BTL EMSELLA is a revolutionary, FDA-approved, non-invasive and painless treatment for all types of urinary incontinence, pelvic floor prolapse and vaginal relaxation. The EMSELLA chair strengthens the pelvic floor muscles with focused electromagnetic waves that cause muscles to contract and relax, exercising them in a similar way to Kegel exercises. Having performed the first two published clinical trials on EMSELLA results in clinical practice, Dr. Samuels is uniquely knowledgeable regarding this very meaningful treatment that can end the personal and quality of life issues that pelvic floor dysfunction and urinary incontinence can cause for a surprising number of women after childbirth and during menopause.


You sit fully clothed on a comfortable EMSELLA chair and relax, allowing the therapeutic fields to be aimed at the pelvic floor muscles. Unlike Kegel exercises, EMSELLA does the work for you, exercising your pelvic floor muscles much more completely and intensely than you could do on your own. Each session lasts 28 minutes; we recommend two sessions per week over a three-week period.

You will feel your pelvic floor muscles contracting. The treatment is painless and the intensity is adjusted to suit your tolerance.

Dr. Samuels was selected to conduct a study of EMSELLA based on her experience and expertise in women’s intimate wellness. Early results of her study are showing 100% response rate in her patients.

Urinary incontinence, defined as leakage occurring at least once a year, doesn’t just affect older women. It’s a condition that can significantly impact your body image, sexual life and day-to-day life. Talk about your options during a private consultation with Dr. Samuels, who will make you feel completely at ease as soon as you enter the office.

Frequently Asked Questions

EMSELLA is a great option for women of any age – after childbirth or older during menopause – who desire a stronger pelvic floor or a solution to urinary incontinence.  Dr. Samuels’ three published studies on the benefits of EMSELLA clearly show not only improved urinary incontinence, but also improved female sexual function.  This benefit is enhanced further when we combine EMSELLA treatments with one of our vaginal rejuvenation devices (CO2RE INTIMA, VOTIVA FORMA V, or EXILIS ULTRAFEMME 360).  When combined with EMSCULPT NEO, patients benefit from improved abdominal core strength as well as better pelvic floor stability (we refer to this combination therapy as CORE TO FLOOR), which improves strength during workouts as well as better gait and balance.  These are truly quality of life issues for many women of all ages.

Dr. Samuels and her nurse providers tailor the strength of the HIFEM energy to your needs; a typical treatment session takes 28 minutes, and you will need 6 sessions to begin, scheduled twice a week.  Some patients may require additional treatment sessions to achieve best results, and long-term maintenance is required annually as the aging process continues to negatively affect muscle strength.  Maintenance packages are discounted for existing patients once results are achieved.

You will experience some tingling sensations and comfortably strong contractions of the muscles in the area as well as the pelvic floor muscles during the procedure.  Patients are typically quite impressed at how strong yet totally comfortable the contractions are, and can’t help but realize that other alternatives such as Kegel exercises and physical therapy would obviously pale in comparison in their actual ability to truly “retrain” muscles such as the pelvic floor musculature, which is a structure that is very difficult to isolate and exercise, especially when it has weakened.  You may resume your daily activities immediately after treatment.  Some patients experience a mild “soreness” after treatments, similar to the feeling you might get after going to the gym and exercising a muscle group, however this soreness dissipates prior to the next treatment in almost all cases.

You may see improvement after just a single session. The results typically continue to improve over the next few weeks.


Schedule an emsella Consultation

For more information about EMSELLA or to see if you’re a good candidate for this procedure, schedule a consultation with Dr. Samuels at 502-897-9411.

Our practice serves Louisville, KY and the surrounding areas.