The evadri Bladder Control System is an office-based treatment unit that provides a safe, well-tolerated therapy for bladder control problems by helping to retrain the pelvic muscles that are responsible for proper bladder function.

The evadri System works by retraining the pelvic floor, a series of muscles that form a sling across the opening of the pelvis. These muscles with surrounding tissue are responsible for keeping all of the pelvic organs (bladder, uterus and rectum) in place and functioning properly.

The pelvic floor muscles are retrained during a series of six to eight treatment sessions, each lasting approximately 30 to 45 minutes. At an office-based treatment session, a small sensor is inserted into vagina. The patient is then asked to do an exercise called a “Kegel,” or contract the pelvic floor muscle as if trying to stop urinary flow. The sensor evaluates muscle strength and allows the muscle contraction to be seen on a screen so that the patient and nurse (or doctor) can determine if the patient is using the correct muscles. Biofeedback — in which patients watch a video monitor of the muscles contracting as they exercise — can help patients identify the pelvic muscles so that they can practice on their own. The evadri  System combines biofeedback with electric signaling designed to reactivate pelvic muscles that may have lost tone due to inactivity.

Small patch electrode sensors may be placed across the abdominal muscles. Monitoring the activity of these abdominal muscles helps to isolate the pelvic muscles that are needed for good bladder control. In the next phase of the treatment, painless electrical signals are sent to the weakened pelvic muscles, causing them to contract effectively. These contractions help retrain the muscles and decrease the symptoms of urgency/frequency or overactive bladder. The key to success is correct identification, isolation and contraction of the pelvic muscles followed by a muscle relaxation phase.

With a home exercise program that includes symptom-related exercises and regular office visits, some patients have noted improved bladder control within as little as six weeks.⁴ Most treatment sessions require only about six to eight office visits, each lasting approximately 30 to 45 minutes. Some patients may need follow-up sessions after their initial treatment regimen.

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