpa in Covington, KY
Patient seated fully clothed on the Emsella pelvic floor chair at Applegate Dentistry and MedSpa in Covington, KY

Understanding Your Bladder

What Is Urinary Incontinence?

Recognizing the Signs

Urinary incontinence is the involuntary loss of urine, and it comes in four recognized forms. Stress incontinence leaks when pressure rises in the abdomen: a laugh, a cough, a sneeze, a lift, a run. Urge incontinence, also called overactive bladder, is the sudden need to go that arrives faster than you can answer it. Mixed incontinence is both together, and it is the most common pattern in women over 40. Overflow incontinence is a steady dribble from a bladder that never fully empties.

When you cross your legs before you sneeze, or step out of a group fitness class at the first jumping exercise, you are already managing this condition. Most people start small: one pad, one spare pair of underwear in the bag, one bathroom you always check for on the way in.

Then it quietly rearranges your life. You map the bathrooms at the grocery store and at church. You say no to the trampoline with your grandchildren. You skip the class you used to love. You wear pads for years and call it normal. Roughly one in three women over 40 lives with some degree of bladder leakage, and most never mention it to anyone, including their doctor. It is genuinely common. It is also treatable, and it is not something you have to accept. If you are still working out what is happening, our conditions we treat in Covington, KY library is a good place to start.

Why Urinary Incontinence Happens

Understanding the Root Causes

01The Science

Continence depends on a hammock of muscle and connective tissue slung between your pubic bone and tailbone. That pelvic floor holds the bladder and urethra in position and reflexively tightens a fraction of a second before you cough or lift. When those muscles weaken, stretch or lose their fast reflex, the urethra is no longer braced against the pressure spike and a small volume escapes. The National Institute of Diabetes and Digestive and Kidney Diseases describes bladder control problems as a common medical condition rather than an inevitable part of growing older.

Pregnancy loads the pelvic floor for months, and a vaginal delivery can stretch or injure the pudendal nerve supply that keeps those muscles responsive. Damage done in one afternoon can stay quiet for 20 years, then surface in your forties or fifties when a second factor arrives.

That second factor is usually estrogen. Falling estrogen through perimenopause and menopause thins the urethral lining, reduces the vascular cushion that helps seal it, and weakens supporting collagen. Age adds muscle fiber loss on top. Because the problem is muscular and neuromuscular rather than structural in most cases, retraining the muscle works. That is the principle behind the Emsella chair in Covington, KY, which triggers thousands of supramaximal pelvic floor contractions in a single 28 minute session.

02Deeper Understanding

Your Type Changes the Answer

Stress, Urge, Mixed and Overflow

The type of incontinence you have decides which treatment is worth your time. Stress incontinence is a support and reflex problem, so strengthening the pelvic floor targets the cause directly. Urge incontinence is a bladder muscle signalling problem, and while a stronger pelvic floor helps you suppress the urge long enough to reach a bathroom, some people also need bladder retraining or medication from their physician. Mixed incontinence responds to pelvic floor work because the stress component usually dominates.

Overflow incontinence is the exception. A bladder that will not empty needs a urologic assessment first, because the cause may be an obstruction or a nerve problem that muscle training will not address. High intensity focused electromagnetic therapy, the technology inside Emsella, has been studied specifically in women with urinary incontinence: a systematic review and meta-analysis in Neurourology and Urodynamics reported meaningful reductions in leakage episodes and symptom scores. Emsella works best for stress and mixed incontinence linked to pelvic floor weakness, and we will tell you plainly if your pattern suggests otherwise.

There is a clear line where a med spa is the wrong first stop. Sudden onset leaking, blood in your urine, pain or burning on urination, fever, or incontinence arriving alongside new numbness, weakness or back pain needs medical evaluation by a physician before any aesthetic or wellness treatment. Those signs can point to infection, stones, or a neurological cause. Get those ruled out first. Everything else in our wellness treatments in Northern Kentucky is still waiting for you afterwards.

Contributing Factors

What Weakens Bladder Control?

Identifying Your Triggers

Several factors stack up over the years, and most patients in Covington, Fort Mitchell and Florence recognize three or four of them. Deep core strength sits underneath all of them, which is why functional wellness training for core strength often runs alongside pelvic floor work.

Private treatment room used for Emsella pelvic floor sessions at Applegate Dentistry and MedSpa in Covington, Kentucky

Why Applegate

Why Choose Applegate MedSpa for Urinary Incontinence Care in Covington, KY

This is a conversation most people have been putting off for years, so we make it an easy one to have. Elizabeth Taylor, APRN leads pelvic floor care at our Covington practice, bringing a background in acute care medicine and private, one-on-one consultations to a subject patients often arrive apologizing for.

Honest Assessment First
We identify which type of incontinence you have and say plainly when a urologist or your physician should see you first.
Fully Clothed and Private
Emsella sessions are done seated and fully dressed in a private room, with no undressing, no catheter and no internal exam.
A Complete BTL Suite
Emsella sits alongside Emsculpt Neo and Emvital here, so pelvic floor, core strength and recovery can be planned together.
Realistic Expectations
Most patients improve over a series of eight sessions. We tell you what typical looks like rather than promising a cure.
Flat Session Pricing
Emsella is $200 per session, the same for every patient, so an eight session series is a known number before you begin.
Nurse Practitioner Led
Elizabeth Taylor, APRN plans and supervises every Emsella series, and the first conversation is with her, not a front desk.

Comparing Your Options for Bladder Leakage

Pelvic floor therapy with the Emsella chair is the treatment we provide for incontinence in Covington, KY. The table below shows what it involves, and the section under it sets it beside the other routes people commonly try.

