Does EMSELLA Help Men as Well?

Yes, EMSELLA can be used by men to strengthen the pelvic floor and may support bladder control, post-prostate rehabilitation and other aspects of male pelvic health.

The pelvic floor supports continence, while some pelvic-floor muscles also contribute to sexual function. Leakage after prostate surgery, urgency and erectile symptoms have different clinical contexts. The assessment considers which problem is being addressed and which evidence is relevant.

How do the brain, bladder and pelvic floor work together? · Can I Have EMSELLA After Prostate Surgery? · Can EMSELLA Help With Sexual Function or Erection Quality in Men?

Pelvic floor problems are sometimes discussed as though they only affect women.

They do not.

Men have pelvic floor muscles too, and those muscles contribute to:

EMSELLA uses high-intensity focused electromagnetic technology to stimulate repeated contractions of these muscles while you remain seated and fully clothed.

For selected men, this provides a non-invasive way to strengthen and rehabilitate the pelvic floor without an internal treatment or surgical procedure.

At ¹EM, Dr Emir assesses your symptoms, medical history and treatment goals before determining whether EMSELLA is appropriate for you.

The male pelvic floor is a group of muscles and connective tissues forming the base of the pelvis.

These muscles surround and support structures including the:

The pelvic floor contributes to several functions that can have a major impact on quality of life. These include:

Pelvic floor muscles help support closure of the urethra and control the release of urine.

The pelvic floor contributes to continence and coordination during bowel movements.

Certain male pelvic floor muscles contribute to erection rigidity, ejaculation and maintaining pressure within the penis.

The pelvic floor works alongside other deep muscles involved in stabilising the pelvis and trunk.

This is why male pelvic floor rehabilitation can be relevant to considerably more than simply doing Kegel exercises.

Pelvic floor function can change for many reasons.

These may include:

For some men, symptoms become obvious.

For others, pelvic floor dysfunction is only recognised after urinary leakage or sexual-function changes begin affecting everyday life.

EMSELLA uses high-intensity focused electromagnetic energy, commonly referred to as HIFEM.

During treatment, the electromagnetic field stimulates the motor nerves controlling the pelvic floor and produces repeated muscle contractions.

You simply sit on the treatment chair.

There is:

A typical session takes approximately 30 minutes.

The treatment intensity is adjusted according to your treatment plan and tolerance.

The underlying technology is the same, but the reason for treatment and clinical context can be very different.

For women, treatment is commonly discussed in relation to:

For men, common reasons for assessment can include:

At ¹EM, men are not simply placed onto a women's pelvic floor protocol.

The symptoms and reason for treatment are assessed individually.

Yes, this is currently one of the strongest male applications supported by clinical research.

Urinary incontinence can occur in men for several reasons, but it is particularly common following prostate surgery.

A 2025 clinical study evaluated EMSELLA in 27 men with persistent urinary incontinence following radical prostatectomy.

Participants received six HIFEM treatments, twice weekly.

Their average urinary incontinence symptom score fell from 10.58 before treatment to 5.43 after the treatment course and 4.16 at one-month follow-up.

Daily pad use also decreased.

No adverse events were reported during the study.

The researchers concluded that the results supported HIFEM as a promising non-invasive option for post-prostatectomy urinary incontinence, while appropriately noting the need for larger and longer-term studies.

The evidence extends beyond that single EMSELLA® study.

A recent rapid evidence assessment examined extracorporeal magnetic stimulation for urinary incontinence in adult men.

It identified nine studies involving 181 men treated with electromagnetic stimulation, most of whom had urinary incontinence following prostate surgery.

Four were randomised controlled trials.

The review found that magnetic stimulation was associated with:

The authors also emphasised that studies were relatively small and that stronger trials remain desirable.

That is an encouraging evidence base, but it should not be converted into a promise that every man will become continent after treatment.

Potentially, yes.

This is particularly relevant after radical prostatectomy.

The prostate sits close to structures involved in urinary control.

After prostate surgery, men can experience:

Pelvic floor rehabilitation is already recognised as an important part of continence recovery following prostatectomy.

Current European Association of Urology guidance supports offering pelvic floor muscle training, alone or combined with techniques such as biofeedback or stimulation, to men undergoing radical prostatectomy to help accelerate continence recovery.

EMSELLA® provides a non-invasive electromagnetic method of stimulating those muscles.

Yes.

A 2025 quadruple-blind, sham-controlled clinical trial evaluated magnetic stimulation in men experiencing urinary incontinence following radical prostatectomy.

Compared with sham treatment, active magnetic stimulation produced greater improvements in:

At eight weeks, the reported improvement rate was 75% in the active-treatment group compared with 26.3% in the sham group.

Reported continence rates were 45% versus 15.8%, respectively.

The treatment was reported as well tolerated without serious side effects.

This is useful evidence that the biological and clinical rationale extends beyond uncontrolled EMSELLA® case series.

There is no universal date that applies to every man.

Prostate surgery involves real tissue healing, and treatment timing should take into account:

Catheter removal or the passage of a particular number of weeks does not automatically establish treatment suitability.

