What is Emsella® Chair Therapy?
BTL Emsella® is an FDA-cleared, non-invasive medical treatment designed to eliminate urinary incontinence and restore bladder control by strengthening the pelvic floor. When these muscles stretch or weaken due to childbirth, aging, weight fluctuations, or menopause, it often leads to leaks when you laugh, cough, or exercise.
Emsella relies on an ergonomic medical chair that uses High-Intensity Focused Electromagnetic (HIFEM) technology, penetrating deep into pelvic floor tissues to trigger thousands of powerful contractions per session. This builds muscle mass, repairs stretched fibers, and re-educates the neuromuscular system controlling the bladder — all while you sit comfortably and fully clothed.
Request an AppointmentWhat to Expect During Your Appointment
When you undergo Emsella therapy at Miami Women’s Center, your care is handled in a private, comfortable environment:
- Customized device calibration: You sit directly on the Emsella chair, fully clothed. Your provider adjusts intensity settings to your personal comfort threshold.
- A passive, effortless workout: For 28 minutes, you simply recline and relax while the chair performs the high-intensity rehabilitation program automatically.
- Immediate lifestyle resumption: Once the session ends, you can instantly resume your daily routine with no muscle soreness or bruising.
For related concerns like pelvic organ prolapse, our prolapse care page covers additional treatment options.
Frequently Asked Questions About Emsella®
Emsella at Miami Women’s Center
How exactly does the Emsella® chair work?
The chair uses focused electromagnetic waves to stimulate the nerves and muscles responsible for bladder control. A single 28-minute session triggers 11,200 supramaximal muscle contractions — a depth of contraction physically impossible to achieve through voluntary exercises like Kegels — remodeling and tightening pelvic floor tissue from the inside out.
What does the treatment feel like, and does it hurt?
Emsella therapy is completely painless and requires no anesthesia. You’ll feel a localized tingling followed by a pulling or contracting sensation across your pelvic floor. Most patients describe it as intense but entirely tolerable, and you remain fully clothed and can read, use your phone, or chat during the session.
How many Emsella® sessions will I need to see results?
Many patients notice a positive change after one or two appointments, but a full course of six sessions, scheduled twice a week over three weeks, is recommended for lasting rehabilitation. A maintenance session every 6 to 12 months is typically advised afterward.
Is there any downtime or recovery period?
None. Emsella is a walk-in, walk-out procedure with no incisions, injections, or medications involved. You can immediately drive home, return to work, or head to the gym after your session.
Who is an ideal candidate for Emsella® Chair Therapy?
Emsella works well for women of all ages struggling with stress, urge, or mixed incontinence, including postpartum mothers and menopausal women with weakened bladder support. It isn’t suitable for pregnant patients or those with metal implants near the treatment zone, such as pacemakers, copper IUDs, or hip replacements — your provider will review your history to confirm eligibility.
Can men or younger women use Emsella too?
Emsella is primarily used for female pelvic floor and bladder concerns at our practice, with treatment plans tailored to age and specific symptoms rather than a fixed age cutoff.
Will I need to change anything about my daily routine during treatment?
No lifestyle changes are required during the treatment course, though your provider may pair Emsella with pelvic floor exercises or bladder training for a more complete result.