Emsella in London
A non-invasive treatment for pelvic floor weakness — assessed first, recommended only where it fits.
- Suitable for women and men
- No undressing required during treatment
- Doctor-led assessment — recommended only where it fits
You May Be Considering Emsella
Most people don't bring this up at a GP appointment. Leaking when you sneeze, cough, or exercise — or a sudden urgency you can't always control — is common enough that many patients have simply adjusted their lives around it without looking for treatment.
At the same time, it has a real impact: what you wear, how far you travel from a toilet, whether you exercise, whether you feel confident.
Emsella is for patients who have decided they'd rather address it. Whether it's the right approach for you specifically is what the consultation is there to work out.
The Questions Worth Asking
Most patients considering Emsella aren't asking about HIFEM or electromagnetic energy. They have more practical concerns.
Pelvic floor problems are common after childbirth, with age, following prostate treatment, and in many other contexts. It is a health concern, not a personal failing. The consultation is led by a doctor and the approach is clinical and straightforward. The topic is raised here for exactly that reason.
Emsella uses high-intensity focused electromagnetic energy to stimulate pelvic floor contractions — more contractions in a single session than most patients could achieve through voluntary exercise alone. The evidence for improvement in stress and urgency incontinence is reasonable, though how much improvement you see depends on your starting point and how your muscles respond.
Emsella is used for both. In women, the typical presentations are stress incontinence and urgency incontinence. In men, it is more commonly considered following prostate surgery, where pelvic floor weakness can affect bladder control. That context would be explored at consultation.
The treatment produces an intense but not painful sensation — your pelvic floor muscles are contracting repeatedly and strongly. Most patients find it manageable. The intensity is adjustable and is increased gradually across the course. You remain seated and clothed throughout, and there is nothing to prepare beforehand.
Where Emsella Actually Fits
Emsella tends to be most suitable where pelvic floor weakness is the primary driver — leaking triggered by physical activity, sudden urgency, or reduced control following childbirth, menopause, or prostate surgery.
It is less suited where the symptoms are not primarily muscular in origin. Structural prolapse, for example, or presentations where a gynaecological or urological assessment would be the more appropriate first step — these are flagged at consultation, not glossed over.
For a full explanation of how the treatment works — the HIFEM mechanism, what it stimulates, and the clinical evidence — you can learn more about how Emsella works.
Why Some Patients Choose This Over Physio Alone
Pelvic floor exercises work — but they require consistency, correct technique, and time. For patients who have done them without significant improvement, or who find it difficult to isolate the right muscles voluntarily, Emsella offers a different mechanism.
Each session produces approximately 11,000 pelvic floor contractions — more intense and more targeted than voluntary exercise can achieve. This can help rehabilitate muscles that aren't responding to conventional physiotherapy, or accelerate recovery in patients starting from a low baseline.
It is not a replacement for physical therapy where physio would be the more appropriate first step, and it is not a permanent solution on its own. Many patients use it alongside other measures. That conversation happens at consultation.
What Improvement Actually Looks Like
The goal is functional improvement — less leaking, less urgency, better confidence in day-to-day situations. Not a complete resolution in every case, but a meaningful reduction in the impact on your life.
Patients tend to describe the change in practical terms: fewer pad changes, being able to exercise without anxiety, less planning around toilet access. For some patients the improvement is significant. For others it is more modest.
That variation is part of what is discussed honestly at consultation. The aim is to give you a realistic picture of what to expect, not a promise built around the best-case outcome.
What To Expect
Non-invasive, fully clothed, no downtime. You can return to your normal day immediately after each session.
You remain seated in the Emsella chair throughout. No undressing, no internal examination, no preparation required beforehand. You arrive and leave as normal.
Typically six sessions, spaced twice weekly over three weeks. The contractions are strong and the experience is unusual — not painful, but intense. Intensity is adjustable and increased gradually.
Most patients notice improvement during or after the course. Results continue to develop over the following weeks as the muscles strengthen. The change is progressive, not immediate.
Pricing
Treatment is delivered as a course, with pricing confirmed at consultation once suitability is established. You can view general pricing on our fees page.
Why Consultation Matters
The most important step is confirming that Emsella is likely to address what you are experiencing. That means discussing your symptoms, their duration, their impact, and any relevant medical history — not completing a form.
Not every presentation is suited to this approach. Where a structural cause is suspected, or where a gynaecological or urological assessment has not yet taken place, that would be discussed clearly — and a referral suggested where appropriate.
The consultation is led by Dr Gohar Shah MRCGP, who will assess whether Emsella is appropriate, explain what you might reasonably expect, and be direct where a different approach would serve you better.
Frequently Asked Questions
If you're considering Emsella in London
But unsure whether it's the right option, the consultation is where that gets clarified. No commitment required.
Questions? Contact us