Dr Emir will assess whether sufficient recovery has occurred and whether electromagnetic pelvic floor treatment is appropriate.

Where appropriate, information from your urologist or surgical records may also be reviewed.

Yes, potentially.

Men do not need to have undergone prostate surgery to develop pelvic floor weakness.

EMSELLA® may be worth discussing if you experience:

The important step is determining what is causing the symptoms.

Urinary problems should not automatically be attributed to pelvic floor weakness simply because EMSELLA is available.

Potentially, in selected men.

Some pelvic floor muscles contribute to erection rigidity and maintenance.

Pelvic floor rehabilitation has evidence supporting a role in erectile dysfunction, and early HIFEM research has also reported improvements in measures of male sexual function.

However, erectile dysfunction can have vascular, neurological, hormonal, medication-related, psychological and pelvic floor causes.

EMSELLA® is therefore not an automatic treatment for every man with ED.

Dr Emir assesses whether pelvic floor function appears relevant before recommending treatment.

Can EMSELLA Help With Sexual Function or Erection Quality in Men?

Men's Health:https://menshealth.1em.com.au/

The pelvic floor forms part of the deeper muscular system involved in pressure regulation and pelvic and trunk stability.

However, EMSELLA should primarily be described as a pelvic floor treatment rather than a general abdominal or core-strengthening treatment.

If the main goal is broader abdominal or trunk muscle conditioning, a different treatment pathway may be more relevant.

At ¹EM, this distinction matters because we also use EMSCULPT NEO for selected muscle-conditioning and body-contouring applications.

The goal is to choose the technology according to the tissue and function we actually want to address.

No.

Kegel exercises involve voluntarily contracting and relaxing the pelvic floor muscles.

They require you to:

EMSELLA® instead uses electromagnetic energy to stimulate repeated pelvic floor contractions during the session.

Pelvic floor exercises remain important and are supported by current urological guidance, particularly after prostate surgery.

EMSELLA® can provide an additional method of muscle stimulation for selected patients rather than making voluntary pelvic floor rehabilitation irrelevant.

There is reasonable evidence supporting pelvic floor rehabilitation, although different studies have produced different results.

Current European guidance describes some inconsistency across individual trials, while later systematic reviews have found that pelvic floor muscle training can shorten the time to continence recovery after prostatectomy.

A 2025 rapid evidence assessment also found that extracorporeal magnetic stimulation produced earlier continence in several male studies and outperformed sham treatment in randomised trials.

This is why the ¹EM approach is not:

"Everyone needs EMSELLA."

It is:

"Does this man's presentation suggest pelvic floor rehabilitation is relevant, and is EMSELLA® an appropriate way to provide it?"

You sit fully clothed on the EMSELLA® chair.

As treatment begins, you feel contractions occurring through the pelvic floor.

Men may describe:

The intensity is gradually adjusted according to comfort and treatment goals.

A session takes approximately 30 minutes.

You can generally return to normal daily activities afterwards.

No.

The EMSELLA® treatment itself is performed while you remain fully clothed.

There is no internal applicator.

This is one of the reasons some men find EMSELLA an approachable entry point into pelvic floor rehabilitation.

For many men, the more difficult step is talking about the problem rather than receiving the treatment.

Urinary leakage after prostate surgery, erectile changes and pelvic floor weakness are medical issues.

At ¹EM, you can discuss symptoms privately with Dr Emir without needing to know the correct medical terminology.

You can simply describe what is happening.

For example:

Those descriptions are clinically useful.

A six-session treatment course has been used in published EMSELLA® research in men with post-prostatectomy urinary incontinence.

At ¹EM, your treatment plan is personalised according to:

The schedule is discussed before you proceed.

Some changes may occur during the treatment program, while clinical studies have also assessed continued improvement after the treatment course.

In the 2025 EMSELLA post-prostatectomy study, urinary incontinence scores improved after six sessions and improved further at one-month follow-up.

The pelvic floor is muscle.

Strengthening and neuromuscular adaptation take time.

Progress is therefore better assessed across a treatment program than judged from one session.

For urinary incontinence, useful measures can include:

The goal is not simply to complete six sessions.

It is to determine whether the problem that brought you to treatment is changing.

No.

EMSELLA® is a pelvic floor treatment.

It does not replace appropriate urological assessment, prostate cancer follow-up or management of another urinary condition.

If your symptoms suggest something that requires specialist investigation, that should be addressed rather than using pelvic floor treatment to mask the problem.

This is particularly important for:

Published studies in appropriately selected male patients have generally reported good short-term tolerability.

The 2025 EMSELLA® study involving 27 post-prostatectomy patients reported no adverse events, although the study was small and follow-up was limited.

EMSELLA® is still not appropriate for everyone.

Important contraindications can include:

Treatment suitability is established before the program begins.

Who May Not Be Suitable for EMSCULPT NEO or EMSELLA?

Tell us before treatment.

Men who have undergone prostate treatment may have implanted medical devices, including continence devices.

These implants require clinical review before treatment.

Dr Emir may need to establish:

If the device makes EMSELLA contraindicated, treatment will not proceed.

