phone icon (02) 4324 1992       Our Location: 60 William Street Gosford NSW 2250   emailadmin@drfarag.com.au      Dr Farag FB ICON Header

Search Our Site

wave chairThe Wave Brilliance Pelvic Floor Therapy System is a non-surgical therapy for the treatment of stress, urge and mixed urinary incontinence & in both women & men. For patients whose difficulties stem from a weakening of their pelvic floor muscles, Wave Brilliance can offer unique therapeutic benefits. Unlike other therapy options, ExMI exercises all of the muscles in the pelvic floor to rebuild strength and endurance and restore bladder & bowel control. ExMI accomplishes this while the patient sits fully clothed in a comfortable chair.

The technology that makes this treatment possible is Extracorporeal Magnetic Innervation, or ExMI™ for short. The process is similar to Kegel exercises for the pelvic floor. While conventional Kegel exercises (or "Kegels") enhanced by biofeedback techniques can help to restore continence, we often perform the exercises incorrectly, incompletely, or inconsistently. With ExMI, the system performs the exercises for the patient in a more complete and effective manner than the patient could do on their own. No active participation by the patient is required.

How ExMI™ Works:
It's a lot simpler than you might think. ExMI technology produces highly focused pulsed magnetic fields. To receive treatment, patients simply sit in a specially designed chair that allows the therapeutic fields to be easily aimed at the muscles of the pelvic floor that control continence. The pelvic floor muscles contract and relax with each magnetic pulse, creating a physical exercise like any other muscular workout, except the brain is not directing the contraction - ExMI is. One way to think of ExMI is as an automatic Kegel exercise machine or pelvic floor gym.

ExMI™ Treatments:
Before receiving ExMI treatment, a patient needs to be fully assessed, to make sure their bladder control problem is the type that can be helped by ExMI therapy. Once it has been determined that the cause of the condition is weakened pelvic floor muscles, ExMI may be prescribed. Doctors/nurses have the liberty to create highly specific prescriptions for each patient to ensure the highest probability of improvement. After the initial diagnostic consultation, treatments can be performed in an office environment.

During treatment, a patient sits fully clothed in a specially designed chair that has the ExMI technology embedded in the seat. The treatments, which are typically performed twice a week, are painless and take approximately 20 minutes. A complete course of treatment may take eight weeks or more, depending on the condition of the pelvic floor muscles when therapy is started. Scientific studies have shown that rebuilding the pelvic floor muscles with ExMI is effective in helping patients regain continence. In addition, patients treated with ExMI have reported significant improvements in their quality of life.

Over a course of ExMI treatments, the treating physician or staff can provide advice on how proper diet-voiding habits and exercise can help ensure long-term freedom from the worries of urinary or faecal leakage. ExMI Therapy is not appropriate for all patients. The treating practitioner will determine if ExMI is right for you.
Our treatment course utilises ExMI™ therapy as an adjunct to established guidelines of the National Continence Management Strategy, concentrating on five primary requirements:
1. Pelvic Floor Rehabilitation
2. Diet evaluation & adjustment
3. Bladder retraining
4. Education and training in Kegel pelvic floor exercises to maintain muscle tone following the ExMI™ treatment
5. Patient education & lifestyle adjustments


Wave Brilliance Australia is providing non-invasive healing therapy for people troubled by Incontinence, otherwise known as Bladder Weakness
Incontinence treatment can be simple, and provided by respected doctors who could help restore your dignity. Painlessly.
Treatment sessions last for 22 minutes and will exercise the pelvic floor muscles 20 times more effectively that you could manage yourself, even if you were proficient at Kegal Exercises.

Bladder Training

The aim of bladder retraining is to restore your bladder capacity to a more normal and convenient pattern of passing urine, three to four hourly during the day, and only once during the night, or better still not at all during the night.
Bladder retraining will help people with frequency, urgency and/or stress incontinence.

Training procedure

Hanging on when you have the urge to pass urine. Try to suppress the urge as soon as it is felt, by standing or sitting still, rather than immediately running to the toilet. Some people find that doing pelvic floor exercises helps to suppress the urge and reduce the likelihood of leakage.
Gradually extend the interval between the first sensation or urgency and visiting the toilet by “hanging on”, first for two (2) minutes, then five (5), then ten (10), then half an hour and so on…., until you are only passing urine three (3) or four (4) hourly.
Drink eight (8) to ten (10) glasses/cups of fluid each day. (Preferably water)
Limit tea/coffee, alcohol or coke (limit caffeine intake).
Don’t drink large quantities of fluid after evening meal.
Empty bladder well before bed time.

Bladder retraining takes time and persistence and is well worth the effort.

Deferment Techniques

Both bladder training and habit training usually incorporate deferment techniques to help suppress the urge to void. Deferring the urge to void helps to achieve control over the bladder as well as to increase bladder capacity. Attempting to defer voiding is quite difficult, but certain deferment techniques may help:
Pelvic floor muscle contraction. Pelvic floor muscle contraction is what almost everyone does instinctively to prevent urine leakage when there is an urgent need to go to the toilet. The conscious contraction of the pelvic floor muscle helps increase sphincter contraction and prevent urine leaking out while the bladder is trying to contract. The contraction of the pelvic floor muscle also helps to switch off the bladder contraction. Pelvic floor muscle contraction is most effective if it is applied as soon as possible after the initial sensation of the bladder contraction, as it helps to override the detrusor contraction before the pressure in the bladder is high and, therefore, more difficult to override. The pelvic floor contraction needs to be maintained until the bladder contraction has diminished; otherwise, leakage may occur.
Perineal pressure. Perineal pressure is a well-known technique used by both children and adults. Little girls often put their hand between their legs to put pressure on the perineum to help them hang on until they reach the toilet. Sitting on the edge of a chair, or sitting on the arm of a chair with the chair arm pressing on the perineum between the vagina and the rectum, in females, helps to override the urge to void. This can be supplemented with slight bouncing up and down to increase perineal pressure. In males the pressure needs to be applied behind the scrotum towards the rectum. Sitting on the heel with the heel placed between the vagina, or scrotum, and the rectum, can have a similar effect. The pressure should be maintained until the unstable bladder contraction subsides. If augmented by pelvic floor contraction, this action can help switch off the bladder contraction. Cross thighs, tighten buttocks, toe curling may help.
Mental distraction. Mental distraction is probably the most commonly used deferment technique. By taking the mind off the bladder it is possible to override the first, urgent urge to void. Some useful forms of mental distraction are reciting poetry, doing mental arithmetic, playing mind games, or engaging in any mental activity that is totally absorbing and takes the mind off the bladder contraction and the toilet. The mental activity should be maintained until the bladder contraction has faded. Thinking of waterfalls, lakes or rain is rarely effective!

Deferment techniques need to be used every time the bladder has an unstable contraction. This should be maintained until the contraction fades and normal activities can continue. The bladder should be emptied only when it feels full. It can take a while to find the technique that is most effective for individual patients.