Emsella Chair in Toronto & Markham: HIFEM Pelvic Floor Strengthening
BTL Emsella HIFEM® High-Intensity Focused Electromagnetic (HIFEM) · 28-minute session equivalent to 11,000 Kegel contractions · Fully clothed, seated position · Suitable for men and women · Addresses stress, urge, and mixed urinary incontinence · Health Canada–licensed
Quick Answer
The BTL Emsella Chair is a non-invasive, Health Canada–licensed electromagnetic device designed to treat urinary incontinence and strengthen pelvic floor muscles in both men and women. Manufactured by BTL Industries, it uses High-Intensity Focused Electromagnetic (HIFEM) technology to induce thousands of supramaximal pelvic floor contractions per session. At ID Cosmetic Clinic in Markham, serving Toronto and the GTA, treatments are performed under the supervision of Dr. Dan Xu, M.D. A typical course involves six sessions over three weeks, with gradual improvements noticed over several weeks following treatment. Each session takes 28 minutes and you stay fully clothed. Sessions typically range from $250 to $450, or $1,500 to $2,400 for a course of 6.
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Why Choose ID Cosmetic Clinic for Emsella® in Toronto
The foundation of effective pelvic floor treatment is not the device itself, but rather who conducts the assessment, who determines the grade, and who is responsible for long-term follow-up. At ID Cosmetic Clinic, all consultations and treatment planning are performed personally by Dr. Dan Xu (M.D., CCFP). Dr. Xu applies clear clinical judgment to urinary incontinence classification, male-female differences, and the distinct needs of postpartum versus post-surgical patients — and delivers every treatment using authentic BTL Emsella® equipment following standardized protocols.
Physician-led classification assessment
Every BTL Emsella® patient is assessed in person by Dr. Xu — to differentiate stress / urgency / mixed / neurogenic urinary incontinence. The assessment includes determining whether prolapse or pelvic pathology is present, and whether a gynecology or urology referral is warranted first. Emsella is never promoted as a one-size-fits-all solution.
Evidence-based clinical position
BTL Emsella HIFEM® holds dual approval from the FDA and Health Canada, and its multiple indications — stress, urge, mixed, and post-prostatectomy urinary incontinence — are supported by published research. Dr. Xu uses BTL Emsella® exclusively within evidence-supported indications and does not participate in “intimate beauty” marketing narratives.
Experience across multiple platforms
Dr. Xu has performed 80,000 aesthetic and functional treatment procedures across China and Canada, with sustained clinical experience in pelvic floor rehabilitation, postpartum recovery, and perimenopausal management. She is capable of accurate clinical assessment of which patients are suitable for Emsella®, and which are better suited to CO2 Intimate laser or Votiva Vaginal radiofrequency.
Complete three-modality intimate wellness platform for women
The clinic is also equipped with CO2 mucosal regeneration laser + Votiva intimate radiofrequency + BTL Emsella® HIFEM pelvic floor strengthening: three distinct pathways that can be combined into a non-hormonal plan tailored to your specific concerns — whether that is mucosal atrophy, tissue laxity, or urinary leakage — not reliant on any single modality.
Bilingual (Chinese & English) · Culturally sensitive
Consultations are conducted in both Mandarin and English. We understand and respect the cultural sensitivities common among Chinese-Canadian patients — including reluctance to be examined by a male physician, embarrassment around discussing incontinence, or the lack of open conversation around post-prostatectomy issues in older male patients. Treatment goals, risks, and alternatives are discussed with full transparency.
In Markham, serving Toronto and the GTA
Our clinic is in Markham, serving Toronto and the Chinese-Canadian community throughout the Greater Toronto Area (GTA), including North York, Richmond Hill, Scarborough, and Vaughan. Emsella treatment is performed fully clothed and seated, with zero physical contact and minimal downtime, so sessions can be flexibly scheduled around other daily commitments.
- Authentic BTL Emsella manufacturer device · Health Canada–licensed
- CPSO-registered physician (publicly verifiable)
- All Emsella treatment plans are customized by Dr. Dan Xu (M.D., CCFP) following a personal consultation · Technician-delivered sessions are conducted in accordance with standardized clinical protocols
- Private treatment area · Available to both male and female patients · Fully clothed throughout
- Written informed consent · Complete clinical documentation · Established referral pathway with local gynecology and urology
- Google 4.9★ · 283 genuine client reviews
What Is the Emsella Kegel Chair?
