Who May Benefit From EMSELLA?

EMSELLA may benefit selected women and men experiencing pelvic floor weakness or symptoms where pelvic floor function is contributing to the problem.

Urgency is not the same presentation as leakage with a cough. Some people have both. Strength, timing, relaxation, bladder habits and other medical causes can all matter, so the assessment helps determine whether muscle stimulation, pelvic-floor physiotherapy, bladder training or another pathway is relevant.

Stress, urgency and mixed incontinence: why the difference matters · EMSELLA, pelvic-floor exercises and bladder training: how are they different? · Why pelvic-floor control includes relaxation as well as contraction

Common reasons people explore EMSELLA include:

EMSELLA uses high-intensity focused electromagnetic technology to stimulate repeated pelvic floor muscle contractions while you remain fully clothed and seated.

The important question is not simply whether you have one of these symptoms.

It is whether pelvic floor strengthening is likely to help your particular presentation.

That is why ¹EM begins with clinical assessment rather than assuming that every bladder or pelvic symptom requires the same treatment.

EMSELLA is a pelvic floor muscle treatment.

The pelvic floor contributes to:

When these muscles become weak or are not functioning effectively, symptoms can begin affecting daily life.

EMSELLA provides intensive electromagnetic muscle stimulation without requiring surgery or an internal treatment applicator.

Urinary leakage is one of the most common reasons people consider EMSELLA.

Published HIFEM research has demonstrated improvements in urinary incontinence symptoms and quality of life in appropriately selected patients. [1]

This can include people who notice leakage when:

These symptoms are often associated with stress urinary incontinence.

Pelvic floor muscles contribute to supporting the bladder and urethra when pressure within the abdomen suddenly increases.

When this support is reduced, leakage can occur.

Strengthening the pelvic floor may therefore improve urinary control in selected patients.

Related article: Can EMSELLA Help With Urinary Incontinence?

Stress urinary incontinence is one of the best studied reasons for pelvic floor muscle rehabilitation.

If you routinely:

it may be worth assessing your pelvic floor.

Pelvic floor muscle training is already recognised as an important conservative treatment for stress urinary incontinence.

EMSELLA® provides another way of stimulating those muscles through high-intensity focused electromagnetic treatment.

A systematic review and meta-analysis of HIFEM for female urinary incontinence found reductions in incontinence episodes and improvements in validated urinary symptom scores compared with control treatment, although the authors also noted variation between studies and the need for stronger future trials. [1]

Mixed urinary incontinence means experiencing both stress leakage and urgency symptoms.

For example, you may:

but also:

Patients with mixed urinary incontinence have been included in multiple EMSELLA and HIFEM clinical studies. [1,2]

At ¹EM, Dr Emir assesses which symptoms are most prominent because treatment planning may differ depending on what is contributing to them.

EMSELLA may also be relevant to selected patients experiencing urgency or frequency.

A prospective HIFEM study published in 2026 included women with:

and reported improvements in urinary symptoms and quality-of-life measures following six treatments. [2]

However, urgency and frequency deserve more careful assessment because they can have several possible causes.

Symptoms such as:

should not automatically be diagnosed as pelvic floor weakness.

At ¹EM, the goal is to understand the symptom pattern before deciding whether strengthening the pelvic floor is the right approach.

Pregnancy and childbirth place substantial demands on the pelvic floor.

Some women notice:

following delivery.

Electromagnetic pelvic floor stimulation has been specifically investigated in postpartum women.

A 2025 randomised trial involving women with postpartum stress urinary incontinence found improvements in symptoms and pelvic floor strength with both electromagnetic stimulation and Kegel exercises, with greater measured pelvic floor strength in the electromagnetic-treatment group. [3]

At ¹EM, EMSELLA® is not performed during pregnancy or within the first three months after childbirth.

After three months, Dr Emir assesses healing, delivery history, symptoms and overall suitability before treatment is considered.

Related article: Can I Have EMSELLA After Pregnancy or Birth?

