Emsella

Stress urinary incontinence, leaking during coughing, sneezing, laughing, or exercise, is the most common condition treated, and it affects an estimated one in three women at some point in their lives. Emsella is equally effective for urge incontinence, characterized by a sudden, intense need to urinate that is difficult to control, as well as mixed incontinence that combines both stress and urge components.

Beyond incontinence, many patients at our Fishkill practice report improvements in overall pelvic floor wellness after completing their Emsella series. Strengthened pelvic floor muscles can contribute to enhanced intimate wellness, better core stability, and reduced pelvic discomfort. Postpartum women find Emsella particularly valuable for rebuilding pelvic floor integrity after vaginal delivery, and perimenopausal and menopausal women benefit from counteracting the muscle weakening effects of declining estrogen levels. Men experiencing age-related pelvic floor decline or post-prostatectomy incontinence are also excellent candidates for Emsella treatment.

You arrive in your everyday clothing, there is no need to undress, no preparation required, and no special garments to wear. You simply sit on the Emsella chair, and the treatment begins. During the 28-minute session, you will feel a tingling sensation and pelvic floor contractions that increase in intensity. Most patients describe the feeling as unusual but not painful, and many read, check their phone, or simply relax during the treatment.

The standard Emsella protocol consists of six sessions scheduled twice per week over a three-week period. This concentrated treatment schedule allows the pelvic floor muscles to progressively strengthen with adequate recovery between sessions. There is zero downtime after each appointment, you can return to all normal activities immediately, including exercise. Many patients begin noticing improvement in bladder control after just two or three sessions, with optimal results developing over the full course of treatment and continuing to improve for several weeks after the final session.

When you perform a Kegel exercise, you are generating a voluntary contraction that engages only a portion of the pelvic floor muscle fibers. Emsella’s HIFEM technology bypasses the brain’s neuromuscular limitations and directly stimulates the motor neurons of the entire pelvic floor, recruiting 100 percent of the muscle fibers in the treatment field simultaneously.

Delivering over 11,000 of these complete contractions in a single session creates a profound remodeling stimulus. The muscle fibers undergo hypertrophy (increased thickness) and hyperplasia (generation of new muscle fibers), resulting in measurably stronger and more responsive pelvic floor musculature. Clinical studies published in peer-reviewed journals demonstrate that Emsella produces a 95% patient satisfaction rate, with 67% of treated patients either completely eliminating or significantly reducing their use of absorbent pads. These outcomes position Emsella as one of the most effective non-surgical interventions for pelvic floor dysfunction available today.