Who is it recommended for?
The STRE 1 and STRE 2 programs stimulate fast muscle fibres with targeted frequencies — they may help increase urethral closure pressure. The two stress programs operate at different frequencies, so choose per your physician’s recommendation.
Besides the URGE 1–2 programs, the Sure Pro offers a unique option: the TIBN programs use ankle electrodes to non‑invasively target bladder overactivity. If probe treatment is uncomfortable or you want a complementary therapy, TIBN is an alternative.
The MIXED program is designed for combined treatment of stress and urge incontinence — it targets both issues in one session. The two‑channel design lets you use probe stimulation and TIBN simultaneously.
The PAIN program uses TENS technology to target chronic pelvic pain. It can be used as needed, even daily.
The SENS program is specifically designed for neural stimulation after sensory loss — when pelvic floor muscle sensation is reduced (e.g. after surgery or nerve damage). This program is not available on many other devices.
How does electrostimulation work?
The Sure Pro offers multiple therapeutic approaches in a single device:
Pelvic floor stimulation (with probe): Gentle electrical pulses delivered via the vaginal probe cause the pelvic floor muscles to contract and relax. This cyclic training can help restore muscle strength and improve bladder control.
Tibial nerve stimulation (TIBN — with ankle electrodes): Stimulating the tibial nerve at the ankle aims to reduce bladder hyperactivity. Percutaneous tibial nerve stimulation (PTNS) is an accepted clinical treatment for urge incontinence — the Sure Pro offers its transcutaneous (surface) variant for home use.
TENS pain relief: The PAIN program targets chronic pelvic pain using the gate‑control theory.
The Sure Pro does not include a biofeedback function. If you need objective feedback on training effectiveness, consider the evoStim P (pressure‑biofeedback) or the evoStim E (EMG‑biofeedback) devices.
Frequently asked questions
The tibial nerve runs along the inner side of the ankle and is connected to the pelvic‑floor nervous system. Stimulation via surface electrodes aims to reduce bladder hyperactivity — non‑invasively and without a probe. It is the home, transcutaneous variant of PTNS used in clinical settings.
No. Electrostimulation devices are contraindicated during pregnancy. Start treatment only after postnatal medical clearance (typically 6–8 weeks).
The Perfect PFE is single‑channel with 4 programs — simpler and more budget‑friendly. The Sure Pro is two‑channel with 15 programs, tibial nerve stimulation (TIBN), a rechargeable battery and a 99‑step intensity control. If you need multiple treatment approaches (probe + TIBN), the Sure Pro is the more flexible choice.
The Sure Pro does not include biofeedback — the device does not measure muscle activity. If you need objective feedback on training progress, consider the evoStim P (pressure‑biofeedback) or the evoStim E (EMG‑biofeedback). The advantage of the Sure Pro is its wider program selection and the TIBN function.
The 3 manual programs let you save individual parameters (frequency, pulse width, treatment time) as recommended by your clinician. This is especially useful when preset programs don't precisely meet therapeutic needs.
With regular daily use of 20–30 minutes, improvement is usually noticeable within 4–12 weeks. The effectiveness of TIBN programs has been evaluated in systematic studies over 12‑week treatment periods. The treatment memory helps track regularity.
How to use the Sure Pro?
1
Select the program
Use the backlit LCD to select one of the 15 programs. Incontinence: STRE, URGE, MIXED. Pelvic floor training: PFW A/B, ENDUR. Pain: PAIN. Tibial nerve: TIBN 1–2. Sensory loss: SENS. The 3 manual programs allow custom settings.
2
Connect the probe or electrodes
For probe treatment: moisten the supplied vaginal probe with the included Go Gel contact gel. For TIBN treatment: place the adhesive electrodes on the inner side of the ankle. You can work on both channels at once — probe + ankle electrode combination.
3
Set the intensity
Choose a comfortable but effective intensity per channel from 99 levels (1 mA steps). Treatment should never be painful. The device remembers the last setting and automatically restores it at the next power‑up.
4
Perform the treatment
The program controls the pulses automatically. You can track the remaining time on the LCD. The treatment memory logs daily use so you can monitor consistency.
5
Regular use
Once daily, 20–30 minutes. TIBN is typically applied 1–2 times per week. Improvements are usually noticeable with regular treatment within 4–12 weeks. The treatment memory helps track regular use.
Package contents
The Sure Pro comes with the following accessories:
- 1 pc TensCare Sure Pro device (built‑in rechargeable battery)
- 1 pc vaginal probe
- 2 pcs stimulation cables
- 4 pcs adhesive electrodes (50×50 mm) — for TIBN treatment
- 1 pc Go Gel contact gel (50 ml)
- 1 pc mains adapter (charger)
- 1 pc storage pouch
- 1 pc user manual
Probes are for personal use for hygiene reasons. Replacement probes, spare electrodes and contact gel can be purchased from the incontinence category.
Technical specifications
| Channels | 2× independent channels |
| Programs | 15 (12 preset + 3 manual) |
| Incontinence programs | STRE 1–2, URGE 1–2, MIXED |
| Pelvic floor training | PFW A/B, ENDUR |
| Tibial nerve stimulation | TIBN 1–2 |
| Pain relief | PAIN (TENS) |
| Sensory loss | SENS |
| Intensity | 99 levels (1 mA step) |
| Biofeedback | Not included |
| Probe | Vaginal probe (included) |
| Display | Large backlit LCD |
| Power supply | Built‑in rechargeable battery (up to 15 hours), mains adapter |
| Treatment memory | Yes — records daily use, auto‑restart |
| Manufacturer | TensCare Ltd |
| Certification | CE Class II medical device (MDR, ISO 13485) |
When NOT to use the device?
- Cardiac pacemaker or other implanted electronic device
- Pregnancy
- Early post‑surgical period (postpartum 6–8 weeks)
- Active infection in the treatment area
- Untreated epilepsy
- Active malignant disease in the treatment area
Not sure? Consult your treating physician before use!
Important information
The TensCare Sure Pro is CE‑marked, a Class II medical device (manufactured according to MDR, ISO 13485), designed to complement medical treatment. A medical evaluation is required before starting treatment to determine the type of incontinence.
Evidence from clinical studies supports the effectiveness of pelvic floor muscle training supplemented with electrostimulation. The effectiveness of tibial nerve stimulation (PTNS/TTNS) for overactive bladder is also supported by systematic reviews.1,2
The information on this page is for guidance only. Home therapeutic devices are intended to complement medical treatment and do not replace it. Consult your treating physician in case of symptoms.
Scientific background
Clinical evidence supports the effectiveness of pelvic floor muscle training with electrostimulation and tibial nerve stimulation:
- 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
- Burton C, Sajja A, Latthe PM. (2012). Effectiveness of percutaneous posterior tibial nerve stimulation for overactive bladder. Neurourol Urodyn. 31(8):1206-1216. PubMed
Treating incontinence at home — complete guide →
Treatment in practice — step by step →
Urinary incontinence and its treatment →
Pelvic floor exercise guide →
Perfect PFE — simpler alternative →
All incontinence devices →