Menopause can be accompanied by changes in:

Ageing and hormonal change can both influence pelvic floor function.

EMSELLA may therefore be relevant for selected women during:

particularly when pelvic floor weakness or urinary incontinence is contributing to symptoms.

Recent research has specifically evaluated EMSELLA in postmenopausal women with urinary incontinence, with improvements reported following treatment. [4]

However, EMSELLA does not treat menopause itself.

Symptoms such as vaginal dryness, burning or other genitourinary changes related to menopause may require a different or additional approach.

Related article: Is EMSELLA Suitable for Women Going Through Menopause?

EMSELLA is not just for women.

Men have pelvic floor muscles that contribute to:

Men may consider pelvic floor rehabilitation because of:

The clinical reason for treatment should still be established first.

Related article: Does EMSELLA Help Men as Well?

This is one of the strongest male applications for electromagnetic pelvic floor treatment.

After radical prostatectomy, some men experience:

A 2025 EMSELLA study involving 27 men with persistent urinary incontinence following radical prostatectomy reported significant improvements in urinary symptom scores and daily pad use after six treatments and at one-month follow-up. [5]

No adverse events were reported during the study.

The research remains relatively small, but these findings support the role of electromagnetic pelvic floor stimulation as a non-invasive rehabilitation option worth considering in selected men.

Treatment timing after prostate surgery still depends on surgical recovery and individual assessment.

Pelvic floor muscles contribute to aspects of erectile rigidity and maintenance.

Pelvic floor rehabilitation therefore may form part of a broader treatment approach for selected men experiencing erectile dysfunction.

However, erectile dysfunction can have several causes, including:

EMSELLA should therefore not be presented as the automatic answer for every man experiencing ED.

Dr Emir assesses whether pelvic floor function appears to be contributing and whether further medical evaluation is appropriate.

Related article: Can EMSELLA Support Men With Erectile Dysfunction?

Selected patients with mild pelvic organ prolapse symptoms may benefit from pelvic floor strengthening.

Pelvic organ prolapse occurs when weakened muscles and supporting tissues allow pelvic organs to descend from their normal position.

Symptoms can include:

Pelvic floor muscle strengthening is recognised as a conservative treatment option for mild prolapse. [6]

Because EMSELLA stimulates the pelvic floor muscles, it may support muscular strength and improve some prolapse-related symptoms in appropriately selected patients.

Yes, although this evidence needs to be interpreted appropriately.

A 2025 prospective comparative study included 133 menopausal women with grade 2 cystocele and urinary incontinence.

Women were treated with either:

Both groups experienced improvements in symptoms and quality of life.

Surgery produced greater anatomical correction and lower recurrence, while EMSELLA® provided a non-invasive treatment pathway with faster recovery. [7]

The practical message is important:

EMSELLA® may support pelvic floor strength and symptoms associated with selected mild or moderate prolapse presentations, but it is not a replacement for surgical anatomical repair when surgery is clinically indicated.

It should not be described that way.

EMSELLA strengthens pelvic floor muscles.

It does not surgically repair ligaments, connective tissues or other structural changes.

Someone with:

deserves appropriate assessment before treatment.

A recent HIFEM urinary-incontinence study excluded women with pelvic organ prolapse above stage 2, illustrating why more significant prolapse should not simply be treated as uncomplicated pelvic floor weakness. [2]

Pelvic floor exercises can be highly useful, but some people find them surprisingly difficult.

Common problems include:

EMSELLA does not rely entirely on your ability to voluntarily generate every pelvic floor contraction during treatment.

The electromagnetic field stimulates the muscles directly through their motor nerves.

This can make treatment particularly attractive to people who struggle to activate the pelvic floor effectively on their own.

Pelvic floor exercises can still remain part of the broader rehabilitation plan.

For some patients, the practical treatment experience is itself important.

During EMSELLA®:

For people who have delayed discussing pelvic floor symptoms because they expected an invasive or embarrassing treatment, this can make accessing help considerably easier.

