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Evolution MD

Redefining Aesthetics through Medicine, Harvard-Trained Staff and Innovative Medical Technologies

Feel better, look better (in that order!), change your life

Why we offer medically-backed treatment plans to our patients

Aesthetics is all about looking your best, but it’s hard to look your best when you don’t feel your best. Aging isn’t a choice, but thanks to modern medical technology, aging comfortably and beautifully is! Taking a proactive approach to your life by learning more about the best that medical science has to offer will allow you to shape your future and optimize the quality of your life. Our goal as Harvard-Trained Board Certified doctors is to empower our patients suffering from problematic medical conditions, including urinary incontinence.

Our practice integrates the best of health care management and advocacy with the latest medical technologies to offer you a way to take control of your aesthetic and healthcare future. We are board certified, fellowship and Harvard trained physicians with expertise in nutrition, physiology, critical care medicine, aesthetics, and periprocedural medicine. Our practice is uniquely structured to take an integrative approach to aesthetics and health. We can help you tackle age-related conditions that may be impacting your daily life.

How our medical experts can offer you improved quality of life

Change your life with advanced treatments

At Evolution MD, we offer a menu of medically based, holistic tools and services to manage and even clear your incontinence. Our mainstay of treatment for mild to moderate urinary incontinence is an FDA approved electromagnetic chair which painlessly stimulates your pelvic floor, all while you simply sit on it fully clothed. This non-invasive option is a favorite for many of our busy patients who seek a comfortable, painless, convenient treatment for urinary incontinence.

Urinary incontinence has significant social and economic impact both on individuals and society. The prevalence of Urinary Incontinence (UI) among women ages 50-60 is close to 51.1 % and higher among those 60-80 years of age. 95.5% of women with UI report that it impacts their quality of life in a negative manner, yet 64.7% report that they have not sought medical help for this condition. Surgery and pelvic floor physical therapy are common treatments for UI, but many patients find them ineffective.

As such, the increasing incidence of Urinary Incontinence now supports a multimillion-dollar industry. One need only to walk down the aisle of any major pharmacy to see the plethora of leak-control underwear options there are. Sadly, many women consider incontinence a natural part of aging…an inconvenience that they have to put up with. We are here to tell you that this is not the case. At Evolution MD, we have successfully treated patients who had given up hope, assuming their only option was a lifetime of absorbent undergarments.

Understanding what triggers and treats adult incontinence

Given our medically-backed approach to all of our treatments, we understand that incontinence is usually not an isolated issue. It is often associated with other medical conditions such as obesity, diabetes, high blood pressure, constipation, and menopause. We take a multifactorial approach to incontinence and target all the problems that can trigger or worsen incontinence.

We offer scientifically vetted medical-nutritional interventions and aesthetic procedures to help minimize belly fat and build muscle throughout your body. We find that as our patients’ UI symptoms improve, they feel comfortable taking walks again and exercising in public without worrying about leaking or running to the nearest bathroom.



Walk-in, walk-out procedure

Remain fully clothed

Compassionate care, scientific approach

Your Evolution MD Team

Your Harvard-Trained Boston Area Team of incontinence specialists

Mary Cappiello, MD

Harvard Trained Doctor

Eric Cappiello, MD

Harvard Trained Doctor

Wendy Gross, MD

Harvard Trained Doctor

What health factors cause
Incontinence in men and women?

There are a number of key factors exclusive to women that play a factor in causing incontinence. Common contributing factors are the following:

• Menopause

Estrogen plays a vital role in continence mechanisms.  The bladder and urethral functions become less efficient with age and lack of estrogen. During menopause, the body suddenly stops producing estrogen. This can cause lack of bladder control.

• Pregnancy

The weight of pregnancy puts extra pressure on the bladder, weakening the muscles. Childbirth further damages these muscles through the stretching and strain of the muscles during birth.

• Hysterectomy

A hysterectomy is an operation to remove a woman’s uterus. This can also remove some structures that are required to provide pelvic support for bladder control.

• Stress, smoking, weight struggles &more:

There are also a number of other factors that can contribute to female and male incontinence, including but not limited to, certain neurological disorders, being overweight, smoking and even family history. Stress urinary incontinence usually develops when the muscles that would ordinarily prevent urine leakage — including the pelvic floor muscles and the urethral sphincter — become damaged or weakened.

Female and male bladder leaks and incontinence can finally be treated without surgery and medication.

The science behind why EMSELLA is the easiest choice for both men and women when it comes to incontinence

To date, 5 clinical studies have been published on EMSELLA. Studies confirm 95% of patients report an improved quality of life


Improved quality of life


Pad reduction

Real patients Earned confidence

Frequently Asked Questions

Get Directions to our Boston Emsella Center

We are conveniently located at 4 Pleasant Street South Unit 1, Natick, MA 01760.


You can give us a call at (617) 804-6584

Frequently Asked Questions

1. What is incontinence?

Incontinence is the involuntary loss of urine from the bladder. Over 200 million people worldwide struggle with urinary incontinence, and only half of them seek help.

2. What causes urinary incontinence?

Urinary incontinence happens when the muscles that control and support the urinary bladder and the pelvic floor weaken. The involuntary loss of urine can happen during any activity; coughing, laughing, sneezing. It may happen during sexual intercourse or during a simple task such as bending over or lifting something off the floor.

3. How can I treat my urinary incontinence?

With Emsella, treating incontinence has never been easier. It continues to have over 95% patient satisfaction rating without the need for any surgery or daily medication intake.

4. How does Emsella treatment feel?

Emsella tratment or the Emsella throne feels like gentle vibrations or contractions. It is absolutely painless.

5. How long does Emsella treatment take?

Each Emsella treatment session takes 30 minutes while you are sitting on the emsella treatment throne. 

6. How many treatments of Emsella does it take before I can feel any results?

Patients who choose Emsella as their incontinence solution have reported an improvement as early as 24 hours after their first treatment session. *Patient results may vary.

7. How many sessions of Emsella does one need?

Our Harvard Trained Emsella doctors recommend the following for optimal results: a series of 6 sessions total performed over 3 weeks. This comes down to twice a week 30 minute sessions for 3 weeks.

9. How often do I need Emsella to maintain my incontinence treatment results?

To maintain your Emsella results, our Harvard Trained doctors recommend upkeep every 3 to 6 months. 

10. Are Emsella results permanent?

Emsella results are semi-permanent. Because it involves muscles, ideally you should help your muscles maintain the results with a little boost every 3-6 months.

11. Are there any side effects to Emsella?

There are no side effects to Emsella. 

12. What to expect during your Emsella treatment

During your Emsella treatment you will be sitting on the Emsella throne while you feel gentle vibrations between your legs. These gentle vibrations will contract your muscles just as you would during a kegel exercise.

Over 200 million people worldwide are affected by incontinence and only half of them seek help

Break the cycle:

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Why does EMSELLA work?

The Breakthrough Treatment for Incontinence