How to choose an incontinence treatment device for home use?
Incontinence is more than a mere nuisance. It affects well-being, sleep, movement, travel, and self-confidence — in short, the aspects that define normal life.
In this category you'll find incontinence treatment devices intended for home use that can assist rehabilitation of the pelvic floor and sphincter muscles using electrostimulation, EMG biofeedback, or pressure biofeedback.
When choosing, consider what type of incontinence you have, whether you need a device intended for women or men, whether you require a probe, and whether a simple device is sufficient or you need one that actively engages you in rehabilitation.
Can't decide which to choose?
The choice depends on three questions: what is the nature of your complaint, which muscle function do you want to support, and do you need measurable feedback on the treatment? In the detailed selection guide below I will walk you through these step by step.
Quick selection guide
| Complaint or goal | Look for this first |
|---|---|
| Urine leakage with coughing, sneezing, or laughing | Electrostimulation device for female stress incontinence: TensCare Kegel Toner, Biolito, Myolito, Perfect PFE for women, evoStim UG |
| Sudden, urgent need to urinate | Device with an urge incontinence program: Biolito, Myolito, Perfect PFE for women, Sure Pro, evoStim UG |
| Male leakage after prostate surgery | Device for men with an anal probe: Perfect PFE for men, Biolito, evoStim UG |
| Fecal incontinence or sphincter weakness | Anal-probe electrostimulation or biofeedback: Perfect PFE for men, Biolito, Myolito, evoStim UG |
| You want to measure progress | EMG biofeedback or pressure-biofeedback device: evoStim E, evoStim P |
| Mild symptoms, prevention, support for pelvic floor exercises | Simpler stimulator or pelvic-exercise adjunct: TensCare Kegel Toner, Biolito, Fleur, Fleuron |
Important before buying
Most incontinence treatment devices operate with an intracavitary probe. For some devices the probe is included, for others it must be purchased separately. Always check the package contents and compatibility before purchasing.
Electrical muscle stimulation device to strengthen the pelvic floor muscles and enhance pelvic floor exercises.
Device specialized for complications after prostate surgery, male incontinence and strengthening the pelvic floor sphincter.
Electrotherapy device for treating stress, urge and mixed forms of incontinence, strengthening intimate (pelvic floor) muscles, postpartum rehabilitation, and home therapy for vaginal pain (vaginismus).
Stimulation device for women to support incontinence therapy and augment pelvic floor training.
Myolito electrotherapy device with TENS, EMS and FES (incontinence) programs
The TensCare Sure Pro is a clinical‑grade device for the treatment of stress, urge and mixed urinary incontinence, and for relieving pelvic pain.
evoStim UG: 2-channel FES device / high-level incontinence treatment: stress, urge and mixed types / vaginismus treatment.
How to choose an incontinence treatment device?
Choosing an incontinence treatment device doesn't start with which is cheapest or which looks best. The question is: what type of problem do you have, what muscle function needs improvement, and what level of feedback do you want from the treatment?
A simple electrostimulator may be suitable for mild to moderate problems. You may need a biofeedback device if you want not only to treat the muscles but also to see, measure, and follow how they work. This is especially important if the pelvic floor is hard to activate, the exercise technique is uncertain, or you want a more conscious rehabilitation process.
First, identify the symptom
Not all incontinence is the same. Choosing the wrong type of device is like trying to replace sunscreen with a raincoat: it helps with something, just not what you need. The lists below present devices from simpler to more capable.
| Type | What are the symptoms? | Which device to look for? |
|---|---|---|
| Stress incontinence | Urine leaks with coughing, sneezing, laughing, lifting, or during exercise. | Electrostimulation device supporting pelvic floor training, vaginal probe for women, e.g. TensCare Kegel Toner, Biolito, Perfect PFE women, evoStim UG |
| Urge incontinence | Sudden, strong urge to urinate, making it hard to reach the toilet in time. | Device with an urge/overactive bladder program. e.g. Biolito, Myolito, Perfect PFE for women, Sure Pro, evoStim UG |
| Mixed incontinence | Leakage with stress and also sudden urgency. | Device with multiple programs suitable for both stress and urge symptoms. e.g. Biolito, Perfect PFE for women, Sure Pro, evoStim UG |
| Male urine leakage | Often occurs after prostate surgery, especially with exertion or movement. | Device for men that operates with an anal probe, e.g. Biolito, Perfect PFE for men, evoStim UG |
| Fecal incontinence | Weak or poorly controlled anal sphincter function. | Anal-probe electrostimulation, EMG biofeedback or pressure-biofeedback, e.g. Perfect PFE for men, evoStim UG |
Which device level is right for you?
Devices differ not only in price. The main difference is whether they only provide stimulation or can also measure, give feedback, and document muscle activity.
| Device level | What for? | Devices |
|---|---|---|
| Entry level | For mild, early symptoms. Prevention of recurrence. Very simple to use. | TensCare Kegel Toner, Biolito, Myolito, Perfect PFE for men |
| Mid level | For moderate, longer-standing problems. Often used together with pelvic floor exercises. |
Perfect PFE for women, evoStim UG, Sure Pro |
| Premium / biofeedback | For moderate to severe symptoms. If you can't feel whether you're doing exercises correctly. Recommended to involve a rehabilitation trainer to use the device's full capabilities. | evoStim UG, evoStim E, evoStim P |
Do you need a probe?
