FDA-Cleared HIFEM Therapy

EMSELLA — pelvic-floor strengthening, measured in the right units.

EMSELLA delivers thousands of supramaximal pelvic-floor contractions per session using high-intensity focused electromagnetic energy. Indication-led, protocol-driven, paired with a full pelvic-health assessment.

Session length

28 min

Course

6–8 sessions

Frequency

2× / week

Downtime

Zero

Book Pelvic-Health Assessment Read the Evidence

11,000

Equivalent Kegels per session

95%

Patient satisfaction post-course

100%

Pelvic-floor activation

FDA

Cleared K183297

Mechanism of action

How HIFEM reaches muscles that voluntary contraction cannot.

EMSELLA uses high-intensity focused electromagnetic (HIFEM) energy to induce supramaximal contractions across the entire pelvic-floor muscle group simultaneously. The field penetrates clothing, skin, and connective tissue, activating motor neurons directly.

Voluntary kegels recruit roughly 30–40% of pelvic-floor fibres in well-trained individuals. HIFEM achieves ~100% activation, including deep fibres that sit beyond conscious motor control.

Stimulus. Focused electromagnetic field at therapeutic intensity
Response. Supramaximal motor-neuron depolarisation
Effect. Muscle hypertrophy + neuromuscular re-education
Outcome. Restored continence, core stability, intimate function

The evidence

Peer-reviewed outcomes, not anecdotes.

95^%

Of women with stress urinary incontinence reported quality-of-life improvement after a six-session HIFEM course.

Samuels JB et al., Lasers Surg Med 2019

67^%

Reduction in daily protective-pad use among participants over a 6-month follow-up.

Silantyeva E et al., Female Pelvic Med 2021

28^min

Per session — equivalent stimulus to thousands of voluntary contractions, performed automatically.

BTL Industries technical specification

Clinical scope

Who EMSELLA is for — and who it isn’t.

Indications

Stress urinary incontinence (women & men)
Urge incontinence and overactive bladder
Post-prostatectomy urinary leakage
Postpartum pelvic-floor weakness
Erectile dysfunction with pelvic-floor component
Chronic pelvic pain with hypotonic floor
Pre- and post-menopausal core weakness

Contraindications

Pacemaker or implanted electronic device
Metal implants in the pelvis
Pregnancy
Active cancer in the treatment area
Pulmonary insufficiency
Recent abdominal/pelvic surgery (within 3 months)
Hypertonic pelvic floor — different protocol indicated

Treatment protocol

A defined course, delivered consistently.

Standard EMSELLA course at Kinetika.

Pre-treatment

60-min pelvic-health assessment with certified PT

Sessions

6–8 sessions, 28 min each

Frequency

2× per week, fully clothed, seated

Adjunct therapy

Manual therapy, breathwork, guided exercise as indicated

Re-evaluation

At session 4 and post-course

Maintenance

1 session per month or per protocol

Clinical FAQ

The questions we hear most often.

Is EMSELLA safe? Does it hurt?

EMSELLA is FDA-cleared and well-tolerated. Most patients describe a tingling sensation and strong but painless contractions. There’s no downtime; you can return to normal activity immediately.

How many sessions before I see results?

Most patients notice improvement after 4–6 sessions. The standard course is 6–8 sessions, twice weekly. Results compound over the course and continue to improve in the weeks after.

Can men use EMSELLA?

Yes. EMSELLA is indicated for men with stress incontinence, post-prostatectomy leakage, and erectile dysfunction with a pelvic-floor component. The protocol is the same.

Why do I need an assessment first?

Pelvic-floor presentations are heterogeneous. Some patients have a hypertonic (overactive) floor, in which strengthening is contraindicated and would worsen symptoms. The 60-minute assessment confirms EMSELLA is the right intervention before we begin.

I’ve tried Kegels — how is this different?

Voluntary Kegels engage 30–40% of the pelvic-floor muscle group at best, and are commonly performed incorrectly. HIFEM achieves close to 100% activation in every contraction, with no learning curve.

Can I combine EMSELLA with other treatments?

Often, yes. EMSELLA is most effective when integrated with manual therapy, breathwork, and a guided exercise programme — particularly for chronic presentations or post-surgical recovery.

What are the contraindications?

Common absolute contraindications include pacemakers and implanted electronic devices, metal implants in the pelvis, pregnancy, and active cancer in the treatment area. These are screened during the initial assessment.

Start with the assessment.

EMSELLA only works as well as the plan around it. Book a 60-minute pelvic-health assessment to see whether it’s right for you, and what the right protocol looks like.

Book Pelvic-Health Assessment