Stress Incontinence
Leaks with cough, sneeze, laugh, lifting or exercise from a weak pelvic floor.

Non-invasive bladder control therapy for men and women.
Understanding Pelvic Floor Weakness
Bladder leaks, sudden urgency and that lingering feeling of pressure can change everything. You start mapping every outing by the nearest restroom, skip the trampoline park with your kids, hold back at the gym and dread a good laugh or a sneeze. After pregnancy, childbirth, prostate surgery or simply with age, the pelvic floor muscles that support your bladder, uterus and bowel can weaken. Many patients tell us they have tried Kegel exercises, pads and pelvic floor apps with mixed or short-lived results.
Emsella uses high-intensity focused electromagnetic (HIFEM) technology to deliver thousands of supramaximal pelvic floor contractions in a single 28-minute session. You sit fully clothed on the BTL Emsella chair while the device strengthens the muscles you cannot easily reach on your own. A typical course of 6 sessions over 3 weeks helps rebuild tone and endurance in the pelvic floor. Dr. Marissa pairs Emsella with chiropractic care, posture work and core retraining for a complete approach to pelvic health.
The Science of HIFEM Pelvic Floor Therapy
Emsella is a non-invasive pelvic floor therapy from BTL Aesthetics that uses High-Intensity Focused Electromagnetic (HIFEM) technology to stimulate the entire pelvic floor in a single 28-minute session. The Emsella chair has received U.S. Food and Drug Administration 510(k) clearance for the treatment of stress, urge and mixed urinary incontinence in women, and is also widely used to support male pelvic floor weakness, including after prostate surgery.
You sit fully clothed on the Emsella chair while the HIFEM field passes through clothing and skin to reach the entire pelvic floor. Each session triggers approximately 11,000 supramaximal contractions, which is far more than you could perform voluntarily with traditional Kegel exercises. These deep, repetitive contractions help restore neuromuscular control, muscle tone and endurance in the pelvic floor support system.
A typical Emsella session lasts 28 minutes. You stay fully clothed, sit upright on the chair, and feel a tingling, tapping sensation as the muscles contract. Most patients read, scroll their phone or chat with our team during the session. There is no downtime, and you can return to work, exercise or family life immediately after.
The standard protocol is 6 sessions over 3 weeks (two visits per week), with many patients reporting reduced leaks, less urgency and improved confidence within the first few sessions. Maintenance sessions every few months help preserve results. Emsella is FDA-cleared for women and is also used clinically for men, including those recovering from radical prostatectomy.
Discreet, Effective Bladder Support
2000+ Satisfied patients
Stay completely dressed throughout the 28-minute session, no exam required.
Quick, lunch-break friendly visits that fit into busy family schedules.
Equivalent to roughly 11,000 Kegels per session, far beyond what is voluntary.
510(k) clearance for stress, urge and mixed urinary incontinence in women.
Helps post-partum patients, men after prostate surgery and aging pelvic floors.
Return to work, exercise and daily activities immediately after each visit.
Compare Your Options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Emsella | HIFEM pelvic floor contractions | 28 min per session | Within 2-4 sessions | Months with maintenance | None | Mild to moderate incontinence in men and women |
| Kegel Exercises Alone | Voluntary muscle contractions | Daily, 10-15 min | Months of consistent practice | Only while ongoing | None | Mild leaks in motivated patients |
| Pelvic Floor Surgery | Sling or repair procedure | Operating room | Same day surgical change | Years if successful | Weeks of recovery | Severe, refractory incontinence |
Finding Your Best Path to Bladder Control
Emsella is well suited for adults with mild to moderate urinary incontinence or pelvic floor weakness who want a non-invasive option that respects their time and privacy. During your consultation, Dr. Marissa will review your medical history, pregnancy or surgical history and bladder diary to design a treatment plan.
If you have a complex medical history, please bring a current medication list and any recent imaging or urology notes to your first visit so Dr. Marissa can tailor your plan safely.
Step-by-Step Process
Dr. Marissa reviews your history, bladder symptoms and goals to confirm Emsella candidacy.
You sit fully clothed on the BTL Emsella chair, positioned for optimal pelvic floor alignment.
Our team activates the HIFEM field and gradually titrates intensity through 11,000 contractions.
Dr. Marissa or our team reviews how the session felt and schedules your next visit in the 6-session plan.
