Care with delicacy and respect.
Non-invasive neuromodulation supporting intimate health through autonomic nervous system balance.
Do you recognise yourself?
Pelvic floor and urinary control
Like a door whose spring doesn’t close in time — that spring is your pelvic floor. The reflex coordination is disturbed and closure is delayed.
Self-assessment, not self-diagnosis — discuss with a professional.
Non-invasive modulation of the autonomic nervous system.
Regulation
Support for autonomic functions.
Comfort
Reduction of tension.
Discretion
A non-invasive, painless approach.
Download the NESA presentation.
Mechanism, indications, protocols and clinical data for implementing NESA.
Microcurrents through the wrists and ankles — the whole autonomic axis at once.
The bladder and pelvic floor are under autonomic control.
Sympathetic pathways (thoracolumbar) support storage — relaxing the detrusor and closing the bladder neck; parasympathetic (sacral) pathways drive emptying via detrusor contraction. The pelvic floor complements this interplay. A disturbed autonomic balance can present as urgency, overactive bladder and incontinence. NESA supports a more favourable regulation of detrusor, bladder neck and pelvic floor along sacral and thoracolumbar pathways — non-invasive, without intravesical or intimate local application.
Important for an honest classification: the NESA manual has no standalone pelvic-floor/urogynaecology protocol. So no specific parameters (session count, programmes, electrodes) are stated here; application rests on published evidence and the autonomic mechanism. General logic: three phases central → metameric (sacral and thoracolumbar) → focal; 60-min session, LOW; monitoring with ICIQ-UI SF, PSQI. Concrete execution is the specialist responsibility.
The urogynaecological evidence comprises two published 2026 works. They support NESA as a non-invasive option in incontinence and overactive bladder; this is emerging, supporting evidence, not grounds for blanket promises.
urinary symptoms (ICIQ-UI SF), −12% voids/day, −31% sleep disturbance (PSQI) — Conde-Santos, Medicina 2026.
control of detrusor overactivity — Arrabal-Martín, Can J Urol 2026.
Limits & safety: NESA promises no cure. The manual has no pelvic-floor protocol — application rests on published evidence and the mechanism. Protocols are guidelines, not prescriptions. XSIGNAL is a medical device, not for everyone. Urinary and pelvic complaints should be clarified urogynaecologically before use. Absolute contraindications: pacemaker and pregnancy.
Bring NESA into your practice.
At the core: programmes P1–P9
Every protocol in this field combines the reference programmes P1–P9 — general homeostasis, body levels, ANS/CNS and targeted nerves — according to the clinical goal.
See programmes P1–P9 →Protocols are guidelines, not prescriptions.
Parameters are guides; the therapist adapts them to the patient.
NESA is not suitable for every patient and promises no cure.
Absolute contraindications (pacemaker, pregnancy, active implants) follow the device IFU.
What the studies show.
urinary symptoms (ICIQ-UI SF) — Conde-Santos, Medicina 2026
daily voids — Conde-Santos, Medicina 2026
sleep disturbance (PSQI) — Conde-Santos, Medicina 2026
detrusor overactivity control — Arrabal-Martín, Can J Urol 2026
Data from peer-reviewed studies; individual results may vary. A complement, not a promise of cure.