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PRESCRIBING LEVA

Evidence-based incontinence treatment—delivered at home.

Leva® is an FDA-cleared, prescription treatment for women with urinary and chronic fecal incontinence. It combines guided pelvic floor muscle training (PFMT) with real-time visual feedback, patient support, and remote progress reporting.

Leva helps clinicians deliver structured PFMT at home while staying informed of patient progress through remote reporting. Patients receive the guidance and support they need to complete treatment outside the traditional clinic setting.

FDA-Cleared Prescription Icon

FDA-Cleared Prescription Therapy

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Published Randomized Clinical Trials

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Peer-Reviewed Evidence in UI & FI

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Real-World Evidence in UI & FI

The ABCDs of Leva

A supervised, 12-week pelvic floor muscle training (PFMT) program that takes 5 minutes a day.

Four colored pill-shaped panels arranged horizontally, connected by a curved line, illustrating an "ABCD" framework for **Lasting Bladder & Bowel Control**:

- **(A)pp** – Guides training, tracks progress, and captures adherence and symptom information.
- **(B)iofeedback** – Provides real-time visual feedback to help patients recognize and correct pelvic floor movement.
- **(C)are Team** – Supports onboarding, technical needs, and treatment engagement throughout the program.
- **(D)evice** – Motion sensors detect pelvic floor movement during contraction and relaxation.
An infographic titled **"Lasting Bladder & Bowel Control"** displays four vertically connected, color-coded sections:

1. **(A)pp** – "Guides training, tracks progress, and captures adherence and symptom information."
2. **(B)iofeedback** – "Provides real-time visual feedback to help patients recognize and correct pelvic floor movement."
3. **(C)are Team** – "Supports onboarding, technical needs, and treatment engagement throughout the program."
4. **(D)evice** – "Motion sensors detect pelvic floor movement during contraction and relaxation."

Urinary incontinence is common. Care is often delayed.

Urinary incontinence affects women across the lifespan, yet many live with symptoms for years before seeking care.

More than

6 in 10

of adult women report urinary incontinence1

~30M

U.S. women report moderate-to-severe symptoms1

As few as

25%

of women with UI seek care2

6.5

 Years

average delay before discussing symptoms with a clinician3

Make bladder and bowel symptoms part of the routine conversation.

Many women may not volunteer concerns about bladder or bowel control. Asking a few simple questions during routine care can help uncover symptoms, start a conversation and determine whether further evaluation or treatment may be appropriate.

Urinary incontinence can have consequences beyond leakage.

Incontinence significantly affects physical, emotional, and social well-being. 

Left untreated, incontinence symptoms may progress over time.

Symptoms may worsen over time4

UI can significantly impact quality of life and daily function

30%

higher risk of hospitalization among women with UI5

24,983

participants included in a systematic review linking UI with poorer quality of life6

Pelvic floor therapy that fits into your clinical practice. 

One prescription gives your patient access to guided PFMT at home—with built-in patient support and progress reporting to help keep you informed.

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Guided pelvic floor muscle training

Leva guides patients through structured PFMT at home without requiring repeated in-person therapy visits.

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Real-time visual feedback

Patients receive visual feedback during each session to help guide correct pelvic floor movement.

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Patient support built in

The Leva Women’s Center provides onboarding, education, coaching, and ongoing treatment support.

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Progress you can monitor

Adherence and symptom reports help clinicians follow treatment progress. 

Prescribing Leva is simple.

Your Practice

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1. Identify an appropriate patient

Evaluate your patient’s symptoms and clinical history to determine whether Leva may be appropriate.

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2. Send the prescription

Order through your EMR or fax/email the prescription form to the Leva Women's Center For assistance setting up your EHR, please contact us or connect with your Leva representative

The Leva Women's Center

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3. Patient contact & benefit review

Our team contacts your patient (from a 617 number) to review health plan benefits, discuss fulfillment, and answer questions.

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4. Onboarding & coaching

We provide device onboarding, education, technical assistance, and coaching to support treatment engagement.

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5. Reporting

We fax you reports at 4, 8, and 12 weeks to keep you informed on your patient's symptom status and adherence to therapy.