Emsella is a HIFEM® (High-Intensity Focused Electromagnetic) pelvic floor strengthening device developed by BTL Industries and housed in an adjustable, purpose-built treatment chair. Patients sit fully clothed in the chair and are ready to begin treatment. Over the 28-minute session, the device emits a focused electromagnetic field that penetrates clothing and tissue to a depth of approximately 10 cm, reaching the pelvic floor muscle layer directly and inducing approximately 11,000 supramaximal pelvic floor muscle contractions — equivalent to the training volume accumulated through months of active manual Kegel exercises.
Unlike mucosal regeneration (CO₂ laser) or collagen thermal stimulation (radiofrequency) approaches, BTL Emsella® targets the pelvic floor muscles themselves — by directly stimulating motor neurons through electromagnetic induction, the device causes muscle fibers to contract repeatedly at an intensity that exceeds voluntary control, which is equivalent to retraining and thickening pelvic floor muscle fibers. As the pelvic floor muscles strengthen, support and control of the urethra, bladder neck, and pelvic organs are restored in parallel.
Emsella’s most significant clinical differentiator is that it is non-invasive + non-contact + fully clothed + suitable for men and women: no vaginal probe, no intimate preparation, and a short recovery period — each 28-minute session allows you to browse your phone, handle emails, or read. Its evidence base continues to grow across stress urinary incontinence (SUI), urgency urinary incontinence, post-prostatectomy incontinence in men, and pelvic floor laxity following vaginal delivery, establishing it as a leading platform in non-invasive pelvic floor therapy.
Device technical specifications
- Mechanism of actionHIFEM® High-intensity focused electromagnetic field
- Penetration depthApproximately 10 cm, reaching the pelvic floor muscle layer
- Duration per session28 minutes
- Number of contractionsApproximately 11,000 supramaximal contractions
- Treatment positionFully clothed, seated position · Non-invasive · Non-contact
- Suitable candidatesSuitable for all genders · Including male post-prostatectomy indications
- Regulatory statusHealth Canada–licensed
- ManufacturerBTL Industries (Czech Republic / Global)
Women’s intimate treatment trio · Pathway comparison
| Treatment plan | Approach | Core indications | Experience |
|---|---|---|---|
| BTL Emsella® Chair (this device) | HIFEM electromagnetic stimulation of the pelvic floor muscles | All types of urinary incontinence · Pelvic floor laxity | Fully clothed, seated · Non-contact |
| CO2 Intimate laser | Mucosal resurfacing · Collagen regeneration | GSM vaginal atrophy / dryness | Lithotomy position · Probe · 7-day abstinence from sexual activity |
| Votiva Vaginal radiofrequency | Radiofrequency thermal effect + optional microneedling | Tissue tightening + vulvar rejuvenation | Lithotomy position · Gentle yet perceptible |
| Pelvic floor physiotherapy | Manual Kegel exercises + biofeedback | Mild SUI · Maintenance training | Requires long-term commitment |
| Urethral sling procedure | Surgical intervention | Moderate-to-severe SUI | Anesthesia required · 4–6 weeks of recovery |
Note: These three modalities are not interchangeable — they are a toolkit combined according to each patient’s specific concerns. Emsella® is the pelvic floor muscle pathway, CO₂ laser is the mucosal pathway, and Votiva is the tightening + vulvar rejuvenation pathway — your treatment plan is customized by Dr. Xu following a consultation.
How Does the Emsella Chair Work?
From the HIFEM electromagnetic field stimulating the pelvic floor muscles, to increased muscle fiber thickness, to restored support of the urethra and bladder neck — the entire process is initiated within 6 sessions (2–3 weeks) and continues to develop over the following 8–12 weeks as your own muscles remodel.
Consultation assessment and incontinence classification
Dr. Xu’s consultation reviews your obstetric history, surgical history, neurological conditions, current medications, and any prior gynecological or urological assessments. Completion of the ICIQ-UI SF questionnaire and bladder diary documentation is recommended to clearly establish stress / urgency / mixed / neurogenic classification; referral to gynecology or urology is made first when clinically indicated.