What to Know
Emsella has a strong safety profile when used on appropriate candidates. Most patients describe only mild post-treatment effects that resolve within hours: gentle pelvic floor muscle soreness similar to a workout, mild tingling or warmth in the pelvic region, brief muscle fatigue and a sensation of fullness or pressure. Drinking water and walking after your session usually settles these effects within a few hours.
Because Emsella is non-invasive and the treatment takes place fully clothed, the overall risk profile is very low. Reported rare effects include skin irritation in the seated area, transient muscle cramping and lightheadedness. Patients with pacemakers, implanted defibrillators or metal hardware in the pelvis or hips should not receive Emsella. If you experience sharp pelvic pain, urinary retention or unexpected bleeding after a session, contact our team right away.
The BTL Emsella chair has received U.S. Food and Drug Administration 510(k) clearance for the treatment of stress, urge and mixed urinary incontinence in women, and is in widespread clinical use for male pelvic floor weakness, including post-prostatectomy. Dr. Marissa screens every Emsella candidate for cardiac implants, metal hardware, pregnancy status and IUD type before your first visit.
Emsella pelvic floor therapy in the Tampa Bay area typically ranges from about $300 to $500 per session as a single visit, with most clinics steering patients toward the manufacturer-recommended protocol of 6 sessions over 3 weeks. Typical 6-session Emsella packages run roughly $1,800 to $3,000, depending on add-ons, maintenance visits and provider experience. At Spine-Ability we will share clear package pricing during your consultation so there are no surprises.
Emsella is considered a wellness or cosmetic treatment by most commercial insurance carriers, Medicare and Florida auto Personal Injury Protection (PIP) coverage, and is typically NOT reimbursed. Some patients use HSA or FSA dollars for Emsella, especially when their physician documents urinary incontinence; check with your plan before scheduling.
To make Emsella accessible we offer:
For current Emsella package pricing and to verify eligibility, call our Apollo Beach team at (813) 938-7500. Because Emsella is only available at our Apollo Beach location, all sessions are scheduled there.
Apollo Beach's Trusted BTL Provider
Dr. Marissa focuses on pregnancy, post-partum and pelvic floor care.
FDA-cleared HIFEM chair, available at our Apollo Beach location only.
Combine Emsella with chiropractic, posture work and core retraining.
Discreet, concierge-level service from a family practice since 2015.
Our Emsella protocols follow the peer-reviewed 6-session standard, with over 2,000 satisfied patients and documented improvement in bladder control and quality of life.
Convenient Apollo Beach location with appointment times that fit busy schedules, plus CareCredit financing and HSA/FSA acceptance to make treatment affordable.
Complement your Emsella care with these popular Spine-Ability Apollo Beach treatments.
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Learn MoreYour Questions Answered
Emsella is a BTL Aesthetics pelvic floor therapy chair that uses HIFEM technology to deliver about 11,000 supramaximal contractions in a 28-minute session. It is FDA-cleared for stress, urge and mixed urinary incontinence in women and is also used to support male pelvic floor health.
Most patients follow the recommended protocol of 6 sessions over 3 weeks, scheduled twice per week. Many notice early changes within 2 to 4 sessions. Some patients add periodic maintenance visits every few months to preserve their results.
Yes. While Emsella's FDA 510(k) clearance covers urinary incontinence in women, it is widely used clinically for male pelvic floor weakness, including bladder control concerns after radical prostatectomy. Dr. Marissa will discuss expectations during your consultation.
Most commercial insurance, Medicare and Florida auto PIP coverage do not pay for Emsella, since it is classified as a wellness or aesthetic procedure. Many patients use 6-session packages, CareCredit financing or HSA/FSA funds when their plan allows.
Emsella is comfortable for most patients. You stay fully clothed and feel a tingling, tapping sensation as the pelvic floor contracts. Our team gradually increases intensity so the session feels productive rather than painful.
Yes, when patients are properly screened. Emsella is non-invasive and does not require disrobing. Patients with cardiac pacemakers, implanted defibrillators, metal hardware in the pelvis or hips, or who are pregnant should not receive Emsella.
Yes. Many of our patients pair Emsella with Emsculpt Neo for core and abdominal strengthening, with chiropractic care for posture and pelvic alignment, and with targeted exercises so the pelvic floor stays strong between sessions.