Still leaking after prostate surgery? There is a next step.
You beat the cancer. You did the surgery, the recovery, the waiting it out. Years later you are still packing pads for the golf trip, mapping bathrooms on every drive, and hearing give it more time. This treatment was studied specifically in men after radical prostatectomy, it involves no further surgery, and finding out whether it fits your case starts with a free call.
- Three years after my surgeon called it a success, I still wear a pad.
- I plan every car ride and every round of golf around bathroom stops.
- I keep turning down trips and letting friends think I am slowing down.
- 'Give it more time' stopped being an answer two years ago.
What this page is for
- Stress incontinence persisting months or years after prostate surgery: leaks on coughing, lifting, or standing up
- Pelvic floor weakness after pelvic surgery, affecting bladder control and confidence
- Men who want a serious non-surgical option assessed before considering a sling or artificial sphincter
Fully clothed, seated, discreet
A defined course, typically six sessions
Post-prostatectomy specific evidence, not generic male wellness
Finish the recovery you already started
The surgery dealt with the cancer. The leaking is unfinished business from it: the operation weakens the pelvic floor muscles that hold continence, and time alone retrains nobody's muscles. The Emsella pelvic floor chair delivers thousands of electromagnetic contractions per session while you sit, clothed. No incisions, nothing implanted, no explaining yourself in a waiting room. The device's FDA-cleared indication explicitly includes male urinary incontinence, and clears it as a prescription device: a clinician decides. At AION that means a discreet clinical assessment first, and if your case genuinely calls for a urological or surgical opinion instead, you are told exactly that.
Studied in exactly your situation
Most incontinence research is in women, and most male pelvic marketing is vague wellness. This is neither:
- In a 2025 clinical study, 27 men with post-prostatectomy incontinence completed a six-session course: symptom severity dropped by more than half within one month, daily pad use fell significantly, and no adverse events were reported (Tosun 2025)
- A randomized controlled study of 101 men after radical prostatectomy supports adding electromagnetic pelvic floor stimulation to pelvic floor exercises, which is how it is used here: alongside your rehabilitation, never instead of it
- The FDA-cleared indication explicitly includes male urinary incontinence. This is not an off-label improvisation on a women's device
- Honest scale: the male evidence base is younger than the female one. AION frames this as a well-evidenced option to assess for your case, not a guarantee, and severe cases are told plainly when a surgical route such as a sling or artificial sphincter is the established answer
Who this is for
You do not need a referral to ask. The assessment exists to confirm the fit, and if Emsella is not the right tool for your case, you hear that plainly.
Worth asking about if
- Leaking has persisted well beyond the early recovery months after prostate surgery
- Leaks are triggered by coughing, lifting, or standing up
- You want a non-surgical option properly assessed before considering another operation
It is not offered
- With certain implanted devices or an active pelvic infection
- As a substitute for urological evaluation where a severe case needs one
- In the first weeks after surgery, when continence often still improves on its own. Your assessment tells you when treatment adds something
What a session involves
Sessions are quick, discreet, and require no preparation or recovery time. A course is typically six 28-minute sessions over about three weeks, and your response is tracked in numbers, leaks per week and pads per day, not in vague impressions.
Before
A short check that the session is still appropriate for you, then you sit in the chair fully clothed.
During
The chair delivers electromagnetic pulses that contract the pelvic floor muscles. Most men describe a tingling or tapping sensation, not pain.
After
You get up and continue your day. There is nothing to see and nothing to explain, because it looks like sitting in a chair, and that is all it looks like.
Risks and limitations
Emsella is non-invasive and generally well tolerated. Worth knowing:
- Mild muscle soreness after a session, similar to exercise
- Not used with certain implanted devices, which screening covers before your first session
- Not a replacement for urological follow-up after cancer treatment
- Blood in urine, retention, fever or new neurologic symptoms are urology matters, investigated first, never booked into a chair
Questions about Emsella for Men
Three answers, all checkable. The FDA-cleared indication explicitly includes male urinary incontinence. The 2025 study behind this page enrolled only men, all after radical prostatectomy. And a randomized controlled study of 101 men supports electromagnetic stimulation added to pelvic floor exercises after prostate surgery. Generic male pelvic wellness marketing is exactly what this is not.
In the first months after surgery, continence genuinely does improve for many men, and your assessment respects that window. When leaking has persisted well past it, a year or more, more waiting is a hope rather than a plan. An assessment gives you an actual answer either way, and it starts with a free call.
Defined. A course is typically six sessions over about three weeks, and in the published study the improvement was measured one month after the course ended. Your response is reviewed at the end, and any further sessions are a discussion, not an assumption.
You stay fully clothed, you sit in a chair in a private room, and you walk out and drive home. No gown, no procedure room, no overnight anything. Most men tell nobody, and nothing about the visit requires them to.
AION will not oversell that. The studied, documented outcome is continence. Some patients report benefits to intimate wellbeing, but the evidence there is thin, and if erectile function is your main concern, that deserves its own honest conversation with the doctor rather than a promise on a page.
No. You can start with the free call directly. If your case turns out to need a urological opinion, you are told exactly that, which is the assessment doing its job.
Because Emsella treats one specific problem: pelvic floor muscle weakness. Leaking after prostate surgery usually involves exactly that, but not always, and a severe or complex case needs a different path. The assessment protects you from paying for the wrong treatment.
Connected care
One body. Everything connects.
What you've just read is rarely the whole story. These are often part of the same picture.
Treatment
Rehabilitation & Physiotherapy
Sports, orthopaedic and neurological rehabilitation, built from a physiotherapy assessment, not a generic program.
AION
Full Body Check-Up
A complete picture of your health, scoped by a physician to your history and risk, not a fixed package of tests.
Diagnostics
Functional, Hormonal & Cognitive Health
How your body performs, how your hormones are behaving, and how your mind is holding up, measured together.
Find out if Emsella for Men is your answer.
One free call. You leave knowing whether AION fits your case, what it would involve, and what it costs. If the honest answer is no, you hear that too, and it costs you nothing to hear it.
Your free call is with Dr Inbar Almon Tofan, AION Department Manager, and Sylvia, Patient Coordinator. It is a first conversation, not a medical consultation.