Restoring Continence and Confidence | Supramax Pelvic Floor Chair Case Study
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
By Katie Govind Independent Nurse Prescriber. Registered Nurse. K Govind Medical Aesthetics
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.
About the Author
Katie Govind is the founder and clinical lead at K Govind Medical Aesthetics. With a background in nursing and a passion for holistic, ethical care, she specialises in using non-invasive technologies to improve both aesthetic and functional outcomes. Her practice bridges the gap between medical and aesthetic care, empowering women at every stage of life.