Emsella strengthens the pelvic floor — the muscles beneath bladder control and sexual function — without needles or downtime. Men use it for bladder control, nighttime urination, and sexual function. You sit fully clothed while it works.
Reviewed by Dr. David Oliak, board-certified surgeon
Updated August 2026
Emsella is a chair that delivers focused electromagnetic energy to the pelvic floor — the sling of muscles that supports the bladder and plays a part in sexual function.
Over a session it produces thousands of pelvic-floor contractions, far more than a man could do on his own. That strengthens and retrains the muscles.
You sit on it fully clothed. There are no needles, no surgery, and no downtime — you feel a strong tingling and the muscles working, and most men read or relax through the session.
A weakened pelvic floor shows up as urgency, leakage, and getting up through the night to urinate. Emsella works directly on that.
In our experience it helps: men report better control and fewer trips to the bathroom at night, without medication.
One thing to check. If the real problem is the prostate obstructing flow — a weak stream, or trouble emptying — that is a different mechanism, and Emsella is not the right tool. We assess for that and refer to urology where it fits.
The pelvic floor also underlies erections and orgasm, so strengthening it supports sexual function. In our experience men notice a difference.
Preliminary data supports Emsella's use for erectile function, and it fits the mechanism. The evidence here is earlier than for bladder control, but it points the same way.
Where low testosterone is driving low libido or erectile trouble, that is its own path — and the two often work together. Our testosterone pages cover that side.
Emsella works on the pelvic-floor side of these problems, and it involves no hormones.
That matters, because testosterone therapy is not right for every man — it is not appropriate with prostate cancer. It calls for caution with significant prostate enlargement, and after prostate surgery depends on the situation.
Emsella is often the option for the men hormones cannot serve, and it works alongside testosterone for the men on it.
A course is typically about six sessions over a few weeks, with simple maintenance to keep the results.
Emsella is not used with metal or electronic implants, such as a pacemaker, so we review your history first, and your provider sets the plan.
Emsella strengthens the pelvic floor, and that makes it useful across several things men care about — bladder control, nighttime urination, and sexual function.
In our experience it improves control and reduces nighttime urination, and men notice a difference in sexual function too; preliminary data supports its use for erectile function, and the mechanism fits.
Because it works directly on the pelvic floor and involves no hormones, it is a good option for men who cannot take, or do not need, testosterone. And it works alongside it for the men on it.
— Dr. David Oliak, board-certified physician and surgeon
Let's begin
If bladder control, nighttime urination, or sexual function is the concern, a consultation can tell you whether Emsella fits — and you can try the chair with a free demonstration. To speak with us first, call 714-671-2005.
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