An incontinence treatment device is most effective when used with an intracavitary probe. This can be a vaginal or anal probe. The probe's role is to deliver the electrical impulse directly to the target muscle area, and in biofeedback treatments to sense muscle activity or squeeze pressure.
Some devices include the appropriate probe in the package. For others you must select a vaginal or anal probe separately. Always check this before buying!
Need a separate probe?
Check out vaginal and anal probes for incontinence treatment – there you will find a separate, detailed buying guide for probes. Probes for incontinence treatment →
Electrostimulation, EMG biofeedback or pressure-biofeedback?
Electrostimulation
In electrostimulation the device delivers mild electrical impulses that can help activate the pelvic floor muscles or sphincters. This is particularly useful when the muscles are weak, difficult to recruit, or the user cannot clearly feel how to engage them.
Electrostimulation works "passively," meaning you can relax during the treatment; you don't have to do anything actively.
EMG biofeedback
EMG biofeedback does not primarily stimulate but detects the muscle's electrical activity. The device gives feedback on whether the pelvic floor is actually working. This helps you learn correct muscle activation and makes progress more trackable.
Biofeedback devices (whether EMG or pressure-based) require your active participation! During treatment you will be given continuous "tasks" to voluntarily contract your pelvic muscles. The device senses your active muscle activity and provides feedback. In fact, the evoStim E adds stimulation assistance to a well-performed exercise. Combining pelvic floor exercises with electrical stimulation has been shown to be more effective than either exercise or stimulation alone.
Pressure-biofeedback
Pressure-biofeedback uses a balloon probe. The device measures how much pressure change occurs during a muscle contraction. This is mainly used to assess and train vaginal muscle strength or anal sphincter function.
The points described in the EMG section also apply here, with the difference that the device detects squeeze pressure rather than electrical activity. Otherwise everything works the same way.
Recommendation by symptom
| Situation | Suggested direction | What to watch for? |
|---|---|---|
| Female, mild-moderate urine leakage | Vaginal-probe electrostimulation device (Kegel Toner, Biolito, Perfect PFE for women, SurePro, evoStim UG) | Check whether the vaginal probe is included. |
| Female, cannot activate pelvic floor muscles | EMG or pressure-biofeedback device (eviStim E, evoStim P) | Biofeedback helps you see whether the muscle is truly working. |
| Male, post-prostate surgery leakage | Male incontinence device with anal probe (Perfect PFE for men, Biolito) | Don't choose a female vaginal-probe device hoping "it will do". |
| Fecal incontinence | Anal-probe stimulation or pressure-biofeedback (Perfect PFE for men, evoStim P) | The goal can be stimulation, measurement or sphincter training – different probes are required. |
| More complex rehabilitation | Premium device with biofeedback (evoStim E, evoStim P) | Measurable feedback can help you perform the treatment more consciously. |
When to expect results?
An incontinence treatment device is not a magic wand. You can't expect that it arrives on Monday, you use it once on Tuesday, and on Wednesday you wake up with Olympic-level pelvic floor muscles. Rehabilitation of the pelvic floor and sphincters requires regular, persistent treatment.
Generally, a minimum of 6–8 weeks of consistent use is needed to notice tangible improvement. For lasting results, a months-long daily routine is typically required. That's why choose a device you'll actually use, not one that will sit in a drawer.
Why is using only pads or diapers not enough?
Pads and diapers can be useful because they provide security and help avoid embarrassing situations. But it's important to know: these do not treat the cause. They absorb urine or stool but do not affect the condition of the pelvic floor muscles, do not improve sphincter function, and do not teach proper muscle control.
The goal of an incontinence treatment device is to support functional improvement, not concealment. In many cases a pad or diaper may be temporarily necessary, but if there is rehabilitatable muscle weakness, it's worth addressing the cause.
Dr. Zátrok's advice
If you have mild to moderate symptoms and want a simple, good value home solution, start by combining pelvic floor exercises and electrostimulation (Kegel Toner, Biolito, evoStim UG, Sure Pro).
If you can't feel which muscle to contract or pelvic floor exercises seem ineffective, choose an evoStim E or evoStim P device.
If the issue is male post-prostate surgery leakage, don't buy a female device hoping "it will do". Choose a male device with an anal probe (Perfect PFE for men or evoStim UG).
If you're unsure, ask for advice before buying. A well-chosen device can help — a poorly chosen one will likely become an expensive drawer resident.
Important safety information
Do not use intracavitary electrostimulation in the following cases, or only with medical approval if suspected:
- Vaginal, bladder or rectal infection
- Pregnancy
- Genitourinary or colorectal (rectal–colon) tumor
- Pacemaker or other implanted electronic device
- Vesicoureteral reflux
- Hypotonic (atonic) bladder
Hygiene rule
An intracavitary probe is a personal hygiene device. A probe should be used by only one person — do not share it with others, even within the family. Family harmony tolerates many things, but this is better not to test.