Why Leva is different

Leva combines supervised PFMT with real-time visual guidance, coaching and remote monitoring to help patients complete therapy at home.

Therapy Features
Self-directed pelvic floor exercises (Non-prescription)
Leva® Pelvic Health System
Guided exercise technique
Variable
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Real-time visual biofeedback
—
Yes icon
At-home treatment
Yes icon
Yes icon
Structured treatment program
Variable
Yes icon
Adherence & progress monitoring
—
Yes icon
Coaching & patient support
—
Yes icon
Clinician-supervised
—
Yes icon

Guided exercise technique

Self-directed Pelvic Floor Exercises

Variable

LEVA® PELVIC HEALTH SYSTEM

Yes icon

Real-time visual biofeedback

Self-directed Pelvic Floor Exercises

—

LEVA® PELVIC HEALTH SYSTEM

Yes icon

At-home treatment

Self-directed Pelvic Floor Exercises

Yes icon

LEVA® PELVIC HEALTH SYSTEM

Yes icon

Structured treatment program

Self-directed Pelvic Floor Exercises

Variable

LEVA® PELVIC HEALTH SYSTEM

Yes icon

Adherence & progress monitoring

Self-directed Pelvic Floor Exercises

—

LEVA® PELVIC HEALTH SYSTEM

Yes icon

Coaching & patient support

Self-directed Pelvic Floor Exercises

—

LEVA® PELVIC HEALTH SYSTEM

Yes icon

Clinician-supervised

Self-directed Pelvic Floor Exercises

—

LEVA® PELVIC HEALTH SYSTEM

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Evidence that supports confident prescribing.

Published randomized and real-world studies support the safety and effectiveness of Leva for women with urinary and fecal incontinence. 

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Urinary Incontinence

Randomized Trial

Leva-guided PFMT produced greater urinary symptom improvement and fewer stress-related leakage episodes than a standard home PFMT program.7

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Urinary Incontinence

Durable Results

Urinary symptom improvements remained evident through 24 months after the initial treatment program.8

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Urinary Incontinence

Real-World Evidence

In a study of 947 women, 74% achieved clinically meaningful improvement in urinary symptoms.9

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Fecal Incontinence

Randomized and Real-World Evidence

Randomized and real-world studies demonstrated clinically meaningful improvement in fecal incontinence symptoms, with improvement in pelvic floor muscle performance and high treatment engagement.10,11

Practice Resources

Access prescribing resources, patient education materials and clinical publications to help support conversations with your patients and integrate Leva into your practice.

Practice Resources (3)
Prescription Form
PRACTICE RESOURCE

Prescription Form

We make it easy for you to prescribe Leva for your patients with this straightforward order form.

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PRACTICE RESOURCE

Healthcare Provider Brochure

Learn more about Leva, how you can help improve your patients’ pelvic health, and how to get started.

Patient discussion guide
PRACTICE RESOURCE

Patient Discussion Guide

Guide to support HCP-patient conversations about bladder leakage and Leva.

Medical Animation
MEDICAL EDUCATION

Leva Pelvic Health System Medical Animation

Get a quick overview of the pelvic floor, bladder function, and how pelvic floor muscle training with Leva can be used for the treatment of UI.

Medical Animation
MEDICAL EDUCATION

Stress Urinary Incontinence (SUI) and the Leva Pelvic Health System

Take a visual tour of a woman’s pelvic floor, highlighting how weakened pelvic floor muscles may cause UI and how Leva can help treat SUI.

Medical Animation
MEDICAL EDUCATION

Urgency Urinary Incontinence (UUI) and The Leva Pelvic Health System

Take a visual tour of a woman’s pelvic floor, highlighting how weakened pelvic floor muscles may cause UI and how Leva can help treat UUI.

Medical Animation
MEDICAL EDUCATION

Accidental Bowel Leakage (ABL) and the Leva Pelvic Health System

Take a visual tour of a woman's pelvic floor, highlighting how weakened pelvic floor muscles may cause Accidental Bowel Leakage (ABL) and how Leva can help treat ABL.

Webinar: Chronic FI Indication for Leva
MEDICAL EDUCATION

Webinar: Chronic FI Indication for Leva

Watch our medical education webinar outlining Leva’s indication for Chronic Fecal Incontinence (FI).

