Say no to incontinence.
BTL EMSELLA is the FDA-cleared HIFEM® chair for the treatment of male and female urinary incontinence. You sit, fully clothed, for about 28 minutes. The chair delivers thousands of supramaximal pelvic-floor contractions per session — the equivalent of thousands of Kegels — strengthening muscles you can't reliably reach on your own.
Fully clothed
You sit on a chair, fully clothed, the whole time. No exam-room undressing, no gown.
About 28 minutes
Read, watch something on your phone, take the call you've been putting off. Six sessions, twice weekly.
Non-invasive · no anesthesia
No surgery, no needles, no drugs. Walk in, walk out, return to your day immediately.
Men and women
EMSELLA is cleared for both male and female urinary incontinence — postpartum, post-prostate-surgery, and age-related.
Thousands of Kegels in a single session — physically impossible to do on your own.
BTL EMSELLA uses HIFEM® (High-Intensity Focused Electromagnetic) technology to deliver supramaximal contractions to the entire pelvic floor at once. A single 28-minute session produces thousands of contractions equivalent to thousands of Kegel exercises — at intensities that voluntary muscle effort simply cannot reach.
The pelvic floor sits deep enough in the body that conscious activation is difficult for most people, and complete activation is nearly impossible. EMSELLA's electromagnetic field penetrates the full pelvic-floor region uniformly, restoring neuromuscular control and re-conditioning weak musculature without the patient needing to learn correct technique.
How EMSELLA works
BTL's mechanism-of-action explainer — how the HIFEM® field reaches the full pelvic floor through the chair.
Aimee — patient testimonial
From the BTL national patient program. Individual results vary.
Allan — patient testimonial
From the BTL national patient program. EMSELLA is cleared for both male and female incontinence. Individual results vary.
Patient-reported outcomes after a full six-session series.
95%
of patients reported satisfaction and significant improvement in quality of life following six EMSELLA treatments.
67%
totally eliminated or decreased the use of hygienic pads in day-to-day life.
~11k
supramaximal pelvic-floor contractions delivered across a single 28-minute session — the equivalent of thousands of Kegels.
35%
of women worldwide are affected by urinary incontinence. It is also significantly underdiagnosed in men.
Berenholz J. MD, Sims T. MD, Botros G. MD — HIFEM Technology Can Improve Quality of Life of Incontinent Patients. Cited in BTL EMSELLA distributor materials. Individual results vary.
Sit down, fully clothed. The chair does the work.
- 01
Before
Wear loose, comfortable clothing — nothing too tight, since you'll need to be positioned correctly on the chair. Remove jewelry, belts, cards, coins, wallet, watches, and keep phones and other electronics away from the device. No special preparation otherwise.
- 02
During
You sit at the center of the chair, fully clothed. Feet flat on the floor, knees about shoulder-width, 90° at the hips. The first minute lets you and the operator gauge positioning — the tapping sensation should be over the perineum. Sessions are about 28 minutes. You'll feel tingling, then full muscle contractions throughout the pelvic floor. This is comfortable and tolerable; if anything isn't, the operator adjusts on the spot.
- 03
Six sessions, twice weekly
BTL recommends six total sessions, scheduled twice a week with at least two days between sessions. Completing the full series is necessary to maximize results. Additional sessions may be recommended depending on the severity of your condition. Results typically continue to improve over the following weeks.
- 04
After
No recovery time. You return to driving, work, and your full day immediately. Many patients use the 28-minute session to read, take a call, or watch something — the chair quietly handles the rest.
FDA-cleared scope, plain English, both genders.
A full patient consent and informed-consent conversation with Dr. Libreros precedes any EMSELLA session. The list above summarizes the BTL Sample Patient Record — the complete document and a personal evaluation are part of your initial visit.
Quiet relief, not a marketing pitch.
- “
I started laughing again without thinking about it. That sounds small. It isn't.
Female patient · postpartum
Tampa metro · Neuromag Institute
- “
After prostate surgery I'd given up running. After six sessions on the chair I was back on the trail. No pads.
Male patient
Tampa metro · Neuromag Institute
- “
Twenty-eight minutes, sitting in a chair, fully clothed, on my phone. It almost felt like cheating. And then it worked.
Female patient
Tampa metro · Neuromag Institute
Honest answers to the questions patients usually ask quietly.
Is EMSELLA only for women?
Do I have to undress?
Does it hurt?
How many sessions will I need?
When will I see results?
Can I drive home? Take my next meeting?
What if I have a pacemaker, defibrillator, or metal implant?
Will my insurance cover it?
I'm a postpartum mom. Is this safe?
Where is treatment delivered?
Talk to Dr. Libreros about EMSELLA.
The first conversation is honest — we ask the questions that matter (postpartum history, post-surgical status, medication, contraindications) before we recommend anything. There is no pressure to start, and no shame in the conversation. Incontinence is medically treatable, and the chair is a tool we've used for years to help patients quietly take their lives back.
BTL®, BTL EMSELLA®, and HIFEM® are registered trademarks of BTL Industries.