- Locations
- (352) 353-0092
- (352) 353-0416
- Email Us
- Text Us
BTL EMSELLA · PELVIC FLOOR TREATMENT
Laugh without worrying about a leak. Enjoy a walk without constantly looking for a bathroom. Feel more confident doing the things you love.
If bladder leakage is interfering with everyday life, BTL EMSELLA offers a comfortable, noninvasive way to stimulate pelvic-floor muscles. You stay fully clothed and sit on a specialized treatment chair - no needles, internal probes or surgery.
At Cleveland Health Center, we evaluate the cause of your symptoms first, then discuss whether EMSELLA belongs in your care plan.
You may recognize some of these experiences. Each deserves an accurate diagnosis, and none automatically means EMSELLA is right for you.
If movement or physical effort causes accidental urine loss, pelvic-floor muscle function may contribute. EMSELLA is one possible option after evaluation.
Pregnancy, delivery and aging can affect pelvic support. We discuss exercise-based therapy, lifestyle strategies and selected device options.
Urgency can have many contributors. Magnetic stimulation has been studied for some urinary symptoms, but evaluation and other treatments may be more appropriate.
EMSELLA may be discussed as an adjunct in selected men, but evidence is less developed than in women and persistent leakage may require specialist care.
The goal is less interruption from symptoms and greater ease with everyday activity—not a guaranteed return to every activity.
Bladder symptoms can affect confidence and relationships. Your goals matter when choosing how to treat them.
Your pelvic floor is a group of muscles that helps support the bladder and control urine flow. Just like other muscles, this support system can become weaker or less coordinated.
EMSELLA uses high-intensity focused electromagnetic (HIFEM) stimulation through a chair seat. The field activates pelvic-floor muscles, creating repeated involuntary contractions during the session. Patients can often feel the muscles tightening and relaxing while remaining seated and fully dressed.
This approach may improve pelvic-floor muscle function in selected patients. It does not replace diagnosis, individualized pelvic-floor physical therapy or treatment for infection, prolapse, neurological disease or other causes of urinary symptoms.
Tell us about your symptoms, health history and goals. We screen for conditions needing additional tests or referral and review whether the device is safe for you.
During treatment, you sit on the EMSELLA chair while pelvic-floor contractions are generated. The intensity is adjusted to your comfort and tolerance.
A session in studies generally lasts around 28 minutes. No surgical recovery is required, although your team will give individual guidance and answer concerns.
Many studies use six sessions, usually twice weekly. We confirm your actual frequency and whether more sessions make sense after evaluation.
We may compare the frequency of leaks, urgency, pad use or validated questionnaires to your baseline. Some patients notice changes during treatment, while others do not.
Depending on your condition, we may recommend pelvic-floor exercises, bladder training, managing constipation or other medical treatment and follow-up.
The growing research is encouraging—especially for women with stress-related or mixed urinary leakage—and deserves to be explained clearly.
A published meta-analysis found that HIFEM treatment was associated with fewer urinary leakage episodes and improved symptom and quality-of-life scores compared with controls in pooled analyses. The studies varied in quality and methods.
In a prospective study, the average urinary-incontinence symptom questionnaire score fell by about 52% after six EMSELLA visits and about 60% at one-month follow-up. These are results for that small study—not a guaranteed result for an individual patient.
A randomized study comparing pelvic-floor exercises with and without electromagnetic treatment found both approaches helpful. Some muscle function and urinary-distress measures improved more in the combination group, but not every outcome remained statistically significant after adjustment.
Studies differ in how patients are selected, outcomes are measured and long-term follow-up is reported. Established pelvic-floor training remains important; EMSELLA has not been proven superior for every patient or every type of urinary incontinence.
| Option | What it involves | When it may be considered |
|---|---|---|
| BTL EMSELLA | Noninvasive electromagnetic pelvic-floor muscle stimulation while fully clothed. | For selected patients with bladder-control symptoms after evaluation, sometimes alongside standard care. |
| Pelvic-floor exercise / physical therapy | Learning to strengthen, coordinate or relax pelvic-floor muscles with guidance. | An important established conservative option, often helpful for stress leakage. |
| Bladder training and lifestyle changes | Bladder habit strategies, fluid and caffeine adjustments, constipation management and related measures. | Often recommended for urgency and overactive bladder symptoms. |
| Medications and specialist treatments | Prescription medicines or procedures according to diagnosis. | May be needed for urgency, persistent leakage or complex problems. |
EMSELLA is one part of a broader approach; treatment should fit the diagnosis, not the device.
