EMSELLA® for Men: Strengthening Pelvic Floor Health Without Surgery

Dr. Ryan Tubre, Board Certified Urologist owner of Rose City Urology in Tyler, Texas
Dr. Ryan Tubre

Publish Date:

March 13, 2026

Understanding Urology: The Medical Specialty Focused on the Urinary Tract

Pelvic Floor Health Isn’t Just a Women’s Issue

Pelvic floor concerns are often discussed in relation to women, but men have these muscles too, and they play a key role in bladder control, bowel function, core stability, and sexual function.

If you’ve noticed urinary leakage, increased urgency, or changes in control, you are not alone. Many men experience pelvic floor weakness due to aging, medical procedures, or gradual muscle changes over time.

At Rose City Urology, we offer EMSELLA®, a non-invasive treatment designed to strengthen the pelvic floor. Fully clothed and hands-free, EMSELLA requires no downtime and can help restore bladder control and sexual performance, empowering men to feel confident in every area of life.

Understanding the Male Pelvic Floor

The pelvic floor is a group of muscles located at the base of the pelvis. In men, these muscles:

  • Support the bladder and bowel
  • Help control urination and bowel movements
  • Contribute to erections, ejaculation, and overall sexual function

Over time, these muscles can weaken. Aging, prostate procedures, chronic straining, or simply reduced muscle engagement may lead to decreased bladder control and strength. Weak pelvic floor muscles can affect urinary control and sexual performance, making targeted strengthening essential.

Common Reasons Men Seek Pelvic Floor Strengthening

Men seek treatment for a variety of reasons, including:

  • Urinary leakage or post-void dribbling
  • Frequent urination or sudden urgency
  • Reduced pelvic support
  • Recovery following surgery or medical procedures
  • Age-related muscle decline
  • Reduced sexual performance, including difficulty maintaining erections or diminished sensation

Strengthening the pelvic floor can improve both day-to-day comfort and intimate function, supporting overall confidence and quality of life.

Older man undergoing physiotherapy procedure to stimulate pelvic floor muscles
EMSELLA Treatment for Men strengthens deep muscle layers in the pelvic floor.

What Is EMSELLA and How It Works for Men

EMSELLA uses high-intensity focused electromagnetic energy (HIFEM® technology) to stimulate pelvic floor muscles. In simple terms, the device causes powerful muscle contractions that are not possible to achieve on your own. During a single session, the pelvic floor muscles contract over 11,000 times.

These contractions:

  • Strengthen deep muscle layers
  • Improve coordination and bladder control
  • Enhance blood flow and nerve signaling to support sexual function
  • Help restore function over time

Because EMSELLA targets muscles that are difficult to voluntarily activate, it can be especially helpful for men who struggle with traditional pelvic exercises.

How EMSELLA Improves Sexual Function

Pelvic floor strength plays a critical role in sexual health for men. These muscles support erections, ejaculation, and overall control. When the pelvic floor weakens, men may experience difficulty maintaining erections, reduced sensitivity, or diminished sexual stamina.

EMSELLA helps by targeting and strengthening the deep pelvic floor muscles that are hard to activate through traditional exercises. During each session:

  • Intense muscle contractions improve blood flow to the pelvic region, which supports stronger and longer-lasting erections.
  • Neuromuscular stimulation enhances coordination and control of pelvic muscles, helping with sexual performance and timing.
  • Muscle strengthening increases endurance, contributing to improved stamina and confidence.

Because EMSELLA activates muscles at a deeper level than Kegel exercises alone, men often notice improvements in sexual function alongside enhanced bladder control. Over the course of treatment, this can lead to more reliable erections, better sexual sensation, and increased confidence in intimate situations.

What to Expect During an EMSELLA Session

Your treatment takes place in a private setting. You will sit comfortably on the EMSELLA chair, fully clothed. There are:

  • No probes
  • No needles
  • No anesthesia

The treatment is hands-free. Your provider adjusts the intensity gradually to ensure comfort while delivering effective muscle stimulation. Throughout the session, we prioritize your privacy, comfort, and understanding of each step. 

What EMSELLA Feels Like & How Long Each Session Takes

During treatment, you will feel rhythmic pelvic muscle contractions.

Most men describe the sensation as:

  • A tightening or lifting feeling in the pelvic area
  • Similar to an intense muscle workout
  • Unfamiliar at first, but not painful

The session helps improve pelvic muscle control and awareness, which can support stronger, more reliable erections and sexual performance over time. We work with you to maintain comfort while achieving effective stimulation.

Each session lasts approximately 28-30 minutes. Most men schedule treatment during a lunch break or between work commitments. There is no recovery time required afterward, and you may return to normal activities immediately.

Typical Treatment Plan for Men

A common recommendation includes a series of sessions over several weeks, often around six treatments. Consistency is important. Just like strengthening any muscle group, results build with repeated activation. Your plan may be adjusted based on your symptoms, goals, and response to treatment.

Happy man running with earphones
EMSELLA treatment for men can improve bladder control

What Can Results Men Experience & How Long Do They Last?

Men who complete a treatment series may notice:

  • Improved bladder control
  • Reduced leakage or dribbling
  • Decreased urgency
  • Greater pelvic muscle awareness
  • Enhanced sexual function, including stronger erections, better control, and improved confidence
  • Increased confidence during daily activities

Every individual responds differently, but gradual improvement is common as muscles strengthen over time.

The duration of results depends on factors such as age, overall health, and lifestyle. Maintenance sessions may be recommended to preserve muscle strength and sexual function. Pelvic floor health is an ongoing aspect of overall wellness, supporting both urinary and sexual performance long-term.

Who Is a Good Candidate?

EMSELLA may be a strong option for men who:

  • Experience urinary control concerns
  • Want a non-surgical approach
  • Struggle to perform or feel pelvic floor exercises
  • Want to improve sexual function and confidence
  • Wish to remain active and confident as they age

A consultation allows us to determine whether this treatment is appropriate for your individual concerns.

Frequently Asked Questions

Q: Is EMSELLA uncomfortable or embarrassing?

A: Treatment is performed in a private, professional setting. You remain fully clothed, and most men find the experience straightforward and discreet.

Q: Can EMSELLA help even if I don’t have major symptoms?

A: Some men pursue treatment proactively to strengthen pelvic muscles, maintain bladder control, and enhance sexual performance. We can discuss your goals to determine whether treatment is appropriate.

Q: How does EMSELLA compare to Kegels?

A: Kegel exercises rely on voluntary muscle engagement, which can be difficult to perform correctly. EMSELLA triggers deep, repetitive contractions that improve both pelvic strength and sexual function.

Q: Is it safe for men with implants or medical devices?

A: Candidacy depends on the type of implant or device. We carefully review your medical history to ensure treatment is safe and appropriate.

Taking Control of Men’s Pelvic Health

Pelvic floor strength is central to men’s overall wellness, urinary control, and sexual health. Weakness does not have to be accepted as inevitable. EMSELLA offers a simple, non-invasive way to strengthen the pelvic floor, improve bladder control, and enhance sexual performance, all without surgery or downtime.

If you are ready to explore your options, we encourage you to schedule a consultation at Rose City Urology. Together, we can create a plan that supports your strength, confidence, and long-term quality of life.

HELP IS AVAILABLE

We aim to restore your quality of life

At Rose City Urology, we aim to treat the most common to the most complex conditions to help you get back to living your best.