The consultation is designed to understand the problem before choosing the treatment.

Depending on your symptoms, Dr Emir may review:

When leakage occurs, how frequently it occurs and how much it affects daily life.

Including previous prostate surgery, radiation or other treatment.

Where relevant, erectile and other sexual-function symptoms can also be discussed.

Including medications, cardiovascular conditions, neurological conditions and other relevant health issues.

Particularly pacemakers, defibrillators, continence devices and metallic implants.

Different men have different priorities.

One person may want to stop using pads.

Another may want greater confidence returning to exercise.

Another may have both urinary and sexual concerns.

The treatment plan should reflect the actual goal.

We do not define men's pelvic health as simply putting someone onto a chair for six sessions.

The process starts with the clinical problem.

For a man with urinary leakage after prostate surgery, that means understanding:

For another man, the discussion may centre on sexual function or general pelvic floor weakness instead.

The device is a tool.

The treatment plan comes from the assessment.

No.

Men have pelvic floor muscles and can experience pelvic floor weakness and urinary incontinence.

EMSELLA can be used in appropriately selected male patients.

Yes, it may.

Clinical studies of electromagnetic pelvic floor stimulation in men, particularly after prostatectomy, have reported improvements in urinary leakage, symptom scores and continence.

Potentially, yes.

HIFEM treatment has been studied specifically in men with urinary incontinence following radical prostatectomy.

Your surgical recovery and individual suitability still need to be assessed first.

It may form part of pelvic floor rehabilitation for selected patients, particularly where urinary incontinence remains after prostate surgery.

Your cancer treatment history and ongoing specialist follow-up should be discussed during assessment.

Potentially, when pelvic floor function is contributing.

ED has many possible causes, so individual medical assessment remains important.

Yes.

The treatment uses electromagnetic energy to produce repeated contractions of the pelvic floor muscles.

No. Treatment is performed while you remain fully clothed.

No.

Approximately 30 minutes.

Six sessions are commonly used in clinical studies, but your ¹EM program is personalised according to your presentation.

No referral is required to request a consultation with ¹EM.

Yes.

If urinary, prostate or sexual-health symptoms are something you would prefer to discuss directly with Dr Emir, let the team know.

Men often tolerate urinary leakage or pelvic changes for far too long because pelvic floor treatment is perceived as something designed for women.

It isn't.

If you are wearing pads, modifying exercise, worrying about leakage, recovering from prostate treatment or noticing changes in pelvic function, it is reasonable to ask whether pelvic floor rehabilitation could help.

The first step is understanding the cause.

At ¹EM, Dr Emir can assess your symptoms, prostate and medical history, treatment goals and suitability before determining whether EMSELLA® should form part of your personalised pelvic health program.

CTA heading: Take Control of Your Pelvic Health

CTA description: Book a confidential complimentary consultation to discuss bladder control, post-prostate recovery and male pelvic floor strength with the ¹EM team.

CTA button: Book a Men's Health Consultation

Internal links:

Men's Pelvic Health:https://menshealth.1em.com.au/

EMSELLA® at ¹EM:https://emsella.1em.com.au/

Related article: Can EMSELLA® Help With Urinary Incontinence?

Related article: Can EMSELLA® Support Men With Erectile Dysfunction?

Related article: Who May Not Be Suitable for EMSCULPT NEO or EMSELLA?

1. Tosun H, et al. Evaluating the Efficacy of High-Intensity Focused Electromagnetic (HIFEM) Therapy for Postprostatectomy Incontinence in Men. Therapeutics and Clinical Risk Management. 2025. PMID: 40909763.

Twenty-seven men with persistent urinary incontinence following radical prostatectomy received six EMSELLA® treatments. Significant improvements were reported in urinary incontinence scores and daily pad use following treatment and at one-month follow-up. No adverse events were reported.

2. A Rapid Evidence Assessment for Extracorporeal Magnetic Stimulation to Treat Urinary Incontinence in Men. Canadian Urological Association Journal. PMID: 41191830.

The review identified nine studies involving 181 men receiving extracorporeal magnetic stimulation, predominantly for post-prostatectomy urinary incontinence. Several small randomised controlled trials reported earlier continence recovery and superiority to sham treatment.

3. Efficacy of Magnetic Stimulation in Men With Urinary Incontinence After Radical Prostatectomy: A Randomized, Quadruple-Blind, Sham-Controlled Clinical Trial. 2025. PMID: 40223765.

Active magnetic stimulation produced significantly greater improvements in several urinary outcomes than sham treatment, including higher reported improvement and continence rates at eight weeks.

4. European Association of Urology. Guidelines on the Management of Non-Neurogenic Male Lower Urinary Tract Symptoms.

The EAU discusses pelvic floor muscle rehabilitation following radical prostatectomy and recommends offering pelvic floor muscle training, alone or with biofeedback or stimulation, to help accelerate continence recovery.

This article provides general health information and does not replace individual medical or urological assessment. Urinary, sexual and pelvic floor symptoms in men can have multiple causes. Previous prostate treatment, implanted devices, medications and relevant medical conditions should be disclosed before EMSELLA® treatment is considered.