BTL Emsella chair: Does it help for incontinence?

@thehowlingdog, I see that a clinical trial is currently recruiting participants to test the Emsella chair's efficacy.
- BTL Emsella Chair Versus Sham for the Treatment of Stress Urinary Incontinence https://clinicaltrials.gov/ct2/show/NCT04133675

Here is a meta-analysis
- An Effective Meta-analysis of Magnetic Stimulation Therapy for Urinary Incontinence https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591355/

I found these and a few more studies using Google scholar. It looks like the Emsella may be promising, but that there have not been that many studies and none that I found specific to men with urinary incontinence due to prostate cancer treatment. High cost is also a factor to consider.

@maxvt has been sharing about his success with diligence in doing regular pelvic floot exercises here. https://connect.mayoclinic.org/comment/760920/

Thanks Colleen. Clearly this is is a new technology that "shows promise" but I can see that the sheer number of individual patient variables make a rigorous clinical trial a daunting task. At the best, a RP recovering patient trying this MAY enjoy a faster return to full control --- but never know for certain what factors were responsible. At worst, you've just pissed away (sorry, couldn't resist) $1,500 dollars and be no better or no worse off than conscientiously doing manual kegels alone.

Hi Colleen,

I see that your reply is over a year ago so I wonder if your reply would be different now? I understand that the FDA cleared the Emsella chair and that it recently (Jan,/2023) was cleared by Medicare for approval. Does that mean
Mayo may have the equipment or be getting it? I am a current patient. Thank you.

Hi @meda, a search on Google Scholar doesn't show any new information that I could see:
https://scholar.google.ca/scholar?q=Magnetic+Stimulation+Therapy+for+Urinary+Incontinence&hl=en&as_sdt=0&as_vis=1&oi=scholart
The clinical trial being conducted by William Beaumont Hospitals cited above isn't scheduled to be complete until 2025.

I don't know if Mayo Clinic offers this treatment for urinary incontinence for men with prostate cancer. I'd be interested what your urologist would know about its efficacy.

Do we have any update on Emsella Chair from Mayo Clinic . Does Mayo clinic offer this as part of the treatment for men suffering from stress incontinence after TURP or HoLEP Prostate surgery ?

It's still available here. I guess it wouldn't have lasted this long if it didn't work.
https://www.aestheticscollective.co.nz/emsella-chair
What does Emsella Cost?

We offer a free 15 minute consultation to see if Emsella is right for you.

$250 - First treatment and full consult (approximately 45 mins). This covers a full assessment, detailed information about the Emsella chair, and a 28-minute initial treatment session on the chair.

$1399 for 6 x Emsella Treatments
$1799 for 8 x Emsella Treatments
$200 F/U sessions per session (post initial treatment)

No review here, cause I haven't got a spare 2000 bucks.

@nickt6667, I don't have information specific to Emsella Chair, but found these articles from Mayo Clinic using the term "electromagnetic perineal stimulation" instead of the device brand name.

- Sacral neuromodulation in the male patient https://www.mayoclinic.org/medical-professionals/urology/news/sacral-neuromodulation-in-the-male-patient/mac-20549082
- Nerve stimulation to treat urinary incontinence https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/nerve-stimulation-to-treat-urinary-incontinence

I too, would love some feedback on the Emsella chair. The research I have seen tends to focus more on women and/or incontinence in general as opposed to male recovering from prostratectomy. I agree with the previous poster who noted the 'fantastic' results tend to come from commercial sites as opposed to PUBmed articles.

I had prostrate removed in January, two weeks catheter and am now 5 weeks post catheter. I have both stress and urge incontinence and it interferes with most parts of my life (going to work, babysitting, just going for a walk, ) I am working with a pelvic floor specialist which I really appreciate (she is great and is in Kensington Maryland if this is helpful) She has me working on form, deep breathing, strengthening surrounding muscles, learning to relax PFMs,
I recently asked my surgeon about me using my exercise bike again and was told to give it a try. I did- ( 30 minute hill work outs) This felt great until day three and I then had serious regression with my beginning progress, For this reason I really want to be careful.
However, my urologist is investing in an emsella chair. I worry that my fragile progress could be jeopardized if try something 'questionable'
I have heard about some horrible problems with the simulators that some have used to rapidly engage PFMs, regression and worsening. this makes me nervous to try 'short cuts' or untried unproved techniques

Any actual experience with the emsella chair for men following prostratectomy? If there is no harm in trying I might consider it. However I sure do not want to go backwards or have my problem worsen. I had to stop the bike a couple of days ago when I figured out it was the likely cause of very significant regression of my continence improvement. I had a horrible two days and things are just now settling down

thanks