Related article: What Does EMSELLA Treatment Feel Like?

This is an important distinction.

Not every pelvic floor problem is caused by weakness.

Some patients can have pelvic floor muscles that are excessively tense or poorly coordinated.

Symptoms can overlap with those caused by weakness.

Pelvic pain, painful intercourse and difficulty relaxing the pelvic floor, for example, may require a different approach.

This is one reason ¹EM assesses the underlying presentation rather than assuming that every pelvic symptom should be treated with stronger muscle contractions.

Frequency by itself does not automatically mean you are a good candidate for EMSELLA.

The clinical context matters.

Dr Emir may want to understand:

EMSELLA may still have a role, but treatment should follow assessment rather than replace it.

Some people are interested in pelvic floor conditioning before symptoms become severe.

That can be discussed during consultation.

However, ¹EM does not assume that every person automatically needs a course of EMSELLA.

The value of treatment depends on:

A useful consultation can sometimes conclude that treatment is not currently necessary.

EMSELLA has important contraindications.

Treatment may not be appropriate for people with certain:

Implant-specific questions cannot safely be answered by An online answer or reception alone.

Where appropriate, Dr Emir reviews:

before determining whether treatment is permissible and clinically appropriate.

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

No.

There is no simple rule that says somebody is too young or too old based on age alone.

Pelvic floor symptoms can occur:

Medical history and the cause of symptoms are more important than chronological age alone.

At ¹EM, the standard initial EMSELLA course is generally:

6 sessions

2 sessions per week

Approximately 3 weeks

Each session takes approximately 30 minutes.

Progress is then considered according to the reason you started treatment.

Related article: How Many EMSELLA Sessions Are Recommended?

You remain fully clothed and seated on the EMSELLA chair.

As treatment begins, you feel:

The contractions become stronger as treatment intensity increases.

Treatment should generally feel intense rather than painful.

Most suitable patients can resume their normal activities immediately afterwards.

What Does EMSELLA Actually Do?

Related article: What Does EMSELLA Treatment Feel Like?

The process begins with the problem rather than the machine.

What is happening?

When does it happen?

How much does it affect your life?

Is weakness likely to be contributing, or could something else explain the symptoms?

This can include:

Treatment needs to be safe as well as potentially useful.

More complex urinary, prolapse, implant, postoperative or sexual-health presentations can be medically reviewed before treatment is recommended.

If EMSELLA is appropriate, the program is tailored around your clinical goals and treatment progress.

EMSELLA® is most relevant to selected people whose symptoms involve pelvic floor weakness or dysfunction and where strengthening the pelvic floor is clinically appropriate.

Yes, potentially. Urinary incontinence is one of the most studied applications of HIFEM pelvic floor treatment.

Yes. Stress urinary incontinence is a common reason patients seek pelvic floor strengthening.

Potentially, in selected patients. Because urgency has several possible causes, it should be assessed before treatment.

Potentially, depending on the cause. Frequency alone should not automatically be treated as pelvic floor weakness.

Yes, potentially. At ¹EM, treatment is considered only after the first three months postpartum and following individual assessment.

Yes. EMSELLA® may be relevant where pelvic floor weakness or urinary incontinence contributes to symptoms during and after menopause.

Yes. EMSELLA can strengthen the male pelvic floor and has been studied particularly for urinary leakage following prostatectomy.

Potentially, once appropriate surgical recovery has occurred. Clinical research has reported improvements in post-prostatectomy urinary incontinence following HIFEM treatment.

It may support selected men where pelvic floor dysfunction contributes to erectile function, but erectile dysfunction can have several other causes that deserve assessment.

Pelvic floor strengthening may improve support and symptoms in selected people with mild prolapse. EMSELLA does not replace appropriate assessment or surgical treatment when significant anatomical prolapse is present.

Potentially, depending on your pelvic floor function and goals. A consultation can determine whether there is a useful clinical reason to treat.

