Electromuscular stimulation for urinary incontinence: Levator 100

Electromuscular stimulation (EMS) can be an effective conservative treatment option for pelvic floor muscle dysfunction for many women. This treatment can be administered by nurses in primary care and by practice nurses and specialist nurses in continence care, provided that they have received comprehensive training. Correct patient selection is essential for the treatment to succeed. This is done by assessing the patient fully and involves obtaining a clinical history and a physical examination of the pelvic floor muscle. Informed patient consent must be sought before commencing treatment. There are some contraindications to the use of EMS; however, when used with the right client for the right conditions, EMS is a safe treatment and can improve symptoms of urinary and faecal incontinence, dyspareunia, vaginismus or lax vaginal muscles. The outcome of an audit of the use of the Levator 100 EMS device, the forerunner to the newer Levator Turbo CS200, is examined.