From the Research
The Emsella chair is a moderately effective treatment for pelvic floor tightening in patients with stress urinary incontinence, with the most recent and highest quality study 1 suggesting it is more beneficial for patients with mild stress urinary incontinence.
Key Points to Consider
- The treatment uses high-intensity focused electromagnetic (HIFEM) technology to induce thousands of supramaximal pelvic floor muscle contractions during a typical 28-minute session.
- Clinical studies show improvement in urinary incontinence symptoms in many patients, with some reporting 50-75% reduction in symptoms and improved quality of life 2.
- The treatment works by strengthening pelvic floor muscles through involuntary contractions that cannot be achieved through voluntary Kegel exercises alone.
- Patients remain fully clothed during treatment and typically experience no significant discomfort.
- While Emsella may provide meaningful improvement for mild to moderate stress urinary incontinence, it should be considered as part of a comprehensive approach that may include traditional pelvic floor physical therapy, lifestyle modifications, and in some cases, surgical options for more severe cases.
- Results vary between individuals, and maintenance sessions every 6-12 months may be necessary to sustain improvements.
Evidence-Based Recommendations
- Pelvic floor muscle training is a recommended first-line treatment for stress urinary incontinence and pelvic organ prolapse 3, 2.
- Biofeedback and electrical stimulation-assisted pelvic floor muscle training can be an effective treatment option for stress urinary incontinence, especially for patients with mild symptoms 1.
- The Emsella chair can be considered as a non-invasive treatment option for pelvic floor tightening in patients with stress urinary incontinence, particularly those with mild symptoms.
Considerations for Clinical Practice
- A comprehensive approach to treating stress urinary incontinence and pelvic organ prolapse should include a combination of lifestyle modifications, pelvic floor physical therapy, and potentially surgical options for more severe cases.
- The Emsella chair can be a useful addition to this comprehensive approach, particularly for patients who are looking for a non-invasive treatment option.
- Clinicians should individualize treatment options for women based on their symptoms, comorbidities, and risk factors for mesh-related complications 3.