By strengthening the pelvic floor muscles non-invasively using High-Intensity Focused Electromagnetic (HIFEM®) technology, EMSELLA offers improvements in urinary incontinence, postpartum vaginal laxity, and vaginal mucosal laxity.
It also provides benefits in the recovery from erectile dysfunction.
Effects of Emsera

EMSELLA® utilizes HIFEM® technology to selectively target motor neurons responsible for muscle control, inducing powerful muscle contractions deep within the tissue.
The unique HIFEM® energy penetrates up to 10 cm deep into the pelvic floor, triggering supermaximal muscle contractions at a high repetition rate independent of brain control.

As a result, during a single 28-minute treatment session, EMSELLA induces approximately 17,000 muscle contractions, surpassing the intensity and frequency achievable with traditional Kegel exercises.
This efficient strengthening of the pelvic floor muscles promotes the growth of muscle fibers, as evidenced by ultrasound images showing significant enhancement of the pelvic floor muscles before and after treatment.
For more information on EMSELLA's effects, please refer to EMSELLA Japan's resources.

Organs such as the uterus, ovaries, and vagina are highly influenced by estrogen, a type of female hormone.
As women age, the secretion of estrogen declines, similar to how skin elasticity and moisture diminish. This process also affects the vagina, leading to "vaginal atrophy."

Vaginal atrophy starts with a loss of moisture and drying of the vaginal walls, which become thin and less elastic, making them more prone to injury.
As vaginal atrophy progresses, it can cause changes in the external genitalia, along with symptoms such as dryness, itching, odor, pain during intercourse, laxity, and urinary incontinence, significantly impacting quality of life.
Estrogen levels decrease rapidly around the age of 40, making vaginal atrophy a common issue for women.

Vaginal atrophy results in various discomforting symptoms:

Reduced vaginal blood flow leads to dryness, decreased secretions, and causes pain, dryness, itching, and burning sensation during intercourse.
Decreased mucosal collagen reduces vaginal folds, making them thin and susceptible to pain during intercourse.

EMSELLA effectively alleviates and improves these symptoms.

Which of the five types of urinary incontinence do you suffer from?

Urinary incontinence is defined as the involuntary leakage of urine.

The number of people suffering from urinary incontinence in the world is the third largest after China and India in terms of the population of the country.

In Japan, a survey of women aged 20-64 years old showed that the incidence of urinary incontinence is 16.7%.

①Stress urinary incontinence
This refers to the condition in which urine leaks when the stomach is strained.
It occurs when coughing, sneezing, laughing loudly, lifting heavy objects, or making strenuous movements during exercise.
It is believed that aging, childbirth, menopause, and lifestyle habits (lack of exercise, obesity, etc.) are the causes.
Stress urinary incontinence is the most common type of urinary incontinence.

②Urge urinary incontinence
This is a condition in which you suddenly feel the need to go to the toilet and cannot hold it in, resulting in leakage.
It can also occur when touching something cold or hearing the sound of water.
A condition with symptoms of urge incontinence is called overactive bladder.
When bladder control is lost and the bladder contracts excessively even when the amount of urine is small and the bladder is not distended,there is a sudden sense of urgency to urinate.
When this urgency is accompanied by urinary leakage, it is considered urge incontinence.
It is thought to be caused by stress or neurological disorders.
In men, prostatic hyperplasia can also lead to urge incontinence.

③Mixed incontinence
Mixed incontinence is a combination of stress incontinence and urge incontinence.

④Overflow incontinence
A condition in which the urethra becomes blocked, making it difficult to urinate, and residual urine involuntarily overflows from the bladder.
This also includes cases where the bladder distends and urine leaks because the patient does not feel the need to urinate.
It is often associated with prostate problems (benign prostatic hyperplasia, prostate cancer), so it has been reported that the incidence is higher in men.
Another possible cause is that the nerves do not function normally.

⑤Functional urinary incontinence
This type of urinary incontinence is not related to problems with urinary function or pelvic organs, but occurs due to a decline in mental function, such as decreased physical motor function or dementia.
If a person is unaware or unconcerned about needing to go to the toilet due to illness, it is considered to be functional urinary incontinence.
Emsera can treat two types of urinary incontinence: stress urinary incontinence and urge urinary incontinence.
One course of treatment requires six sessions, and you can feel improvement after just one treatment.
Research has shown that the number of absorbent pads used is reduced by 75%.

Reference: Milsom et al. Epidemiology of Urinary Incontinence (UI) and other Lower Urinary Tract Symptoms (LUTS), Pelvic Organ Prolapse (POP) and Anal (AI) Incontinence. / Incontinence, Editors Abrams, Cardozo, Wagg and Wein, 2017

Reference: Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction / BJU Int. 2011 Oct;108(7):1132-8

Reference: Prevalence and impact on generic quality of life of urinary incontinence in Japanese working women: assessment by ICI questionnaire and SF-36 Health Survey /Urology, Vol 66(1), Jul 2005: 88-93

The role of the pelvic floor muscles

The pelvic floor muscles, as the name suggests, are a group of muscles located at the bottom of the pelvis. These muscles support the urethra, vagina, and rectum, and play a crucial role in controlling urination and defecation. Additionally, the pelvic floor muscles stabilize the pelvis, helping to prevent lower back pain and abdominal discomfort.

While often not consciously controlled, the pelvic floor muscles can weaken due to factors like lack of exercise or childbirth. Weak pelvic floor muscles can lead to symptoms such as urinary or fecal incontinence. Moreover, their weakening can destabilize the pelvis, contributing to lower back pain and abdominal discomfort.

Because these muscles are difficult to consciously strengthen and prone to weakening, it is important to strengthen them using methods like EMSELLA to maintain their function and prevent associated symptoms.