What is the Most Exciting New Development in Women's Intimate Wellness? Hello, Emsella!

What is Emsella, and what happens during treatment? Darren M. Smith, MD, a board-certified plastic surgeon in New York City, describes a chair-based treatment that uses electromagnetic stimulation of the pelvic floor. The patient remains clothed, without an internal applicator. The episode focuses on pelvic floor function and stress-related urinary leakage.

Originally published August 1, 2020. The recording's treatment schedules, prices and early study statistics reflect that period and are not a personalized treatment plan.

What you will learn

🎯 Treatment targets

Emsella and Emsculpt use related electromagnetic technology, but target different muscle groups: the pelvic floor and body muscles respectively.

🪑 Chair-based treatment

The recording describes sitting on a dedicated chair while its magnetic field stimulates pelvic floor contractions.

💬 Urinary leakage

Dr. Smith discusses leakage associated with activity or laughing, including concerns people may notice after childbirth or with age.

🩺 Pelvic floor physical therapy

He describes how device treatment may be considered alongside pelvic floor physical therapy rather than treating these as mutually exclusive approaches.

🧩 Combined treatment planning

The episode introduces the practice's then-current concept of combining abdominal muscle treatment and pelvic floor treatment.

🎧 Episode guide

00:00 — Introduction

01:44 — A clothed, chair-based treatment

03:21 — Urinary leakage discussion

04:12 — What treatment involves

05:06 — Historical treatment schedule and cost

05:37 — Physical therapy and pelvic floor goals

💬 Common questions

Does Emsella require an internal probe?

No internal probe is described in the recording. The patient stays clothed and sits on the treatment chair. An assessment is still needed to decide whether the treatment is appropriate.

How many sessions are discussed?

In this 2020 episode, Dr. Smith describes six approximately 30-minute sessions over three weeks. That is a historical example; a current clinician should confirm the protocol, contraindications and expected benefits for the individual patient.

Can it be paired with pelvic floor physical therapy?

Yes, Dr. Smith discusses that possibility. The episode is not a diagnosis of the cause of leakage or a promise that one treatment can address every pelvic floor concern.

🔗 Related information

See the practice's current Emsella information and, for the separate abdominal body-contouring treatment, Emsculpt NEO information. You can also schedule a consultation to discuss suitability.

About the host — current biography

Darren M. Smith, MD, FACS specializes in mommy makeover surgery, breast surgery, and body contouring in Manhattan. He was named to Newsweek’s America’s Best Plastic Surgeons 2026 and has co-authored authoritative peer-reviewed publications on combined breast surgery and abdominoplasty and the surgical care of postpartum patients.

Educational information, not individualized medical advice. Benefits, risks and responses vary; intimate-wellness claims in the audio are not guarantees. Show notes updated September 30, 2026.

Full transcript and related resources