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  • How It Works

HOW DOES BTL EMSELLA WORK?

BTL EMSELLA uses electromagnetic energy to cause deep pelvic floor muscle stimulation without getting undressed! A single BTL EMSELLA session brings thousands of Kegel-like contractions which help you train your muscles without any effort. Scientific research shows that 95% of treated patients have reported significant improvement in their quality of life.**

Key effectiveness is based on focused electromagnetic energy, in-depth penetration, and stimulation of the entire pelvic floor area.

• A single HIFEM session brings thousands supramaximal pelvic floor muscle contractions, which are extremely important in muscle re-education of incontinent patients.

• Incontinent patients are not able to perform high-repetition rate pattern due to pelvic floor muscles weakness.


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The BTL Emsella Chair is approved by the FDA as a treatment for incontinence

HIFEM™ TECHNOLOGY

HIFEM technology triggers intense PFM contractions by targeting neuromuscular tissue and inducing electric currents. Electric currents depolarize neurons resulting in concentric contractions and lift up of all PFM. Key effectiveness is based on focused electromagnetic energy, in-depth penetration, and stimulation of the entire pelvic floor area. This directly modifies the muscle structure, inducing a more efficient growth of myofibrils – muscle fiber hypertrophy, the creation of new protein strands and muscle fibers – muscle fiber hyperplasia. HIFEM technology causes deep PFM stimulation and restoration of the neuromuscular control.

Figure 2: Comparison of patients´ condition before and after pelvic floor muscle stimulation using HIFEM technology.

THE ROLE OF THE PELVIC FLOOR MUSCLE

Pelvic floor muscles (PFM) are the group of muscles that support the pelvic

floor organs and control continence. Due to the body’s normal aging,

childbirth and menopause, PFM decondition and insufficiently support

the pelvic floor organs. These conditions have a direct correlation to incontinence.

INCONTINENCE

Incontinence is defined as an involuntary loss of urine. The International Continence Society defines 3 main types of incontinence according to the etiology. Stress urinary incontinence (SUI) involves urine leakage when events with increased intra-abdominal pressure are performed (e.g. coughing, sneezing, laughing, lifting etc.). SUI is caused by a loss of support of the urethra, and deconditioned PFM as a consequence of damage to the pelvic support structures. SUI is also strongly associated with vaginal childbirth and menopause. The second type is associated with a strong desire to void and pathological contractions of the bladder, so-called urge incontinence. Urge incontinence is a neuromuscular dysfunction and usually represents as a symptom of an underlying problem (e.g. diabetes mellitus). The third type is mixed urinary incontinence (MUI) and involves a combination of both the SUI and urge incontinence symptoms. In all 3 types, patients are not able to contract the PFM properly due to the muscle weakness, as in the case of SUI, or due to a pathological bladder over-activity, as is the case with urge UI.

BENEFITS OF BTL EMSELLA

  • A non-invasive procedure with no recovery time.
  • Remain fully clothed during treatment.
  • Restores bladder and pelvic muscle control without time-consuming exercises.
  • A comfortable procedure that lets you relax during the 28-minute treatment.
  • You may observe improvement after a single session. Results will typically continue improving over the next few weeks.
  • Results after about six sessions, scheduled twice a week.
  • Patients have reported a significant pad reduction.**

FREE YOURSELF FROM INCONTINENCE

GET IN TOUCH BELOW

SUPRAMAXIMAL PELVIC FLOOR MUSCLE CONTRACTIONS

Maximal voluntary contraction (MVC) is the greatest amount of tension that could be developed and held physiologically by the muscle, but usually only for a split second. Contractions with a tension higher than MVC are defined as supramaximal. HIFEM technology is able to create supramaximal PFM contractions and hold them for a couple of seconds (see Figure 1). These contractions are independent of brain function and target directly the peripheral nerves in the pelvic floor area.

