About AOA

The joys of motherhood are never fully experienced until all the children are in bed.
- Unknown


InTone Provides New Nonsurgical Treatment for Bladder Leakage

InTone Provides New Nonsurgical Treatment for Bladder Leakage

This article is brought to you by InControl Medical, LLC. For more information about your options to treat bladder leakage, please attend a free seminar provided by Dr. Monte Swarup, MD, FACOG of New Horizons Women’s Care on March 5, 2013. The seminar will be held at New Horizons Women’s Care located at 1950 W. Frye Rd., Chandler, AZ 85224 at 6:00 PM. RSVP yourself and a friend by calling 480-496-2242 or visit:

Bladder control can be a problem for women of all ages, not just older women. Control issues can run the gamut from leakage during exercise or strenuous activities, when laughing hard, coughing or sneezing, an increased need to go more often, or the inability to void completely. Some women will leak when they are pregnant or after they’ve given birth, and others may experience problems before or after menopause.

Urinary incontinence, or bladder leakage, is never a normal or an expected part of aging. It is embarrassing and often interferes with normal activities. Women keep it a secret from their friends and often don’t even tell their doctor.

While bladder control issues can be embarrassing, it is extremely important that you tell your AOA healthcare provider if you are experiencing any problems. Be prepared with specific details that can help your doctor pinpoint the problem: bring a list of all the medications you are taking, including prescription and over-the-counter medicines, along with a diary noting the details of when and how you experience leakage and a list of all of the fluids you drink regularly.

The cost of incontinence in the United States in 2004 averaged $19.5 billion dollars. Urinary incontinence affects approximately 25 percent of young women, over 50 percent of middle-aged women, and approximately 75 percent of older women in nursing homes.

In April of 2012, the Agency for Healthcare Research and Policy released the report Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness. Pelvic floor muscle training was found to be effective for treating adult women with urinary incontinence without risk of side effects. While drugs may be effective, many women discontinue treatment due to side effects. Intravaginal electrical stimulation improved continence rates and in overweight women, leaking improved with weight loss and exercise.

There are different types of incontinence.

  • Stress incontinence occurs with a cough or sneeze, laughing, exercise or even walking or changing positions.
  • Urge incontinence or overactive bladder may cause women to wet themselves on the way to the bathroom. Women have to void frequently, get up at night and have increased urination with coffee, cola, alcohol or some foods.
  • Mixed incontinence has features of both of the above. Visit your AOA physician to evaluate the condition and look for other causes of incontinence such as a urinary tract infection.

Previous nonsurgical treatments included weight loss, limiting caffeine and alcohol, scheduled voiding, or pelvic floor muscle training, often called Kegel exercises. Many women have difficulty performing these exercises correctly on their own. Pessaries are vaginal devices that are fitted by a practitioner and may stay in the vagina, or be inserted as needed for activity.

The InTone device from InControl Medical, LLC, located in Brookfield, was FDA cleared in March 2012. This innovative, nonsurgical device combines biofeedback, electrical stimulation and pelvic floor muscle exercises in a personal device that is used at home 6 days per week for 90 days, then as needed to maintain continence. Unlike other devices, it is sized to the patient for comfort and improved results. Patients are very excited to have a new nonsurgical treatment option. A practitioner does an evaluation and device setup and follow-up is at 2 weeks, 1 month and 2 months. Women listen to a voice-prompted exercise session and receive visual feedback to guide the strengthening. Treatment data is stored in the device for later evaluation.

In the past, women were referred to physical or occupational therapists to have sessions 3 times weekly for 8-10 weeks. While these conservative treatments are effective, many patients are very private, have busy schedules, and the insurance only covers a limited number of visits. When the sessions were completed, symptoms often returned. InTone is covered by Medicare and many insurance companies. If you are tired of wearing pads, having accidents and limiting your activities, attend a free seminar provided by Dr. Monte Swarup, MD, FACOG of New Horizons Women’s Care to learn about the treatment options available to you.

Seminar Date: 3/5/13
New Horizons Women's Care
1950 W.Frye Rd.
Chandler, AZ 85224

Time: 6 PM Reception, 6:30-7:30 Lecture
RSVP: By telephone: 480-496-2242 or Online: www.incontrolmedical.com/dr-swarup