Welcome to this comprehensive guide on using Emsella® therapy to address common side effects after prostate surgery, including urinary incontinence and sexual issues like erectile dysfunction. Prostate surgery often leads to challenges that impact daily life and intimacy. We’ll explore how Emsella®—a non-invasive pelvic floor strengthening treatment—can prepare you before surgery to minimize risks and aid recovery afterward. This article provides evidence-based insights to help you navigate these concerns and regain confidence.
At MD Total Wellness, we specialize in innovative wellness solutions like Emsella®, in addition to bioidentical hormone therapy, peptide therapy, and GLP-1 weight loss programs. Our personalized approach ensures optimal outcomes—schedule a free consultation today for a complimentary Emsella® demo and personalized plan.
Prostate surgery, such as radical prostatectomy for cancer or procedures for benign prostatic hyperplasia (BPH), can disrupt pelvic musculature, leading to urinary incontinence and sexual issues. Urinary incontinence involves involuntary urine leakage, while sexual dysfunction often manifests as erectile dysfunction (ED), reduced libido, or orgasm difficulties. These side effects stem from damage to the urethral sphincter, pelvic floor muscles, nerves, or blood vessels during surgery.
Incontinence affects up to 98% of men immediately post-prostatectomy, with types including stress (leakage during activity), urge (sudden urges), and overflow (dribbling from incomplete emptying).1 While most recover within a year, many experience persistent issues requiring ongoing management.2 Prevalence is higher in older men or those with obesity, diabetes, or non-nerve-sparing surgery. Sexual dysfunction impacts 50-90% of patients, depending on technique—nerve-sparing robotic methods reduce risks, but many still face ED due to neuropraxia (temporary nerve injury) or weakened pelvic support. 3 These issues not only affect physical health but also cause emotional distress, relationship strain, and reduced quality of life.
Emsella® uses high-intensity focused electromagnetic (HIFEM) technology to stimulate pelvic floor muscles, inducing over 11,000 supramaximal contractions in a 30-minute session—far exceeding what can be achieved with Kegel exercises.4 Patients sit fully clothed on the Emsella® chair and feel painless pulses that rebuild muscle strength, improve neuromuscular control, and enhance blood flow. This addresses the root cause: pelvic floor weakness from surgical trauma.
For incontinence, Emsella® restores sphincter function and bladder support. For sexual health, it boosts circulation and muscle tone essential for erections and orgasm.5 Clinical data show 75-95% patient satisfaction, with significant reductions in pad use and improved erectile function scores after six sessions.6 It’s FDA-cleared, safe, and has no downtime, making it ideal for post-surgical recovery.
Starting Emsella® before prostate surgery—known as prehabilitation—can strengthen pelvic muscles, potentially reducing post-operative complications. Pelvic floor training pre-surgery enhances muscle endurance and rapid response, lowering incontinence risk by 38-41% at 1-3 months post-op.7 A randomized trial found that intensive pre-op exercises led to faster continence recovery and better quality of life.8
Applied to Emsella®, this means 6 sessions (twice weekly) starting 4-5 weeks before surgery could precondition muscles, improving surgical outcomes and shortening recovery. For sexual function, pre-op strengthening may mitigate ED by preserving nerve-muscle interactions, with studies showing reduced distress and earlier penile rehabilitation.9 While direct Emsella® pre-op studies are emerging, its superior contraction intensity suggests amplified benefits over traditional Kegels.
After surgery, once healing allows (typically 2-3 months post-prostatectomy), Emsella® accelerates recovery from incontinence and sexual issues. For incontinence, it rebuilds atrophied muscles, with one study analogue (using similar stimulation) showing 50-80% symptom reduction.10 Patients often report fewer leaks and pad-free status after 6-8 sessions, with 67% eliminating pads entirely.11
For ED, Emsella® improves penile rigidity and sustainability by enhancing pelvic blood flow—up to 85% report better function without drugs.12 Combined with penile rehab (e.g., PDE5 inhibitors like tadalafil), it enables earlier intimacy resumption. Anecdotal and clinical reports highlight orgasm strength gains, addressing a common post-surgical complaint.13 Protocols involve twice-weekly sessions for 3-4 weeks, with maintenance as needed.
While Emsella® targets the core issue, other options include medications like anticholinergics for urge incontinence or PDE5 inhibitors (e.g., tadalafil) for ED, effective in 50-70% of cases.14 Kegel exercises remain foundational, reducing incontinence by 50-80%, but compliance is low— Emsella® overcomes this with effortless intensity.15 For severe cases, slings or artificial sphincters may be considered, but non-invasive starts are preferred.
Emsella® offers a proactive, non-invasive way to prepare for prostate surgery, minimizing incontinence and sexual side effects through pre-op strengthening, and treating complications post-op for faster, fuller recovery. By addressing muscle weakness directly, it enhances continence, erectile function, and quality of life—benefits supported by pelvic floor research.16 Early intervention is key; don’t let side effects linger.
At MD Total Wellness, we provide Emsella® as a cornerstone for pre-prostate surgery preparation, and post-prostate surgery recovery. In addition to Emsella®, we offer hormone therapy, peptide therapy, ED treatment, and GLP-1 medications for weight loss.
Experience Emsella® – schedule a free consultation and get a complimentary demo to feel its power. Contact MD Total Wellness today to reclaim control and vitality after prostate surgery.
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