EMSELLA by BTL Industries is an FDA-cleared, noninvasive treatment for urinary incontinence and pelvic floor weakness. Using High-Intensity Focused Electromagnetic (HIFEM) technology, EMSELLA strengthens the pelvic floor muscles from the inside out — while you remain fully clothed, seated comfortably in a chair.
Reclaim Confidence. Restore Control. No Downtime.
Stress Urinary Incontinence
Stress Urinary Incontinence
Reduced urine leakage during coughing, sneezing, laughing, and physical activity
Significant improvement on the 1-hour pad test when HIFEM is combined with pelvic floor muscle training
Urge Urinary Incontinence
Stress Urinary Incontinence
Improved bladder control and reduced urgency episodes
Better urination control reported by patients after treatment
Postpartum Pelvic Floor Recovery
A pilot randomized controlled trial in postpartum women with SUI found that HIFEM combined with pelvic floor muscle training significantly reduced urine leakage on the 1-hour pad test, supporting its role in postnatal rehabilitation
Pelvic Floor Strengthening
Pelvic Floor Strengthening
HIFEM induces deep pelvic floor muscle contractions that have been shown to increase bioelectrical muscle activity on surface electromyography, with effects demonstrated in a sham-controlled randomized study
Improved Quality of Life
Pelvic Floor Strengthening
Improved Quality of Life
Patients report meaningful improvements across multiple quality-of-life domains, including physical limitations, social limitations, personal relationships, and emotional well-being
A randomized controlled trial of 128 women found that electromagnetic pelvic floor stimulation significantly reduced depressive symptoms and improved self-efficacy beliefs alongside incontinence improvement
Sexual Function
Pelvic Floor Strengthening
Improved Quality of Life
Among sexually active women, HIFEM therapy has been associated with improvements in arousal, orgasm, and reduced condition-related impact on intimacy
A systematic review of chair-based magnetic stimulation found clinically relevant improvements in Female Sexual Function Index (FSFI) scores, with gains of +6.3 to +10.0 points across studies
Patients have also reported increased sexual desire and better overall satisfaction following treatment
EMSELLA delivers focused electromagnetic energy directly to the pelvic floor, triggering thousands of supramaximal muscle contractions per session. These contractions drive deep neuromuscular stimulation, pelvic floor remodeling, and restoration of continence control.
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emsella is not just for women
Benefits for men
Emerging evidence supports its use in men with urinary incontinence following radical prostatectomy:
- In a study of 27 men with post-prostatectomy incontinence, HIFEM therapy produced a 60.6% improvement in incontinence scores and significant reduction in daily pad use at 1-month follow-up
- No adverse events were reported
- Randomized sham-controlled trials in this population are currently underway
SSRI-Induced Erectile Dysfunction
EMSELLA may offer a complementary approach for men with SSRI-induced ED by:
- Strengthening the pelvic floor muscles that are essential for maintaining erection rigidity, independent of the central serotonergic effects of the medication
- Bypassing the adherence barrier — unlike traditional Kegel programs, which require consistent daily effort and proper technique, Emsella delivers automated, supramaximal contractions that do not depend on patient motivation or skill
- Providing a non-pharmacological option — current management strategies for SSRI-induced ED include dose reduction, drug switching, or adding PDE5 inhibitors (sildenafil), but these approaches may not be feasible for all patients, particularly those whose depression is well-controlled on their current SSRI regimen
- Addressing the muscular component of ED that persists even when central pharmacological interventions are used, potentially serving as an adjunct to PDE5 inhibitors or other treatments
Premature Ejaculation
Pelvic floor muscle rehabilitation has also shown promise for premature ejaculation. Strengthening the bulbospongiosus and ischiocavernosus muscles through targeted contractions may improve ejaculatory control, with clinical studies demonstrating intracavernous pressure gains in men with premature ejaculation comparable to those seen in ED patients.