Can EmSella Make Prolapse Worse?
Pelvic organ prolapse, a condition where the pelvic organs such as the bladder, uterus, or rectum drop from their normal position into the vagina, is a common issue affecting many women. One of the treatments gaining popularity in recent years is EmSella, a non-invasive treatment that uses high-intensity focused electromagnetic energy to stimulate the muscles of the pelvic floor. However, there is growing concern about whether EmSella can make prolapse worse. In this article, we will explore this question and discuss the potential risks and benefits of EmSella in the context of pelvic organ prolapse.
Understanding EmSella
EmSella is a relatively new treatment that has been approved by the FDA for the treatment of overactive bladder and stress urinary incontinence. The treatment involves sitting in a chair for about 30 minutes while an electromagnetic field is applied to the pelvic floor muscles. The energy stimulates the muscles, causing them to contract and strengthen over time. This strengthening process is thought to improve bladder control and reduce urinary incontinence.
Risks of EmSella in Prolapse Patients
While EmSella is generally considered safe and effective for treating overactive bladder and stress urinary incontinence, some experts worry that it may exacerbate pelvic organ prolapse in certain patients. The concern stems from the fact that the treatment strengthens the pelvic floor muscles, which could potentially pull on the prolapsed organs and make the condition worse. Additionally, the electromagnetic energy used in EmSella may disrupt the delicate balance of the pelvic floor, leading to further prolapse.
Research and Expert Opinions
Research on the effects of EmSella on pelvic organ prolapse is limited, but some studies have shown mixed results. A small study published in the Journal of Urology in 2019 found that EmSella improved bladder control and quality of life in women with overactive bladder, without any significant impact on pelvic organ prolapse. However, another study published in the Journal of Pelvic Floor Dysfunction in 2020 suggested that EmSella may worsen prolapse in some patients.
Expert opinions on the subject are also divided. Some urogynecologists believe that EmSella can be a beneficial treatment for women with pelvic organ prolapse, as it strengthens the pelvic floor muscles and helps to support the prolapsed organs. Others argue that the treatment should be used with caution, especially in patients with advanced prolapse, as it may exacerbate the condition.
Conclusion
In conclusion, while EmSella is a promising treatment for overactive bladder and stress urinary incontinence, its potential risks in patients with pelvic organ prolapse remain a topic of concern. More research is needed to determine the long-term effects of EmSella on prolapse, and whether it can be safely used in this patient population. Until then, it is essential for women with pelvic organ prolapse to consult with their healthcare providers before considering EmSella as a treatment option.
