Post-Partum Urinary Incontinence | Independent Supramax Case Study
Independent Clinical Case Study
Post-Partum Urinary Incontinence & Supramax™
An independent case study following a 44-year-old woman experiencing mild stress and urge urinary incontinence following childbirth.
The patient underwent a course of Supramax™ electromagnetic pelvic floor treatment at The Clinic | Norwich. This page documents the treatment protocol, reported progression and patient feedback from that individual case.
Independent evidence
About This Case Study
This case study was conducted by The Clinic | Norwich and was carried out independently of Pure Tone Aesthetics.
Pure Tone Aesthetics supplied the Supramax treatment system but did not conduct the patient's treatment programme.
As with any individual clinical case, the patient's experience should not be interpreted as a guarantee that every patient will achieve the same result. Outcomes can vary according to the underlying cause of symptoms, patient suitability, treatment protocol and other individual factors.
Patient overview
44-Year-Old Post-Partum Patient
The patient presented with mild urinary symptoms following a previous vaginal delivery.
Birth weight 8lb 7oz, with no reported complications or sutures.
Before treatment
What Symptoms Was the Patient Experiencing?
Stress Urinary Incontinence
The patient reported mild urine leakage when coughing or sneezing, particularly when her bladder was full.
Urgency
She also experienced occasional urinary urgency and episodes of urge incontinence.
Running-Water Trigger
The sound of running water was identified as one trigger for urinary urgency.
Post-Partum History
Her medical history included one previous vaginal delivery, making post-partum pelvic floor function relevant to the clinical picture.
Clinical context
Why Can Urinary Leakage Occur After Childbirth?
Pregnancy and vaginal childbirth can place significant demands on the muscles and supporting tissues of the pelvic floor.
Pelvic Floor Support
The pelvic floor contributes to support of the bladder neck and urethra and plays an important role in urinary continence.
Stress Leakage
Reduced support may contribute to leakage when pressure rises during coughing, sneezing, laughing, lifting or exercise.
Assessment Matters
Post-partum urinary symptoms can have different causes, so appropriate assessment remains important before deciding on treatment.
Treatment objectives
What Were the Treatment Goals?
The aims recorded for this patient were to:
- reduce her stress urinary incontinence symptoms
- reduce urge-related leakage
- strengthen pelvic floor muscle function
- improve confidence in everyday situations
Individual case protocol
What Treatment Protocol Was Used?
This patient followed a protocol selected by the treating clinic for her individual case.
Supramax Treatment Programme Used in This Case
- Frequency: two sessions per week
- Duration: eight weeks
- Intensity: progressively increased according to patient tolerance
- Recovery phase: each session included five minutes of recovery time at the end
Important: this was the protocol used for this individual case study. It should not be interpreted as the required programme for every Supramax patient.
Supramax uses electromagnetic stimulation to activate the neuromuscular system and produce repeated involuntary contractions of the pelvic floor muscles while the patient remains seated and fully clothed.
To understand the technology in more detail, see our guide to how pelvic floor chairs work .
Reported clinical progression
What Happened During the Treatment Course?
The case study records progressive changes in the patient's symptoms during treatment.
Mild stress leakage was present during coughing and sneezing on a full bladder, alongside occasional urgency and urge-related leakage.
The patient reported noticing an improvement by approximately the fourth session.
According to the case record, the patient reported no further leakage when coughing or sneezing.
Occasional feelings of urgency were still reported, but the case record states that these were no longer accompanied by leakage.
Treatment intensity was progressively increased without discomfort or reported side effects in this patient.
How Should These Results Be Interpreted?
These findings describe the experience of one individual patient.
They provide useful real-world evidence of how Supramax was used in this particular case, but they do not establish that every patient with urinary incontinence will experience the same degree or speed of improvement.
Maintaining progress
What Maintenance Plan Was Recommended?
Following the initial treatment programme, the clinic recommended ongoing top-up treatment approximately every two months.
Again, this maintenance interval relates specifically to this individual case. Maintenance frequency should be based on patient assessment, response and clinical judgement rather than applying one schedule to every patient.
Patient feedback
What Did the Patient Say?
