I have problems with bowel incontinence. It developed slowly and lately I do not even feel it happening, which is very upsetting. I have been doing kegel exercises for years, but find it harder and harder to find the correct muscles to exercise and obviously it was not working. I decided to take a chance on the Kegel 8 Ultra 20 even though I was not sure it would help. After a month I noticed some of the more constant issues to start disappearing. Recently I experienced urgency when we were far from home, and I managed to make it home without an accident and that was just the most amazing thing for me. I will continue with the exercises and am very happy with my purchase. I seem to have nerve damage and the direct stimulation appears necessary to build the muscles up and keep them strong. I am starting to find the correct muscles again to do kegels on my own too. If you hesitate, I can urge you take a chance on this wonderful device. The transmission gel works great for me with no side effects. Every time I had a question, it was answered clearly and quickly.