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MEDICAL EDUCATION

Webinar: First-Line Incontinence Care: Patient Identification, Treatment, and Referral Pathways

This expert panel discusses practical approaches to first-line incontinence care in OB/GYN and women’s health practice, including patient identification, screening, treatment options, and referral pathways.

Urinary Incontinence in Women — Part 1
MEDICAL EDUCATION

Urinary Incontinence in Women — Part 1

Webinar covering epidemiology, Screening, and Care Management.

Urinary Incontinence in Women — Part 2
MEDICAL EDUCATION

Urinary Incontinence in Women — Part 2

Webinar covering digital health, 1st line care current practices and new opportunities.

Leva Pivotal RCT Webinar
MEDICAL EDUCATION

Leva Pivotal RCT Webinar

This video provides an overview of our pivotal RCT.

Pivotal RCT
MEDICAL EDUCATION

Pivotal RCT

Read our pivotal RCT in the ACOG Green Journal.

3-IQ Patient Screening Questionnaire
SCREENING & DIAGNOSIS

3-IQ Patient Screening Questionnaire

The 3 Incontinence Questions (3-IQ) are a standardized, validated screening tool intended to help you determine the presence and type of UI.12

Care Pathway
SCREENING & DIAGNOSIS

Care Pathway

Use this tool to help you discuss UI treatment options and the role that pelvic floor muscle training plays in treatment/pelvic health.

Evidence Based Treatment Pathway Infographic
SCREENING & DIAGNOSIS

Evidence Based Treatment Pathway Infographic

Download this infographic to support education and shared decision-making in screening, evaluation, and treatment of female urinary incontinence.

Instructions for Use
SCREENING & DIAGNOSIS

Instructions for Use

This instruction manual is intended to provide valuable information about Leva to ensure that the use of the device is safe and effective.

Citations

1. Patel UJ, Godecker AL, Giles DL, Brown HW. Updated Prevalence of Urinary Incontinence in Women: 2015-2018 National Population-Based Survey Data. Female Pelvic Med Reconstr Surg. 2022;28(4):181-187. doi:10.1097/SPV.0000000000001127.

2. Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. The Iceberg of Health Care Utilization in Women with Urinary Incontinence. Int Urogynecol J. 2012;23(8):1087-1093.

3. Muller N. What Americans understand and how they are affected by bladder control problems: highlights of recent nationwide consumer research. Urol Nurs. 2005;25(2):109-115.

4. Li Q, Cheng Y, Shi H, Xue K, Zhou F. Advances in the natural history of urinary incontinence in adult females. J Obstet Gynaecol. 2023;43(1):2171774. doi:10.1080/01443615.2023.2171774

5. Pizzol D, Demurtas J, Celotto S, et al. Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging Clin Exp Res. 2021;33:25-35. doi:10.1007/s40520-020-01712-y.

6. Thom DH, Haan MN, Van Den Eeden SK. Medically recognized urinary incontinence and risks of hospitalization, nursing home admission and mortality. Age Ageing. 1997;26(5):367-374. doi:10.1093/ageing/26.5.367.

7. Weinstein MM, Dunivan G, Guaderrama NM, Richter HE. Digital Therapeutic Device for Urinary Incontinence: A Randomized Controlled Trial. Obstet Gynecol. 2022;139(4):606-615. doi:10.1097/AOG.0000000000004725.

8. Weinstein MM, Dunivan GC, Guaderrama NM, Richter HE. A Motion-Based Device Urinary Incontinence Treatment: A Longitudinal Analysis at 18 and 24 Months. International Urogynecology Journal. 2024. doi:10.1007/s00192-023-05721-z.

9. Hall E, Keyser L, McKinney J, Pulliam S, Weinstein M. Real-World Evidence From a Digital Health Treatment Program for Female Urinary Incontinence: Observational Study of Outcomes Following User-Centered Product Design. JMIR Formative Research. 2024;8:e58551. doi:10.2196/58551.

10. Patel UJ, Keyser LE, Gontarczyk Uczkowski N, Giles DL, Brown HW. Home-Based Biofeed