Urge incontinence and overactive bladder affect millions of people. It's not about age. It's not about discipline. It's a treatable muscle and nerve condition.
Urge incontinence — often associated with overactive bladder (OAB) — is caused by involuntary contractions of the detrusor muscle, the smooth muscle wall of the bladder. These contractions create a sudden, intense urge to urinate that can be difficult or impossible to control, sometimes resulting in leakage before you can reach a bathroom. Unlike stress incontinence (which is triggered by physical activity), urge incontinence occurs when the bladder signals the brain that it needs to empty even when it's not full. The pelvic floor muscles play a critical role in modulating these signals — strong pelvic floor muscles help suppress involuntary detrusor contractions and maintain bladder control. When the pelvic floor weakens, this suppression mechanism fails, and urgency episodes become more frequent and harder to control. Triggers can include hearing running water, cold weather, arriving home (the "key in the door" phenomenon), and stress.
Living with urge incontinence means your bladder sets your itinerary. You map out bathrooms before you go anywhere. Road trips require strategic stops. Meetings, movies, and dinners are interrupted by sudden needs that can't wait. You might limit fluid intake to reduce episodes — which can actually worsen symptoms by concentrating urine and irritating the bladder. Sleep is disrupted by nocturia — waking multiple times per night. Over time, the constant mental vigilance and planning around urgency becomes exhausting, and many people begin avoiding social situations, travel, and activities that take them too far from a bathroom.
"If any of this sounds familiar, you're not alone — and you don't have to keep adapting your life around it. There's a real, non-invasive solution."
Conventional treatment for urge incontinence includes behavioral strategies (bladder training, timed voiding), dietary modifications (avoiding caffeine, alcohol, and acidic foods), and anticholinergic or beta-3 agonist medications. While medications can reduce symptoms, they often come with side effects — dry mouth, constipation, blurred vision, and cognitive concerns in older patients. Botox injections into the bladder wall can reduce overactivity but require periodic repeat injections under sedation. Emsella addresses urge incontinence by strengthening the pelvic floor muscles that modulate bladder function. HIFEM-driven supramaximal contractions rebuild the muscular support system and re-educate the neuromuscular pathways that control urgency suppression. By restoring the pelvic floor's ability to counteract involuntary detrusor contractions, Emsella helps patients regain control without medication side effects or invasive procedures.
From your first consultation to visible results — here's exactly what to expect.
Your consultation will include a detailed discussion about your urgency patterns, frequency, nighttime disruption, and any medications you're currently taking. Dr. Bromberg's team will help you understand the type of incontinence you're experiencing and explain how pelvic floor strengthening addresses the root cause of urgency.
You sit fully clothed on the Emsella chair for 28 minutes. The HIFEM technology generates thousands of deep pelvic floor contractions that strengthen the muscles responsible for bladder control and urgency suppression. The sensation is strong — a deep contraction throughout your pelvic floor — but not painful. You can read, check your phone, or simply rest during treatment.
Patients with urge incontinence often notice a gradual reduction in urgency episodes and nighttime awakenings over the course of the 6-session protocol. The improvement typically continues for weeks after the final session as the strengthened muscles maintain their new function. Many patients are able to reduce or discontinue OAB medications — always in consultation with their prescribing physician. Maintenance sessions twice a year help sustain long-term results.
If you answer "yes" to two or more of these questions, you may be a strong candidate for treatment.
Do you experience sudden, intense urges to urinate that are difficult to control?
Do you sometimes not make it to the bathroom in time?
Do you wake up more than once per night needing to urinate?
Do you find yourself planning your schedule around bathroom access?
Have OAB medications provided incomplete relief or caused side effects you'd like to avoid?
Free consultation. No obligation. Confidential.
Dr. Bromberg treats urge incontinence as the medical condition it is — a treatable dysfunction of the pelvic floor and bladder control system. With over 40 years of clinical experience, he provides medically supervised Emsella treatments designed to restore the muscular control that urgency has taken away.
Bromberg Wellness is a division of Bromberg Chiropractic — a Cambridge medical practice trusted since the 1980s. Not a med spa. Not an aesthetician-led clinic. A doctor's office with four decades of clinical standards.
Book Free Consultation →"After six Emsella sessions, I can laugh, sneeze, and exercise without worrying. It genuinely changed my daily life. I wish I had done it sooner."
Stress incontinence, age 58
"Emsella is a life changer. It gave me more confidence, and I don't feel like I have to prepare for an emergency every time I leave the house."
Bladder leakage, age 52
"I had increasing incontinence after prostate treatment, and medication wasn't helping. After Emsella, my muscles are much stronger. I would recommend it to anyone."
Post-prostate incontinence, age 64
* Individual results may vary. Testimonials reflect personal experiences.
See how Emsella works — the science behind HIFEM pelvic floor strengthening.
See the technology →201 Broadway, First Floor, Cambridge, MA 02139. Red Line to Central Square — a 3-minute walk. Free street parking available.
Learn more about our location →Schedule a free, confidential consultation with Dr. Bromberg's team. We'll assess whether Emsella is the right solution for you — no obligation, no pressure, just honest guidance.
Or call us directly:
(617) 494-1166📍 Visit us at
201 Broadway, First Floor, Cambridge, MA 02139
Bromberg Wellness, a division of Bromberg Chiropractic
Free, confidential, no-obligation. Dr. Bromberg's team will reach out within 24 hours.