This phenomenon leads to supramaximal contractions which cannot normally be achieved by voluntary muscle action (e.g. Kegel exercise). The key to the effectiveness of HIFEM technology is in the gradually increasing intensity of the focused electromagnetic fields and frequency of pulses, which result in unique vigorousness of the contractions. During 1 session using HIFEM technology, thousands PFM supramaximal contractions are performed. This method is extremely important to PFM re-education as the patients are not able to perform this high-repetition rate pattern due to PFM weakness. Such effect cannot be achieved through common exercise (e.g. Kegel).

Figure 3: PFM activation using HIFEM technology compared to common exercise (e.g. Kegel).

HIFEM THERAPY PROTOCOL

HIFEM therapy protocol takes around 30 minutes and consists of 3 different phases. These phases ensure an intense awakening of the deconditioned PFM, stimulation, and relaxation of the PFM. Repetition of these phases and focused electromagnetic energy delivery leads to pelvic floor muscle stimulation, adaptation, and remodelation.

Figure 4: A frontal view of the pelvic floor muscles and bladder using medical ultrasound. Relaxed and loosened pelvic floor muscles and bladder (left). Stimulated and lifted pelvic floor muscles and bladder using HIFEM technology (right).

FREQUENTLY ASKED QUESTIONS

Who is the right candidate for BTL EMSELLA?

BTL EMSELLA is a great option for women of any age who desire solution for urinary incontinence and improvement in their quality of life.

How long is the treatment? How many sessions do I need?

Your provider will tailor a treatment plan for you. A typical treatment takes about 30 minutes and you will need about 6 sessions, scheduled twice a week.

What does the procedure feel like? Is it painful?

You will experience tingling and pelvic floor muscles’ contractions during the procedure. You may resume daily activities immediately after the treat.

How fast will I see results?

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

References:

1. Abrams P, Blaivas JG, Stanton SL, Andersen JT. The Standardisation of Terminology of Lower Urinary Tract Function. The International Continence Society Committee on Standartisation of Terminology. Scand d Suppl 1998;114:5-19.

2. Almeida FG, Bruschini H, Srougi M.: Urodynamic and clinical evaluation of 91 female patients with urinary incontinence treated with perineal magnetic stimulation: 1-year follow-up. J Urol. 2004 Apr; 171(4), pages 1571-4.

3. Bickford, R., Guidi, M., Fortesque, P. and Swenson, M. (1987). Magnetic stimulation of human peripheral nerve and brain. Neurosurgery, 20(1), pp.110-116.

4. Coletti, D., Teodori, L., Albertini, M., Rocchi, M., Pristerà, A., Fini, M., Molinaro, M. and Adamo, S. (2007). Static magnetic fields enhance skeletal muscle differentiation in vitro by improving myoblast alignment. Cytometry Part A, 71A(10), pp.846-856.

5. Ishikawa N., Suda S., Sasaki T. et al., Development of a non-invasive treatment system for urinary incontinence using a functional continuous magnetic stimulator (FCMS) , Medical & Biological Engineering & Computing, 1998, 36, 704-71.

6. Ostrovidov, S., Hosseini, V., Ahadian, S., Fujie, T., Parthiban, S., Ramalingam, M., Bae, H., Kaji, H. and Khademhosseini, A. (2014). Skeletal Muscle Tissue Engineering: Methods to Form Skeletal Myotubes and Their Applications. Tissue Engineering Part B: Reviews, 20(5), pp.403-436.

7. Stölting, M., Arnold, A., Haralampieva, D., Handschin, C., Sulser, T. and Eberli, D. (2016). Magnetic stimulation supports muscle and nerve regeneration after trauma in mice. Muscle & Nerve, 53(4), pp.598-607.

8. Wallis, M., Davies, E., Thalib, L. and Griffiths, S. (2011). Pelvic Static Magnetic Stimulation to Control Urinary Incontinence in Older Women: A Randomized Controlled Trial. Clinical Medicine & Research, 10(1), pp.7-14

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