No referral is required to request an assessment with ¹EM.

Many patients arrive knowing only what they are experiencing:

"I leak when I exercise."

"I can't hold on when I suddenly need the bathroom."

"My pelvic floor has not felt the same since childbirth."

"My bladder control changed after prostate surgery."

"I feel pelvic heaviness."

That is enough to start the conversation.

The role of the consultation is to determine what those symptoms may represent, whether pelvic floor strengthening could help and whether EMSELLA® is an appropriate way to provide it.

If bladder control, pelvic floor weakness, postpartum changes, menopause, prostate treatment or pelvic support symptoms are affecting your daily life, you do not need to diagnose yourself first.

Start with an assessment.

At ¹EM, Dr Emir and the clinical team can review your symptoms and relevant medical history and determine whether EMSELLA® should form part of your personalised treatment plan.

CTA heading: Find Out Whether EMSELLA® Is Right for You

CTA description: Book a complimentary ¹EM consultation to discuss your symptoms, assess your pelvic floor treatment options and determine whether EMSELLA® may help.

CTA button: Book Your Complimentary Consultation

Internal links to add:

1. Leonardo K, Rahardjo HE, Afriansyah A. Noninvasive High-Intensity Focused Electromagnetic Therapy in Women With Urinary Incontinence: A Systematic Review and Meta-Analysis. Neurourology and Urodynamics. 2025. PMID: 39760417.

Seven studies were included. HIFEM was associated with reductions in urinary incontinence episodes and improvements in validated symptom measures, while the authors noted heterogeneity and possible bias.

2. Jongjakapan A, et al. Effectiveness of High-Intensity Focused Electromagnetic Therapy in Women with Urinary Incontinence. International Urogynecology Journal. 2026. PMID: 41051574.

This prospective study included women with stress, mixed and urgency urinary incontinence. Fifty-seven women completed six HIFEM sessions over three weeks, with significant improvements in urinary symptoms and quality-of-life measures.

3. Improving Pelvic Floor Muscle Strength in Women With Postpartum Stress Urinary Incontinence Using Electromagnetic Stimulation Therapy: A Randomized Controlled Trial. 2025. PMID: 40352220.

Postpartum women with stress urinary incontinence experienced improvements with both electromagnetic stimulation and Kegel exercises, with significantly greater measured pelvic floor muscle strength in the electromagnetic stimulation group.

4. Efficacy of Combining Kegel Exercises with EMSELLA-Based Pelvic Floor Muscle Electrostimulation in Postmenopausal Women with Involuntary Urinary Leakage. 2026. PMID: 42187519.

Ninety-nine postmenopausal women with stress, urgency or mixed urinary incontinence were treated with EMSELLA® alone or EMSELLA® combined with structured Kegel exercises. Both groups improved.

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

Twenty-seven men with persistent urinary incontinence after radical prostatectomy received six EMSELLA® treatments. Significant reductions in urinary symptom scores and pad use were reported following treatment and at one-month follow-up.

6. Healthdirect Australia. Pelvic Floor Exercises and Prolapse Guidance.

Australian health guidance recognises pelvic floor muscle strengthening as an important conservative strategy for urinary continence and notes that strengthening can help selected patients with mild pelvic organ prolapse.

7. Sacarin G, et al. Prospective Comparative Study of EMSella Therapy and Surgical Anterior Colporrhaphy for Urinary Incontinence: Outcomes and Efficacy. Healthcare. 2025. PMID: 40281813.

This prospective study compared EMSELLA® with anterior colporrhaphy in menopausal women with grade 2 cystocele and urinary incontinence. Both approaches improved outcomes, while surgery produced greater anatomical correction and lower recurrence.

This article provides general health information and does not determine whether EMSELLA® is appropriate for an individual patient. Urinary, pelvic floor, prolapse and sexual-health symptoms can have different underlying causes. Treatment suitability depends on individual symptoms, medical history, examination where indicated and applicable treatment contraindications.