Emsella

Esmella® represents a revolutionary, non-surgical solution for individuals struggling with urinary incontinence. Featuring advanced High-Intensity Focused Electromagnetic (HIFEM®) technology, Esmella® delivers thousands of potent pelvic floor muscle contractions in a single session—offering what traditional Kegel exercises alone cannot achieve. At Rise Carmel in Carmel, California, experienced gynecologist Judy Honegger, DO, FACOG, offers this treatment to enhance bladder control, revitalize pelvic strength, and renew your confidence. Call the office to learn more about Esmella, or request a consultation online today. 

What is urinary incontinence?

Urinary incontinence refers to the involuntary leakage of urine, a condition often rooted in weakened pelvic floor muscles. These muscles are critical for supporting pelvic organs, including the bladder and bowel. Common contributing factors include childbirth, menopause, aging, and changes in pelvic support, all of which may compromise continence and intimacy.

Approximately one in three women experiences leakage during physical activity or a sudden urge to urinate. Addressing this condition with effective treatments is essential to maintaining daily quality of life.

What is Esmella®?

Esmella® (BTL EMSELLA®) is a cutting-edge pelvic floor rehabilitation technology. It is a fully non-invasive treatment that restores neuromuscular control by inducing thousands of supramaximal pelvic floor muscle contractions in a single session—far beyond what brief, voluntary Kegel exercises can produce.

Esmella® is FDA-cleared for treating urinary incontinence in women and offers benefits for intimate health in both women and men.

How does Esmella® work?

Esmella® employs HIFEM® electromagnetic energy to trigger deep, intense pelvic floor muscle contractions—thousands per session—without requiring any active effort from the patient.

These “supramaximal” contractions reach deeper muscles that standard Kegels cannot, promoting muscle strengthening, neuromuscular re-education, and overall pelvic stability.

What can I expect from Esmella® treatments?

Each treatment session lasts approximately 28–30 minutes. The patient remains fully clothed and seated on a specially designed device. During the session, mild tingling and rhythmic pelvic floor muscle contractions are felt—comfortable and tolerable sensations that require no active participation.

Once complete, patients can immediately resume their daily activities.

The standard protocol consists of around six sessions over two to three weeks, typically scheduled twice weekly, though individual plans may vary.

How fast will I see results from Esmella® treatments?

Many patients experience noticeable improvement after just one session. Results generally continue to improve over the following weeks.

Clinical studies show that 95% of patients report significant quality-of-life improvement after completing six sessions, and about 67% reduce or eliminate use of hygienic pads.

To learn more about Esmella® treatments, call the office or book a consultation online today.