ApproachBest ForSession TimeResults TimelineMaintenance
Pelvic Floor Therapy with EmsellaStress and mixed incontinence28 minutes, clothedOften 2 to 4 weeks8 sessions, then as needed

Other Approaches People Try

These are not offered at Applegate MedSpa. They are here so you can weigh your options honestly.

ApproachBest ForSession TimeResults TimelineMaintenance
Kegel Exercises at HomeMild leaking and daily upkeep5 to 10 minutes daily3 to 6 monthsOngoing, every day
Pelvic Floor Physical TherapyCoordination and technique45 to 60 minutes2 to 6 monthsWeekly visits for months
Absorbent Pads and UnderwearManaging leaks, not treatingNot applicableImmediate coverage onlyPurchased continually
Surgical Sling or RepairSevere or unresponsive casesOperating room procedureAfter surgical recoveryUsually a single procedure

You May Be Living With Urinary Incontinence If...

If two or three of these sound like your week, you have a treatable condition rather than a personal failing. Most patients are relieved to find out that pelvic floor therapy without surgery is a realistic first step.

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  • Leaking When You Laugh

    A good laugh, a cough, a sneeze or picking up a grandchild produces a small leak you feel before you can stop it.

  • Urgency You Cannot Outrun

    The need arrives suddenly and completely, and the distance between the front door and the bathroom has become a calculation.

  • Mapping the Bathrooms

    You know where every restroom is at the grocery store, at church and on the drive to Cincinnati, and you plan around them.

  • Pads You Never Discuss

    You have worn a liner or pad daily for months or years, replaced it quietly, and started calling it normal.

  • Activities You Quietly Dropped

    The trampoline, the fitness class, the long walk in Devou Park or the road trip without a bathroom stop are no longer on your list.

  • Waking to Go at Night

    You get up once, twice or more every night, and the broken sleep is costing you as much as the leaking itself.

Your Questions

Frequently Asked Questions

Is urinary incontinence just a normal part of getting older?
It is common, which is not the same as normal. Bladder leakage becomes more frequent with age because the pelvic floor loses strength and estrogen declines, but it is a treatable medical condition. Most patients who have quietly worn pads for years are surprised by how much improves once the muscle is retrained properly.
What is the difference between stress incontinence and urge incontinence?
Stress incontinence leaks when pressure rises: a laugh, cough, sneeze, lift or run. Urge incontinence is the sudden overwhelming need to go, often with little warning. Many women over 40 have both, called mixed incontinence. The distinction matters because it changes which treatment is likely to help you most.
Do I have to undress for pelvic floor therapy with Emsella?
No. You sit fully clothed on the Emsella chair for about 28 minutes while it generates thousands of pelvic floor contractions. There is no undressing, no internal exam, no catheter and no anesthesia. Most patients read or scroll on their phone during the session and drive themselves home immediately afterwards.
How many sessions do I need and when will I notice a change?
A standard course is eight sessions, typically scheduled twice a week. Many patients notice fewer leaks after the third or fourth session, with continued improvement for several weeks after the series ends. Results vary by individual, and patients who also do daily pelvic floor exercises tend to hold their gains longer.
Do Kegel exercises still matter if I have treatment?
Yes. Kegels work when they are done correctly and consistently, and they help maintain what a treatment series builds. The common problem is technique: many people push down instead of lifting, or stop after a few weeks. We show you how to check your form so the effort actually reaches the right muscle.
When should I see a physician before a med spa?
Sudden onset leaking, blood in your urine, pain or burning when you urinate, fever, or incontinence alongside new numbness, weakness or back pain all need medical evaluation first. Those symptoms can indicate infection, stones or a neurological cause. See your physician or a urologist, then come back to us for pelvic floor work.
Can men be treated for incontinence too?
Yes. Leakage after prostate surgery is a stress pattern driven by the same sphincter and pelvic floor support, and men are treated on the same chair, fully clothed. Research on high intensity focused electromagnetic therapy in postprostatectomy incontinence is promising, though results vary and depend on how much time has passed since surgery.
What does treatment cost in Covington, KY?
Pelvic floor therapy with Emsella is 200 dollars per session, and a standard course is eight sessions. Cherry Financing is available if you prefer to spread the cost over monthly payments. We confirm the full plan and price at your consultation, before you commit to anything.
Location322 Greenup StCovington, KY, 41011Phone(859) 365-3300Emailinfo@applegatemedspa.com

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Scientific References

  1. Leonardo K et al., Neurourology and Urodynamics. (2025). Systematic review and meta-analysis of noninvasive high-intensity focused electromagnetic therapy in women with urinary incontinence. PMID: 39760417.
  2. Jongjakapan A et al., International Urogynecology Journal. (2026). Effectiveness of high-intensity focused electromagnetic (HIFEM) therapy in women with urinary incontinence. PMID: 41051574.
  3. Long CY et al., Biomedicines. (2024). Effect of high-intensity focused electromagnetic technology in the treatment of female stress urinary incontinence. PMID: 39767789.
  4. Sacarin G et al., Journal of Clinical Medicine. (2025). Systematic review of chair-based magnetic pelvic floor stimulation and female sexual function in women with urinary incontinence. PMID: 41375799.
  5. Dumoulin C et al., Cochrane Database of Systematic Reviews. (2018). Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. PMID: 30288727.
  6. National Institute of Diabetes and Digestive and Kidney Diseases. (2021). Patient guidance on the definition, types and management of bladder control problems.
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