Does EmSella Work? What To (Really) Expect

Are you a patient suffering from urinary incontinence?

Are you looking to see if there are novel treatments for this challenging disease?

Urinary incontinence is a challenging problem for approximately 200 million people worldwide. Many patients are fed up with frequent bathroom stops and daily disruptions. They don’t enjoy the uncomfortable sensation of not knowing when incontinence will strike.

In this article, we will walk you through everything you need to know about EmSella. EmSella is a new treatment for urinary incontinence that holds promise for many patients. Read on to learn more about how EmSella could help you.

What Exactly Is Urinary Incontinence?

Urinary incontinence is a condition in which patients lose bladder control.

Patients may report having involuntary or unexpected leaks of urine at various times of the day. There are actually several reasons why this can occur, leading to different types of urinary incontinence.

Urge incontinence is defined by the sudden urge to urinate. Typically this urge will come on without any warning and patients may or may not have enough time to make it to the bathroom. This can be a distressing event, as patients do not know when incontinence will strike and may not be prepared.

Stress urinary incontinence occurs due to increased pressure placed on the bladder. Typically this occurs when intra-abdominal pressure goes up. Sneezing, coughing, laughing, or exercising are all causes of increased stress that can cause urinary leakage.

Mixed incontinence is a mixture of these two types of incontinence. Patients will exhibit both features of urge incontinence and stress urinary incontinence.

Overflow and Functional Incontinence

Overflow incontinence occurs when patients are unable to empty their bladder completely. This leads to leftover urine remaining in the bladder that can lead to leaks later on when the patient is not using the restroom. Once again, this is a challenging problem that causes distress in many patients.

Finally, functional incontinence occurs when there is another disorder in the body causing problems. This other disorder causes mental or physical impairment leading to urination as a secondary result. One example of this would be a patient who has significant arthritis and is unable to undress in time to make it to the bathroom to urinate.

What Is the Cause of Incontinence?

Each of the above types of incontinence has its own set of causal factors.

Stress urinary incontinence is often seen in women after the pelvic floor weakens as a result of pregnancy. Many women also develop stress urinary incontinence as they age due to a hormonal imbalance that occurs during menopause.

There are a wide variety of other factors that cause the additional types of incontinence. Many of these are neurologically based. However, in this article, we will focus on incontinence that occurs as a result of a weakened pelvic floor.

What Is EmSella?

Most of the time, stress urinary incontinence will be treated first with pelvic floor exercises. These are usually the best option for most women, and many women report resolution of their symptoms with strengthening.

However, problems may still arise again if the patient stops practicing their exercises or due to other causes that occur later.

Fortunately, there are other treatment options available for patients who have residual symptoms. One of these treatment options is called EmSella.

EmSella is a nonsurgical and noninvasive novel treatment for stress urinary incontinence. The way that it works is by emitting a high-intensity electromagnetic wave into the pelvic floor muscles. This will cause contractions of the muscle that help to strengthen it over time.

The treatment is applied over a 30-minute session twice a week for three weeks.

Is It Better Than Kegels?

EmSella has been found to be superior to Kegel exercises.

Self-guided strengthening exercises do work very well over a longer period. But they simply cannot outcompete the EmSella chair.

EmSella chair can deliver intense but nonpainful contractions by the thousands in a short period of time.

To make the point clear, spending 30 minutes in the EmSella chair is similar to doing 10,000 Kegels. That is a lot of benefit in a short time frame!

EmSella is especially effective at targeting weak pelvic floor muscles. These are the muscles that are responsible for bladder control and preventing incontinence. When you strengthen these muscles, you may see immediate results right away.

However, some patients will not notice any major change until there have been a few sessions.

Fortunately, approximately 95% of patients who undergo EmSella will see improvement. Of note, EmSella chair treatment has also been studied and found to be effective for urge and mixed incontinence as well.

What Are the Benefits of EmSella?

The biggest advantage to EmSella treatment is that the vast majority of patients will obtain relief. This cannot be overstated. EmSella directly targets the problem of stress urinary incontinence.

The biggest relief that most patients feel is not having to worry about planning their day around bathroom trips. Instead, they can focus on living life to the fullest and not even have to think about an involuntary lapse of urine.

There are some other specific benefits to EmSella treatment as well.

Because it is a non-invasive procedure, EmSella does not require any additional downtime. There is no extensive rehabilitation protocol. You will be able to undergo the treatment and still go about your daily life otherwise unaffected.

There is no added expense of hospital trips, as the procedure can be performed on an outpatient basis.

There will not be any need for invasive surgery, which is distinct from some other treatments for stress urinary incontinence. Many patients would otherwise elect to undergo a surgical sling procedure.

