Consultation
Dr. Francis reviews your symptoms, medical history, and treatment goals to create your personalized Emsella protocol.

Non-invasive electromagnetic treatment strengthening pelvic floor muscles for improved bladder control and confidence.
Understanding Pelvic Floor Health
Pelvic floor weakness is far more common than most people realize, affecting millions of men and women. You may notice unexpected leakage when laughing, sneezing, coughing, or exercising. These episodes can create anxiety about social situations, limit physical activities you once enjoyed, and erode your confidence over time. Many patients describe avoiding travel, skipping workouts, or constantly searching for the nearest restroom. The emotional toll of managing incontinence in silence often feels just as burdensome as the physical symptoms themselves.
BTL Emsella addresses pelvic floor weakness at its source by delivering approximately 11,200 supramaximal pelvic floor contractions in a single 28-minute session, the equivalent of thousands of perfectly performed Kegel exercises. This intensive electromagnetic stimulation retrains and strengthens the entire pelvic floor musculature, restoring the neuromuscular control needed for reliable bladder function. Patients remain fully clothed throughout treatment and can return to all normal activities immediately. Most patients notice meaningful improvement within the first few sessions.
The Science of HIFEM Technology
BTL Emsella is an FDA-cleared medical device that uses High-Intensity Focused Electromagnetic (HIFEM) technology to treat urinary incontinence and pelvic floor weakness. The device received 510(k) FDA clearance in 2018 (K181497) for the treatment of stress, urge, and mixed urinary incontinence in both women and men.
The Emsella chair generates a rapidly changing electromagnetic field that penetrates deep into the pelvic floor tissues. This field interacts with motor neurons, triggering supramaximal contractions, meaning contractions more intense than what you could achieve voluntarily through Kegel exercises alone. Each 28-minute session induces approximately 11,200 of these powerful contractions, effectively retraining weakened pelvic floor muscles and restoring neuromuscular control. Clinical studies show that 95% of patients report significant quality-of-life improvement after completing their treatment course.
You simply sit fully clothed on the Emsella chair while the electromagnetic technology does the work. Most patients describe a tingling sensation and mild pelvic floor contractions that intensify gradually. The treatment is completely painless, requires no preparation, and you can read or use your phone during the session.
Many patients begin noticing improvement after their second or third session. Optimal results develop over the full six-session protocol, with continued improvement for several weeks after treatment completion. Maintenance sessions every six to 12 months help sustain long-term results.
Non-Invasive Pelvic Restoration
No surgery, no needles, and no anesthesia required for treatment
Sit comfortably in your everyday clothing throughout each session
Return to all normal activities immediately after every treatment
Over 95% patient satisfaction reported in multicenter clinical studies
Effective for stress, urge, and mixed urinary incontinence
Compare Your Options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Emsella (HIFEM) | Electromagnetic contractions | 28 minutes | 2-3 sessions | 6-12 months | None | All incontinence types |
| Pelvic Floor PT | Manual exercises | 45-60 minutes | 6-12 weeks | Ongoing practice | None | Mild weakness |
| Kegel Exercises | Voluntary contractions | 10-15 minutes daily | 3-6 months | Ongoing practice | None | Prevention/mild cases |
| Surgical Intervention | Anatomical repair | 1-3 hours | 6-8 weeks | 5-10+ years | 4-6 weeks | Severe prolapse/SUI |
Finding Your Best Solution
Emsella pelvic floor therapy is well suited for adults experiencing urinary incontinence or pelvic floor weakness who want a non-invasive solution without surgery or lengthy recovery. During your consultation, Dr. Francis will evaluate your symptoms and medical history to create a personalized treatment plan.
Certain medical conditions may require additional evaluation before treatment. Dr. Francis conducts a thorough assessment during your initial consultation to ensure Emsella is safe and appropriate for your specific situation.
Dr. Francis reviews your symptoms, medical history, and treatment goals to create your personalized Emsella protocol.
You sit fully clothed on the Emsella chair while Dr. Francis adjusts the electromagnetic intensity to your comfort level.
