Non-Invasive Therapy for Urinary Incontinence and Pelvic Floor Weakness

EMSELLA® is a Health Canada-approved, non-invasive treatment that strengthens the pelvic floor muscles and improves bladder control. It uses High-Intensity Focused Electromagnetic (HIFEM®) technology to stimulate deep pelvic floor muscles that are difficult to activate with voluntary exercises alone.

This treatment is commonly used for stress urinary incontinence (SUI), urge urinary incontinence (UUI), mixed incontinence, and pelvic floor dysfunction.

Kegel Chair

How EMSELLA Works

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EMSELLA delivers focused electromagnetic energy to the pelvic floor muscles while the patient remains fully clothed and seated comfortably on the treatment chair.

The technology induces thousands of supramaximal pelvic floor muscle contractions during a single session — far exceeding what can be achieved with voluntary Kegel exercises.

These contractions:

  • Strengthen and re-educate weakened pelvic floor muscles

  • Improve neuromuscular control

  • Increase urethral support

  • Enhance bladder control

By restoring pelvic floor strength and coordination, EMSELLA addresses the root cause of urinary leakage.

EMSELLA may be recommended for:

Stress Urinary Incontinence

  • Leakage with coughing, sneezing, laughing, lifting, or exercise.

Urge Urinary Incontinence / Overactive Bladder

  • Sudden urgency, frequency, and leakage before reaching the washroom.

Mixed Incontinence

  • Combination of stress and urgency symptoms.

Pelvic Floor Weakness

  • Often associated with childbirth, menopause, aging, or pelvic surgery.

What to Expect During Treatment

  • The patient sits comfortably on the EMSELLA chair.
  • No undressing is required.
  • Each session lasts 28 minutes.
  • The initial treatment protocol consists of six sessions over three weeks (individualized based on patient needs).
During treatment, patients experience tingling sensations and pelvic floor contractions, which are generally well tolerated.
There is no downtime, and patients can resume normal activities immediately.

Benefits of EMSELLA

  • Non-invasive and non-surgical
  • No anesthesia required
  • No recovery time
  • Comfortable and discreet
  • Suitable for both women and men
  • High patient satisfaction rates
Improvement typically lasts for up to a year. Maintenance sessions are required for ongoing benefits.

Clinical Integration

EMSELLA is often incorporated into a comprehensive pelvic floor treatment plan, which may include:
  • Pelvic floor physical therapy
  • Behavioral bladder training
  • Pharmacologic therapy (if indicated)
  • Lifestyle modification
This multimodal approach optimizes long-term outcomes.

Ideal candidates

EMSELLA may be appropriate for individuals who:
  • Experience stress or urge urinary incontinence
  • Prefer a non-surgical treatment option
  • Have mild to moderate pelvic floor weakness
  • Have persistent symptoms despite pelvic floor exercises
A comprehensive evaluation is recommended to determine candidacy.

Safety & Considerations

EMSELLA is generally well tolerated. It may not be appropriate for patients with:
  • Implanted electronic devices (e.g., pacemakers)
  • Metal implants in the pelvic region
  • Certain neurologic or medical conditions
A full medical evaluation will determine whether the treatment is appropriate.

Common Questions

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