Urinary & Bowel Incontinence After Hysterectomy | Independent Supramax Case Study
Independent Clinical Case Study
Urinary & Bowel Incontinence After Hysterectomy
An independent practitioner case study documenting Supramax™ treatment in a 75-year-old woman with long-standing urinary and bowel incontinence and a complex medical history.
The clinical account below was written by Katie Govind, Independent Nurse Prescriber and Registered Nurse at K Govind Medical Aesthetics, and is reproduced in her own words.
Independent practitioner evidence
About This Clinical Case
This treatment programme was carried out independently of Pure Tone Aesthetics by Katie Govind at K Govind Medical Aesthetics.
The clinical narrative, interpretation and reflections below are Katie Govind's own account of the patient's treatment and outcome.
We have preserved her substantive wording and only updated the page presentation, navigation and supporting editorial context.
Independent Nurse Prescriber · Registered Nurse · K Govind Medical Aesthetics
Restoring Continence and Confidence: A Case Study Using the Supramax Chair in a 75-Year-Old Woman with Post-Hysterectomy Double Incontinence and Complex Medical History
Abstract
This case study presents the successful use of High-Intensity Focused Electromagnetic therapy via the Supramax Pelvic Floor Chair from Pure Tone Aesthetics to treat long-standing urinary and bowel incontinence in a 75-year-old woman with a complex medical background, including myeloproliferative neoplasm, diverticulitis, prior chemotherapy, and a total hysterectomy.
Despite nearly two decades of incontinence and no sustained improvements from traditional medical interventions, this patient achieved transformative outcomes in both symptoms and quality of life with a structured pelvic floor strengthening programme.
Patient Profile
- Name: Patient B (pseudonym)
- Age: 75
- Relevant Medical History:
- One natural childbirth (1992)
- Total hysterectomy (2006)
- Diagnosed post-operatively with double incontinence
- Myeloproliferative Neoplasm (MPN) – Essential Thrombocythemia with 5q- and JAK2 mutation
- On-and-off chemotherapy; last cycle 12 months ago
- Suspected diverticulitis
- Under active care of a continence team since 2006, with minimal improvement from medications and physiotherapy
Symptoms
- Constant urinary dribbling
- Frequent urgency with occasional faecal incontinence
- Night-time incontinence requiring hourly pad changes
- High levels of anxiety, sleep disruption, and social withdrawal
Treatment Goals
- Strengthen pelvic floor musculature to improve bladder and bowel control
- Reduce or eliminate dribbling and urgency
- Restore sleep quality and reduce pad dependence
- Improve psychological wellbeing and self-confidence
Treatment Plan & Technology Used
Supramax Pelvic Floor Chair by Pure Tone Aesthetics — delivers High-Intensity Focused Electromagnetic stimulation to induce supramaximal pelvic contractions.
Treatment Protocol
- Phase 1: Twice weekly sessions for 8 weeks (28 minutes per session)
- Phase 2: Weekly sessions for 4 additional weeks
- Phase 3: Maintenance — patient now attends twice monthly
- Progression: Started on beginner settings, advanced quickly to higher intensities.
- Tolerability: Treatment was well-tolerated throughout; no adverse events reported.
Clinical Progress
Week 3
- Patient able to sleep up to 6 hours overnight with only damp pads
- Urgency significantly reduced
- Making it to the toilet most of the time
- Still reporting daytime dribbling, but less frequent
Week 8
- Can now sleep through the night without needing to void
- Dribbling has stopped completely
- Bowel urgency is markedly improved; fewer episodes of leakage
- No longer fearful when leaving the house
- Psychological wellbeing visibly improved
Ongoing Maintenance
- Attends clinic twice monthly to maintain muscle tone
- Describes her continence as "controlled and manageable"
- Reports increased activity, better sleep, and restored confidence
Patient Testimonial
“I haven’t had a full night’s sleep in years until now. I used to change pads every hour through the night. Now I sleep through, and I’m not scared to leave the house. My confidence has rocketed.” — Patient B
Clinical Reflections
This case underscores the life-changing potential of High-Intensity Focused Electromagnetic technology in treating functional pelvic floor disorders, especially in patients who have failed conventional therapies. Despite nearly 20 years of incontinence, multiple comorbidities, and a history of chemotherapy, Patient B achieved results not previously possible under traditional medical care alone.
Importantly, this case illustrates that age and complexity are not contraindications to pelvic floor rehabilitation. The Supramax Pelvic Floor Chair allowed us to deliver a non-invasive, pain-free, and effective intervention that bridged the gap between medical care and functional restoration.
Conclusion
This case challenges the narrative that incontinence in older women is an inevitable consequence of ageing or surgery. With the right tools and an empathetic, patient-led approach, we can restore not only continence but dignity and confidence.
At K Govind Medical Aesthetics , we are proud to champion innovative, whole-person care that delivers meaningful change—physically, emotionally, and socially.
Pure Tone editorial context
How Should This Case Study Be Interpreted?
Katie Govind's report provides valuable independent real-world clinical evidence of how Supramax was used in one patient with an unusually long-standing and complex continence history.
It remains an individual case study rather than a controlled clinical trial. The outcomes described relate to Patient B and should not be taken as a guarantee that another patient will achieve the same result.
In particular, treatment suitability should always be established through appropriate consultation, medical-history review and contraindication screening. A patient's age, previous surgery or wider medical history should be assessed individually rather than assumed to make treatment either suitable or unsuitable.
Pelvic floor guides & evidence
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Common questions
Independent Supramax Case Study FAQs
Who conducted this Supramax case study?
The case study was written by Katie Govind, Independent Nurse Prescriber and Registered Nurse at K Govind Medical Aesthetics. The patient's treatment was carried out independently of Pure Tone Aesthetics.
How old was the patient?
Patient B was 75 years old.
What symptoms did Patient B experience?
Katie's case study records constant urinary dribbling, frequent urgency, occasional faecal incontinence and severe night-time incontinence requiring hourly pad changes.
Had Patient B undergone a hysterectomy?
Yes. Katie's case history records a total hysterectomy in 2006 and a subsequent diagnosis of double incontinence.
What Supramax treatment protocol was used?
Katie's case study records twice-weekly 28-minute sessions for eight weeks, followed by weekly sessions for four additional weeks and then twice-monthly maintenance.
What improvements were reported?
Katie reports improvements in urgency, night-time continence, urinary dribbling, bowel urgency, sleep, activity and confidence during the treatment programme.
Is this a clinical trial?
No. This is an independent individual clinical case study documenting one patient's treatment and reported outcome. It should not be interpreted as a controlled clinical trial or a guarantee of results for other patients.
How does the Supramax Pelvic Floor Chair 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.
Read our pelvic floor chair technology guide for a more detailed explanation.
Pure Tone Perspective
A Particularly Valuable Independent Case
What makes this case especially useful is how different Patient B is from the younger post-partum patient documented in our other independent case study.
Here, the patient was 75, had experienced continence problems for many years and had a complex wider medical history. Katie Govind's account therefore gives clinics another real-world perspective on how Supramax has been incorporated into professional pelvic floor care.
Taken together, the independent case studies, practitioner experience and wider pelvic floor treatment information provide a more useful picture than relying on product specifications alone.
Professional pelvic floor technology
Learn More About Supramax™
Explore the Supramax™ Pelvic Floor Chair, read our wider independent case evidence or speak to our clinic team about treatment protocols, training and introducing pelvic floor treatments to your clinic.