Emsella in Chatsworth.
You sit on a chair, fully clothed, and the pelvic floor does the work. Six sessions over three weeks for leaking, urgency and pelvic weakness in men and women.
- Appointment
- About 30 minutes
- Clothing
- You stay fully dressed
- Protocol
- 6 sessions, twice a week for 3 weeks
- Downtime
- None. Walk in, walk out.
- Device on site
- BTL Emsella
A chair that contracts muscles you cannot reach on your own.
Emsella is a BTL device that is FDA-cleared for the treatment of urinary incontinence. It uses high-intensity focused electromagnetic energy, HIFEM, to trigger contractions across the pelvic floor. You sit on the chair fully clothed and the field passes through your clothing into the muscle group, producing contractions far stronger and far more numerous than you could produce voluntarily.
The reason it exists is that Kegels are difficult to do correctly. Many people doing them at home recruit the wrong muscles, and the deeper fibers are hard to activate even with good technique. The device stimulates the whole group directly instead. The tradeoff to be honest about is that Emsella strengthens muscle and does not fix everything that causes leaking. Incontinence from a neurological condition, significant prolapse or a structural problem needs a different assessment, and severe cases can improve without resolving. Worth knowing before session one rather than after session six.
It is also a protocol, not an appointment. Six sessions scheduled twice a week over three weeks is the standard course here. Many people notice a change after two or three sessions, the effect keeps developing for weeks afterward, and maintenance every few months is common.
Whether this is the right treatment for you.
Worth booking if
- Leaking when you cough, laugh, sneeze or train
- Sudden urgency, frequency or dribbling
- Postpartum pelvic floor weakness, once you have been cleared by your obstetric provider
- Men managing bladder control after prostate treatment
- You want something entirely non-invasive where nothing is removed and nothing is inserted
Probably not if
- You have a pacemaker, defibrillator, implanted neurostimulator or drug pump
- You have metal implants in the pelvis or lower spine, including hip replacements, plates, screws, an intrauterine device with metal, or a metal coil
- You are pregnant, or you are in the early postpartum period without clearance from your obstetric provider
- You have an active urinary tract infection or pelvic infection
- Your incontinence comes from significant prolapse or a neurological condition, which needs a different workup
- You cannot attend twice a week for three weeks, since a broken-up course works less well
What happens in the room.
You sit down fully dressed
Nothing is removed and nothing is inserted. You keep your clothes on for the entire session, though you are asked to leave behind anything metal such as belts, keys, phones and coins. Positioning matters, so a staff member helps you find the seat position that puts the field where it needs to be.
The intensity comes up gradually
The device starts low and the level is raised as you adapt. The sensation is a tingling or tapping deep in the pelvis with the muscles visibly pulling. It is not painful. You sit there for roughly half an hour, and people read, take calls or scroll through their phone while it runs.
You stand up and leave
There is no recovery period. You may feel the muscles worked in the way you would after exercise, and occasionally there is mild soreness the next day. Driving, working and training the same day are all fine.
How it is run here: 6 sessions, twice a week for 3 weeks.
Who performs this at Chatsworth.
Narine Chilyan
DNP, AGNP-C
Over a decade in healthcare, from ICU critical care to functional medicine. MSN from Chamberlain University, DNP from Charles R. Drew University. Created the Ten Top Tips for Transforming Health - a habit-based program for lasting weight loss and vitality. Her mission at KAYU: redefine beauty and wellness as one.
Read the full bioPatients on emsella.
5.0 average from 29 Google reviews
I walked in for a quick B12 shot and ended up trying the Emsella chair—and I’m glad I did. The treatment has been a highly effective addition to my pelvic floor therapy. You simply sit for 30 minutes while the chair delivers gentle pulses that activate and strengthen the pelvic muscles.
Robert G
November 2025
Emsella questions.
- Is this embarrassing?
- It is a fair question and the answer is genuinely no. You stay fully dressed, you sit on a chair, nothing is inserted and there is no examination as part of the treatment. Most people find it the least awkward appointment they attend all year.
- Does it hurt?
- No. People describe tingling or a tapping sensation deep in the pelvis with the muscles visibly contracting. The intensity is raised gradually and stays at a level you are comfortable with. Tell the staff member if it stops feeling comfortable, because it is adjusted in the moment.
- Do I have to undress?
- No. You remain fully clothed for the entire session. You will be asked to remove metal items such as belts, keys, coins and your phone before sitting down.
- How many sessions do I need?
- Six, scheduled twice a week over three weeks, is the standard protocol. Some people need more depending on how long symptoms have been present and how severe they are, and maintenance sessions every few months are common afterward.
- When will I notice something?
- Many people report a change after two or three sessions. The fuller effect typically develops in the weeks following the completed series, as the strengthening continues past the last appointment.
- Does it work for men?
- Yes. The pelvic floor is the same muscle group and men are treated for bladder control, urgency and dribbling, including after prostate treatment. Nothing about the session differs.
- What if I have a hip replacement or an IUD?
- Metal implants in the treatment field are a genuine exclusion, and that includes hip replacements, pelvic hardware and metal-containing intrauterine devices. Bring the specifics to the consult so it can be checked properly before you book anything.
- Can I do this instead of pelvic floor physical therapy?
- They are not interchangeable. Physical therapy addresses coordination, technique and the surrounding muscles in a way a device does not, and for some people it is the better starting point. The two are often done together, and you will get an honest view of which one your situation calls for.
- How long do results last?
- Muscle behaves like muscle. Strength fades if nothing maintains it, which is why maintenance sessions and home pelvic floor work are both part of the conversation once the series is finished.
Often booked alongside.
It is more common than you think.
A short consult establishes whether your symptoms come from pelvic floor weakness, which is what this treats, or from something that needs a different assessment first.