The HIFEM technology activates, delivering approximately 11,200 supramaximal pelvic floor contractions over 28 minutes.
You step off the chair and return to your normal activities immediately with no restrictions or aftercare required.
What to Know
Emsella is considered very well tolerated. Some patients experience mild muscle soreness in the pelvic region after their first one to two sessions, similar to the feeling after an intense workout. This typically resolves within 24 to 48 hours. A temporary tingling sensation during treatment is normal and expected.
Serious adverse events are extremely uncommon with Emsella. In published clinical studies, no significant adverse events, pain, or complications were reported among treated participants. Temporary increased urinary frequency may occur as pelvic muscles recalibrate, typically resolving within a few days.
BTL Emsella received FDA 510(k) clearance in 2018 for the treatment of urinary incontinence. Multiple peer-reviewed studies confirm its safety profile, with no reported device-related injuries in clinical trials. Dr. Francis ensures all patients are properly screened for contraindications, including implanted electronic devices and metallic implants, before beginning treatment.
Emsella pelvic floor therapy in Weston, FL typically ranges from $250 to $500 per session, with a standard treatment course of six sessions. Several factors influence your total investment, including the severity of your symptoms, whether maintenance sessions are recommended, and any package pricing available. During your consultation, Dr. Francis will provide a personalized quote based on your specific treatment plan.
Emsella is currently classified as an elective wellness treatment and is not typically covered by insurance plans. However, some patients may be able to use Health Savings Account (HSA) or Flexible Spending Account (FSA) funds toward their treatment.
We believe quality pelvic health care should be accessible. Refresh TMS offers several options to make treatment affordable:
Weston's Trusted Provider
Board-certified physician with 13+ years of clinical experience guiding your care
Addresses both physical symptoms and the emotional impact of incontinence
Luxurious, private treatment environment designed for your comfort and dignity
Treatment plans tailored to your specific type and severity of symptoms
Your Questions Answered
Emsella uses High-Intensity Focused Electromagnetic (HIFEM) technology to stimulate deep pelvic floor muscle contractions. Each 28-minute session triggers approximately 11,200 supramaximal contractions, far more than voluntary Kegel exercises can achieve, retraining and strengthening the entire pelvic floor.
The standard protocol is six sessions scheduled twice per week over three weeks. Dr. Francis may adjust your treatment plan based on symptom severity and your individual response. Maintenance sessions every six to 12 months help sustain long-term results.
No. Most patients describe a tingling sensation and involuntary muscle contractions that feel unusual but not painful. The intensity is gradually increased during your first session to ensure comfort. You remain fully clothed and can read or relax throughout treatment.
Emsella is FDA cleared for stress urinary incontinence, urge incontinence, and mixed urinary incontinence. It also helps with general pelvic floor weakness and may improve sexual wellness. If you are experiencing urinary incontinence, we encourage you to explore our Urinary Incontinence concern page for more information.
Yes. Emsella is effective for both men and women. Men experiencing urinary incontinence, post-prostatectomy pelvic floor weakness, or seeking pelvic floor strengthening can benefit from Emsella treatments.
Emsella is currently considered an elective wellness treatment and is not typically covered by insurance. However, HSA and FSA funds may be applied. Refresh TMS offers flexible payment options including CareCredit financing and package pricing to make treatment accessible.
Individual sessions typically range from $250 to $500, with package pricing available for the recommended six-session course. During your consultation, Dr. Francis will provide an exact quote based on your personalized treatment plan.
Pelvic floor physical therapy relies on voluntary muscle contractions and manual techniques over many weeks. Emsella delivers approximately 11,200 supramaximal contractions per session using electromagnetic technology, achieving far greater muscle activation in less time. Many patients use Emsella to complement or accelerate their physical therapy results.
Side effects are minimal. Some patients experience mild muscle soreness after the first one to two sessions, similar to a workout. There is no downtime, no recovery period, and you can resume all activities immediately. No serious adverse events have been reported in clinical studies.