We review your health history and the device's current safety instructions before treatment. EMSELLA may be unsuitable for patients with certain implanted electronic devices, certain metallic implants in the treatment region, pregnancy, or other manufacturer-listed contraindications. Screening is individual; do not assume eligibility based on symptoms alone.
If you have new blood in the urine, fever, pelvic pain, inability to urinate, unexpected neurological symptoms or rapidly worsening leakage, seek medical evaluation rather than relying on EMSELLA treatment.
Some patients may experience temporary muscle discomfort or fatigue. Tell the team immediately if treatment is painful or uncomfortable. Your clinician will explain costs, session numbers and any activity instructions before proceeding.
Although EMSELLA is marketed for urinary incontinence in women and men, data for sexual-function improvement and certain male urinary indications remain less established in the United States. We discuss these uses without promising sexual-function outcomes.
Yes. The device is marketed in the United States for urinary incontinence in women and men. We determine whether it may help your particular condition after individual assessment.
Studies and manufacturer materials commonly describe approximately 28 minutes per treatment session. Your appointment may take longer to allow for intake and discussion.
Yes. Patients generally remain fully dressed and seated during the procedure; no internal device is inserted.
Six sessions, often twice weekly, are common in published research. The appropriate course and follow-up depend on your diagnosis, response and CHC protocol.
Most patients experience noticeable involuntary muscle contractions; treatment intensity should be comfortable. Tell the team if you feel pain or discomfort.
Stress urinary incontinence is among the better-studied applications. Some patients in clinical studies improved, but results vary and not all leakage comes from pelvic-floor weakness.
Research on electromagnetic stimulation for urgency symptoms is evolving. These complaints may have other causes, and behavioral therapy, medications or other options may be more appropriate.
Men may have pelvic-floor symptoms after prostate treatment. Treatment is highly individualized, and significant post-prostate leakage may require evaluation by urology; data for EMSELLA in this specific group are more limited.
No. Kegels are voluntary pelvic-floor contractions, often learned with a pelvic health physical therapist. EMSELLA stimulates muscles externally. They may be discussed together, but EMSELLA does not replace learning muscle coordination.
EMSELLA is noninvasive and usually does not require surgical downtime. Follow your clinician’s guidance and report any unusual symptoms.
Long-term durability is not firmly established across populations. Your clinician will reassess symptoms and discuss exercises, follow-up and whether additional care is useful.
Coverage and out-of-pocket cost depend on the individual plan and clinic billing arrangements. Our team can explain current payment information before scheduling treatment.
Pelvic-floor health can influence sexual wellbeing, but EMSELLA is placed under CHC’s separate Pelvic Floor Therapy service. Our Women’s and Men’s Sexual Wellness pages link here when relevant. Sex-function outcomes should not be assumed.
Cleveland Health Center serves The Villages and Wildwood area and welcomes patients traveling from across Florida, other states and internationally. Confirm the specific treatment location when booking.
Begin with our dedicated Urinary Incontinence & Pelvic Floor Therapy service. We can evaluate common forms of leakage and discuss options such as EMSELLA.
View Pelvic Floor ServiceExplore our separate Women’s and Men’s Sexual Wellness pages. Certain concerns overlap, but treatment depends on the underlying cause.
Explore Sexual WellnessOur team combines a respectful conversation, careful medical evaluation and clear explanations of available options. We understand that bladder-control concerns can be sensitive—and can affect the confidence to walk, golf, travel, exercise or spend time with others.
Learn about Florian Gegaj, MD and Cleveland Health Center's individualized medical approach. We welcome local, statewide, national and international patients.
Physician medical-review statement and review date must be inserted only after Dr. Gegaj approves this page's final clinical content.
For patient education; not a substitute for individualized medical care.