Other Benefits

Some patients will also report that they have an improvement in their chronic low back pain as a result of EmSella treatment. For women who are suffering from both problems, EmSella treatment could be an effective modality.

EmSella may also improve sexual function. It is also possible that undergoing EmSella treatment can result in improved orgasm. This has been found in both men and women.

As a side note, it is essential to remember that urinary incontinence can also occur in men. It is especially common in men after prostate procedures that may result in mild neurologic damage that can lead to bladder leakage.

EmSella treatment is still being developed for men. However, it is promising as a potential option for male urinary incontinence.

Who Is the Ideal Candidate for EmSella?

Any patient suffering significant stress or alterations to their daily life as a result of incontinence is a good candidate.

If you have tried other strengthening exercises and are still having to plan your day around bathroom visits, you are a good candidate.

Women who have given birth vaginally to at least one child and have developed incontinence are also good candidates.

You may have noticed urinary leakage when you are laughing, sneezing, coughing, or exercising. If this occurs, you may benefit from seeing a specialist to diagnose and treat your incontinence.

Obese women and women going through menopause are also target candidates. Men who have undergone prostate procedures may also benefit from EmSella treatment.

Younger Men and Women

It is important to remember that it is not simply older women and those who have had children who can develop stress urinary incontinence. It is very possible for women in their 20s who have not yet had children to also struggle with urinary leakage. This is especially true for athletes in contact sports as well as women who are overweight or obese.

What Are the Alternative Options for Strengthening the Pelvic Floor?

Many patients will attempt to strengthen the pelvic floor using strengthening exercises.

Most patients who undergo EmSella treatment will also need to make some other lifestyle changes so that they can see lasting results.

Women who are overweight or obese will also benefit from behavioral modifications to reduce their weight. Simply losing extra body fat in this region can help you regain control of your bladder.

Some patients also report having constipation regularly. Unfortunately, chronic constipation can compound the problem of urinary incontinence by increasing stress on the muscles of the pelvic floor. In this case, they will also benefit from eating a well-balanced diet with more fiber and fruits and veggies.


There are also surgical options for treatment. These are reserved for cases that don’t respond to first-line therapies. One effective treatment is the mid-urethral sling procedure.

However, this is a procedure that carries the risks that come with surgery. You will need to have a discussion with your doctor about whether this procedure is right for you.

What Can I Expect as a Patient?

When undergoing EmSella treatment, you will likely notice a few things occurring in your first few weeks of treatment.

First of all, most patients will be able to achieve improvement in their incontinence relatively quickly. This can give you hope as a patient that you can return to a normal life again.

The treatment truly does work. You will likely realize dramatic improvements in your leaking issues once you complete your course.

When you first reach out to the specialists for consultation, they will invite you in for an initial visit. You should plan to discuss your history of urinary issues and your medical background.

Gender-Specific Information

If you are a woman, this will include your pregnancy and menopausal history.

If you are a man, this may include any prostate disorders or surgery.
Your doctor will take this information and determine if you are a good candidate for EmSella therapy.

The reason you need to seek a specialist for advice is that certain medical conditions can prohibit the use of this treatment.

Patients who began to experience incontinence after radiation may not be good candidates. Additionally, patients who have pacemakers placed or other implanted metal devices in their bodies will not be eligible.

The Treatment Experience

As a patient, you won’t need any anesthesia over the course of the procedures. It is completely non-invasive, and nonpainful. You’ll be able to remain in your typical daily clothes for your 30-minute treatment.

Once you enter the treatment facility, you will sit down on the EmSella device. The device will start to send electromagnetic waves into your pelvic floor muscles. You will likely feel a gentle tingling sensation as the muscles in your pelvic floor begin to contract.

Once again, this is not a painful feeling, and you will be very comfortable at all times.

The great thing about EmSella treatment is that you won’t have to take any time off of work. You can simply come into the treatment facility on an outpatient basis, receive your treatment, and go home as normal. After three weeks of treatment, you will likely notice dramatic improvements.

Some patients will also benefit from undergoing maintenance sessions on a routine basis. This will depend on the quality of your improvement and your personal circumstances. This is a discussion that you will have with your healthcare provider following the completion of treatment.

Undergoing EmSella Treatment

So, does EmSella work? The answer is emphatically, yes!

EmSella incontinence treatment is a revolutionary treatment for patients with stress urinary incontinence. Don’t continue to struggle with urinary leakage if strengthening exercises aren’t working. In this case, it is worth having a discussion with your doctor about EmSella.

If you are interested in EmSella treatment in the Savannah or Hilton Head Island area, please contact us today. We will discuss with you the pros and cons of EmSella and what you can expect in terms of EmSella cost.

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