Urinary incontinence is a common concern for women, and one of the least talked about. Whether it’s leaking when you laugh, cough, or sneeze, feeling that sudden urgent need to find a restroom, or planning activities around where the nearest bathroom might be, the impact on daily life is real. Over 25 million people in the United States experience some form of urinary incontinence, yet many assume it’s simply something to accept rather than address.
However, it isn’t, and the solution doesn’t require surgery, medication, or significant disruption to your life.
At Q the Medical Spa, we offer EMSELLA®, an FDA-cleared, non-invasive treatment that strengthens the pelvic floor muscles responsible for bladder control. The results are meaningful: 95% of patients who have undergone EMSELLA treatment report a measurably improved quality of life.
Understanding Urinary Incontinence
To understand why EMSELLA works, it helps to understand what causes urinary incontinence in the first place.
Your pelvic floor is a group of muscles that span the bottom of your pelvis, supporting your bladder, bowel, and uterus. When these muscles are strong and functioning well, they give you reliable control over when and how you release urine. When they weaken, that control diminishes, sometimes significantly.
Several factors contribute to pelvic floor weakness over time:
Vaginal delivery places significant demand on pelvic floor muscles and can cause stretching or tearing that affects their long-term strength and function.
Menopause brings hormonal changes that reduce tissue elasticity and muscle tone throughout the body, including the pelvic floor.
Aging naturally deconditions muscles that don’t receive targeted exercise, and the pelvic floor is particularly susceptible because most people don’t consciously strengthen it the way they might other muscle groups.
Urinary incontinence presents in three forms.
- Stress incontinence occurs when physical pressure on the bladder, from coughing, sneezing, laughing, or exercising, triggers leakage.
- Urge incontinence is characterized by a sudden, intense urge to urinate that’s difficult to control.
- Mixed incontinence combines elements of both.
Regardless of which type you experience, the underlying opportunity is the same: strengthening the pelvic floor can restore meaningful control.
What Is EMSELLA?

EMSELLA is an FDA-cleared, non-invasive chair device that uses High-Intensity Focused Electromagnetic (HIFEM) technology to rehabilitate pelvic floor muscles. The same electromagnetic technology used in MRI machines is focused specifically on the pelvic floor, triggering powerful muscle contractions that strengthen and restore neuromuscular control.
What makes EMSELLA remarkable is both its effectiveness and its simplicity. You sit fully clothed in the EMSELLA chair for a 30-minute session while the technology does the work. Each session delivers approximately 11,000 supramaximal pelvic floor contractions, which is the equivalent of performing 11,000 Kegel exercises in a single appointment.
To put that in perspective: most people struggle to maintain consistent Kegel exercise habits, and even diligent practice rarely approaches the intensity or volume that EMSELLA delivers. The treatment essentially provides your pelvic floor with a complete, intensive workout in the time it takes to read a magazine.
What to Expect During Treatment
The EMSELLA experience is straightforward and comfortable. Here’s what a typical appointment looks like:
You arrive at one of our elegantly appointed treatment rooms and remain fully clothed throughout the entire session. There are no gowns, no undressing, no preparation beyond showing up.
You sit in the EMSELLA chair while your provider adjusts the positioning to ensure optimal treatment delivery. The electromagnetic energy begins working, and you’ll feel your pelvic floor muscles contracting rhythmically. The sensation is noticeable but not painful. Most patients describe it as an unfamiliar but tolerable experience.
During your 30 minutes, you’re welcome to read, check your phone, or simply relax. When the session ends, you get up and continue your day as planned. There is no downtime, no recovery period, and no restrictions on activity.
Your Treatment Plan and Results Timeline

A complete EMSELLA series consists of six sessions scheduled over approximately three weeks, with two sessions per week. This frequency allows your pelvic floor muscles to strengthen progressively between appointments, building the neuromuscular control that improves bladder function.
Many patients notice improvement after their first session. Results continue developing as your muscles strengthen over the course of the full series, with continued improvement often experienced in the weeks following your final treatment.
For patients who achieve meaningful results and want to maintain them, periodic touch-up treatments help sustain your pelvic floor strength over time. Your provider will recommend a maintenance schedule based on how your body responds to the initial series.
Who Is a Good Candidate for EMSELLA?
EMSELLA is appropriate for women of virtually any age who are experiencing urinary incontinence and want a non-surgical solution for improving their quality of life. If leakage, urgency, or frequency is affecting your daily activities, your comfort, or your confidence, a consultation can determine whether EMSELLA is the right approach for your situation.
The treatment is particularly well-suited for women who:
- Experience stress incontinence triggered by coughing, sneezing, laughing, or exercise
- Deal with urge incontinence or mixed incontinence
- Have noticed changes in bladder control following vaginal delivery, menopause, or as part of natural aging
- Prefer a non-invasive, non-surgical approach
- Want to avoid medication or have found medication insufficient
- Are looking for a treatment that fits easily into a busy schedule
Frequently Asked Questions About EMSELLA
Is EMSELLA painful?
Most patients find the treatment very tolerable. You’ll feel the pelvic floor contractions clearly, but the treatment does not cause pain. Your provider can adjust the intensity level based on your comfort.
How long before I see results?
Many patients notice improvement after a single session. Full results develop over the course of the six-session series and continue improving in the weeks that follow.
Do I need to prepare for my appointment?
No special preparation is required. You’ll remain fully clothed throughout treatment, so you can come directly from work or other activities.
Can I combine EMSELLA with other treatments?
Yes. EMSELLA complements other wellness and aesthetic treatments. Some patients pair it with diVa vaginal laser rejuvenation for comprehensive intimate wellness support. Another common combination is our Core-to-Floor treatment with EMSCULPT. Your provider can discuss which combination best serves your individual goals.
What if my incontinence is more significant?
EMSELLA is most effective for mild to moderate urinary incontinence. If you have more advanced concerns, we’ll discuss your options honestly during your consultation and recommend the approach that best serves your situation, including whether a referral to a specialist would be appropriate.
Reclaiming Your Quality of Life
Urinary incontinence doesn’t have to be a permanent condition you manage around. It’s a treatable concern with a non-invasive solution that fits easily into your life, with no surgery, no recovery, and no disruption to your schedule.
The freedom to laugh without worry, exercise without hesitation, or travel without mapping every restroom along the way represents a meaningful improvement in daily life. That’s what our patients describe after completing their EMSELLA series, and it’s the outcome we’re committed to helping you achieve.
At Q the Medical Spa, every EMSELLA treatment is delivered under the expert supervision of Dr. Vito Quatela in an environment of genuine care and personal attention. We’ll take the time to understand your specific concerns, answer your questions thoroughly, and create a treatment plan designed around your individual needs.
To schedule your consultation, call 585.244.1010 or book online.




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