“I noticed a difference by the fourth session. The Supramax Chair is so comfortable and easy to use, and booking appointments was simple. I worked up to the higher energy levels without any issues, and I haven’t had a leak when sneezing or coughing since. It’s been a real confidence boost.”Natalie Fiander
Practitioner perspective
The Clinic | Norwich
The Clinic | Norwich describes itself as a female-led aesthetics and wellness clinic offering a private environment in which patients can discuss concerns such as urinary leakage and pelvic floor weakness.
The clinic reports that women in their 40s and 50s frequently raise bladder-control concerns, particularly around perimenopause and menopause.
Their experience with Supramax allows practitioners to discuss the treatment from direct clinical experience and explain what patients can expect from the process.
Understanding the evidence
What Can We Learn From This Case?
Age Is Not the Whole Story
Urinary incontinence is not restricted to older women. Pregnancy and childbirth can affect pelvic floor function well before later-life hormonal changes.
Symptoms Can Be Mixed
This patient presented with both stress-related leakage and urge symptoms, demonstrating why assessment of the symptom pattern matters.
Progress Can Be Monitored
The patient's symptoms were tracked throughout treatment rather than assessing the outcome only at the end of the programme.
One Case Is Not Every Case
Individual case studies provide valuable real-world evidence, but they should not be presented as proof that every patient will respond in the same way.
Treatment platform
About the Supramax™ Pelvic Floor Chair
Supramax is a professional electromagnetic pelvic floor chair designed to stimulate repeated involuntary pelvic floor muscle contractions while the patient remains seated and fully clothed.
A typical 30-minute Supramax treatment is designed to generate approximately 11,000 pelvic floor muscle contractions, with adjustable treatment intensity and strength and recovery modes.
The platform features a 30cm treatment coil, magnetic field strength of up to 7 Tesla and a 3000W power supply.
Pelvic floor evidence & guides
Continue Your Research
Common questions
Post-Partum Incontinence Case Study FAQs
Was this Supramax case study carried out by Pure Tone Aesthetics?
No. The treatment programme was carried out independently by The Clinic | Norwich. Pure Tone Aesthetics supplied the Supramax treatment platform but did not conduct the patient's treatment.
What type of incontinence did the patient have?
The 44-year-old patient reported mild stress urinary incontinence during coughing and sneezing as well as occasional urgency and urge-related leakage.
Was the patient's urinary incontinence related to childbirth?
The patient had previously experienced one vaginal delivery. Pregnancy and childbirth can affect pelvic floor function, although an individual patient's urinary symptoms may have more than one contributing factor.
How many Supramax treatments were used in this case?
The patient attended two sessions per week for eight weeks. This was the protocol selected for this individual case and should not be interpreted as the required programme for every Supramax patient.
When did the patient report improvement?
The case record states that the patient noticed a difference by approximately the fourth session.
What was reported by session six?
According to the case study, by session six the patient reported no further urine leakage during coughing or sneezing. Occasional urgency remained but was reportedly no longer accompanied by leakage.
Does this case prove Supramax will work for everyone?
No. This is an individual clinical case study. It documents one patient's treatment and reported outcome but does not guarantee that other patients will experience the same response.
How does Supramax work?
Supramax uses electromagnetic stimulation to activate the neuromuscular system and produce repeated involuntary contractions of the pelvic floor muscles while the patient remains seated and fully clothed.
How many contractions does Supramax produce?
A typical 30-minute Supramax treatment is designed to generate approximately 11,000 pelvic floor muscle contractions.
Final Thoughts
A Useful Real-World Example of Post-Partum Pelvic Floor Treatment
This independent case provides a useful example of how electromagnetic pelvic floor stimulation was incorporated into the treatment of a 44-year-old woman experiencing both stress and urge urinary symptoms following childbirth.
The patient reported changes relatively early in the treatment course, with no further stress-related leakage recorded by session six and later urgency occurring without leakage.
Those results relate to this patient alone, but they provide valuable real-world clinical evidence alongside the wider information available about pelvic floor strengthening and electromagnetic stimulation.
Professional pelvic floor technology
Explore Supramax™ Pelvic Floor Treatment
Learn more about the Supramax™ Pelvic Floor Chair, read our wider pelvic floor treatment guides or speak to our clinic team about introducing the technology to your clinic.