Who is it for?
Urine leakage occurs during physical exertion because of weak sphincter muscles. The Perfect PFE Stress program trains fast muscle fibres at 35–40 Hz for 20 minutes daily. Clinical trials have shown a reduction in the frequency of stress incontinence episodes.
Bladder overactivity causes a sudden, uncontrollable urge to urinate. The Urge program uses a low frequency (10–12 Hz) to calm bladder muscle overactivity. Daily 20‑minute use regularly can lead to noticeable improvement.
If stress and urge symptoms occur together, treatment can be split into two parts: the first 10 minutes on the Stress program (fast fibres), the second 10 minutes on the Urge program (bladder calming). The Perfect PFE includes both programs.
The Perfect PFE offers a comfortable at‑home solution for targeted training of pelvic floor muscles weakened by childbirth. Treatment can begin after the 6–8 week postnatal medical check. The Tone maintenance program can also be used to preserve muscle strength. If uterine or bladder prolapse is present, read my detailed article on treatment of uterine prolapse.
The Pain program uses TENS technology to target chronic pelvic pain. In cases of pain it may be used regularly, even daily, for up to 40 minutes.
Frequently asked questions
No. You will feel a mild tingling and a firm muscle contraction. If you experience pain, lower the intensity. The treatment should never be painful.
No. Electrostimulation devices are contraindicated during pregnancy. You may start treatment after the 6–8 week postpartum medical check.
The Perfect PFE is single‑channel with 4 programs and includes a vaginal probe—specifically designed for women. The Biolito is dual‑channel with 6 programs but does not include a probe (sold separately). The Perfect PFE is ready to use out of the box, while the Biolito is more flexible (can be used with surface electrodes).
Yes. The Perfect PFE for Men is available with a rectal probe and programs optimised for men—particularly recommended for post‑prostatectomy incontinence.
With regular daily 20‑minute use, improvements are typically felt within 4–12 weeks. Once muscle strength is achieved, switch to the Tone program (twice weekly) for maintenance.
Program choice depends on the type of incontinence: Stress (stress), Urge (urge), or both consecutively (mixed). The Tone program is for maintenance, and the Pain program is for pain relief. If unsure, consult your treating physician.
How does electrostimulation work?
The Perfect PFE delivers gentle electrical impulses to the pelvic floor muscles via the vaginal probe. The impulses cause the muscles to contract and relax – this cyclical training can help restore muscle strength and improve bladder control.
The stress programs target fast (phasic) muscle fibres with higher frequencies, which can contribute to increased urethral closure pressure. The urge program uses a lower frequency aimed at reducing bladder muscle hyperactivity. The pain relief program operates on TENS principles – it may help reduce the perception of pain.
The Perfect PFE does not include a biofeedback function – the device does not measure muscle activity. If you need objective feedback on training effectiveness, consider the evoStim P (pressure biofeedback) or the evoStim E (EMG biofeedback) devices.
How to use the Perfect PFE
1
Select the program
Use the control button to select one of the 4 programs: Stress (stress incontinence), Urge (urge), Tone (maintenance) or Pain (pain relief). For mixed incontinence, run the Stress and Urge programs one after the other.
2
Insert the probe
Moisten the supplied vaginal probe with water or contact gel and insert it comfortably. Connect the cable to the device.
3
Set the intensity
Gradually increase the intensity until you feel a definite but comfortable muscle contraction. The treatment should not be painful – if it is, reduce the intensity.
4
Complete the treatment
The program controls the pulses automatically – you only need to get comfortable. The Stress and Urge programs last 20 minutes, the Pain program 40 minutes. The device switches off automatically at the end of the session.
5
Regular use
Use once daily for 20 minutes. Improvements are typically felt with regular treatment within 4–12 weeks. Once muscle strength is achieved, switch to the Tone program (twice weekly) for maintenance.
Package contents
The Perfect PFE includes the following accessories:
- 1 pc TensCare Perfect PFE device
- 1 pc vaginal probe
- 1 pc stimulation cable
- 2 pcs 1.5V AA batteries
- 1 pc storage case
- 1 pc user manual
Probes are for personal hygiene and individual use. Spare probes and contact gel are available on our category page.
Technical specifications
| Channels | 1× stimulation |
| Programs | 4 (Stress, Urge, Tone, Pain) |
| Stress program | 35–40 Hz, 20 minutes, once daily |
| Urge program | 10–12 Hz, 20 minutes, once daily |
| Tone program | Maintenance, 20 minutes, twice weekly |
| Pain program | TENS, 40 minutes, as needed |
| Biofeedback | Not included |
| Probe | Vaginal probe (included) |
| Power supply | 2× 1.5V AA batteries |
| Manufacturer | TensCare Ltd |
| Certification | CE medical device (MDR) |
| SKU | K-PPFE |
When NOT to use the device?
- Pacemaker or implanted defibrillator
- Pregnancy
- Active malignant disease in the treatment area
- Untreated epilepsy
- Acute inflammation or infection in the pelvis
- Within 6 weeks after childbirth
Not sure? Consult your treating physician before use!
Important information
The Perfect PFE is a CE‑marked medical device (MDR) intended as an adjunct to medical treatment. A medical assessment is required before starting treatment to determine the type of incontinence.
Electrostimulation can be an effective adjunct to pelvic floor muscle training. The Cochrane review's 2022 comprehensive analysis found high‑level evidence for the effectiveness of pelvic floor muscle training (PFMT) in treating incontinence.1
The information on this page is for guidance only. Home therapeutic devices are intended to complement medical treatment, not to replace it. Consult your treating physician in case of symptoms.
Scientific background
Clinical evidence supports the effectiveness of pelvic floor muscle training augmented with electrostimulation:
- Todhunter-Brown A, Hazelton C, Campbell P, et al. (2022). Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 9(9):CD012337. PubMed
- Ghaderi F, Mohammadi Oskouei A, et al. (2023). Effects of pelvic floor muscle exercise on stress urinary incontinence. Int Urogynecol J. 34(5):1137-1147. PubMed
Incontinence treatment – complete guide →
Treatment in practice – step by step →
Urinary incontinence and its treatment →
Pelvic floor exercise guide →
Perfect PFE for Men – male version →
All incontinence devices →
