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the treatment is indicated for women with stress incontinence (leak with cough or movement), urge incontinence (leak after you cannot suppress the urge to urinate), or mixed incontinence. stress incontinence is most commonly caused by vaginal childbirth and hormonal changes due to age. the stretching and increased laxity of the tissues causes the bladder to sag over the anterior wall of the vagina, which can interfere with the proper function of the bladder when it is full. a single hiemt session brings thousands supramaximal pelvic floor muscle contractions, which are extremely important in muscle re-education of incontinent patients. incontinent patients are not able to perform high-repetition rate pattern due to pelvic floor muscles weakness..syi