Seated fully clothed in the BTL Emsella® chair
No change of clothing, no removal of undergarments, and no intimate preparation required — you sit directly on the BTL Emsella® chair in your everyday clothes (breathable cotton is recommended), while the technician assists with positioning so that your pelvic floor muscles are precisely centred within the electromagnetic focus. Throughout the session, there is no physical contact with the body.
HIFEM electromagnetic field penetration inducing muscle contractions
The device emits focused electromagnetic pulses from below, penetrating clothing and subcutaneous tissue to a depth of approximately 10 cm to reach the pelvic floor muscle layer directly. The electromagnetic field stimulates the motor neurons of the pelvic floor muscles, inducing repeated muscle fiber contractions at an intensity beyond the limits of voluntary control. You will feel rhythmic, intense but painless pelvic floor muscle contractions.
28 minutes · approximately 11,000 supramaximal contractions
Each session lasts 28 minutes, during which the device follows the treatment protocol of maximum contraction + brief relaxation across alternating cycles. Each session triggers approximately 11,000 pelvic floor muscle contractions — an accumulated training load that would otherwise take months of active Kegel exercises to achieve. You are free to browse your phone, check emails, or read; no effort beyond remaining seated is required.
6 sessions per course · Peak results at 8–12 weeks · Annual maintenance
The standard treatment is 6 sessions, twice weekly, spaced 3 days apart, completed over 2–3 weeks. After the 2nd–3rd session, most patients begin to notice improvements in leakage frequency or bladder confidence, with peak results typically reached 8–12 weeks after completing the 6-session course. Clinical data indicate that outcomes can be maintained for 6–12 months; 1–2 single maintenance sessions per year are recommended.
Three Layers of Safety in Pelvic Floor Treatment — Dr. Xu’s Clinical Principles
The Emsella procedure itself carries very few complications — the real risk lies in misclassification and missed diagnosis. Dr. Xu mitigates risk through the following three layers of safeguards.
Urinary incontinence type screening
Differentiating stress / urgency / mixed / neurogenic incontinence · Ruling out urinary tract infection · Ruling out moderate-to-severe prolapse · Referring to urology first where indicated.
Metal and implant screening
Absolute contraindications: cardiac pacemaker / implanted electronic device / metal intrauterine device / recent metal implant / pregnancy — every patient undergoes mandatory written screening before treatment.
Transparent communication of treatment outcomes
The written informed consent form clearly states: BTL Emsella® is not a substitute for surgery, does not address pelvic organ prolapse, has limited efficacy for severe urinary incontinence, and individual outcomes vary depending on incontinence type and patient adherence.
Among the urinary incontinence patients I see, approximately 15–20% are better served by a urology or gynecology referral before considering Emsella — for example, those with undiagnosed moderate-to-severe prolapse, neurogenic incontinence, or recurrent urinary tract infections. Identifying patients who are not suitable candidates for BTL Emsella® is just as important as delivering excellent outcomes for those who are. – Dr. Dan Xu, M.D., CCFP
Am I a Candidate for Emsella®?
The following outlines common scenarios where treatment may or may not be appropriate — however, the final determination must be made by Dr. Xu through a thorough intake interview + urinary incontinence classification + gynecological / urological assessment where indicated. A comprehensive assessment guides every decision. This treatment is intended for male and female patients with clearly defined pelvic floor concerns.
You may be a good candidate for treatment if…
- Stress urinary incontinence (leakage when coughing, sneezing, running, or jumping)
- Urgency urinary incontinence (inability to hold, sudden strong urge to urinate)
- Mixed urinary incontinence (combining both stress and urgency components)
- Post-prostatectomy in men: stress urinary incontinence (Health Canada–licensed indication)
- Postpartum pelvic floor laxity + mild urinary leakage
- Reduced sexual sensitivity (associated with pelvic floor muscle weakness)
- Clients seeking a non-invasive, non-contact, fully clothed treatment
- Clients who have attempted home Kegel exercises but found the results insufficient or difficult to maintain consistently
Treatment is not recommended if any of the following apply…
- Cardiac pacemaker / implantable cardioverter-defibrillator (ICD) / neurostimulator and other implantable electronic devices
- Metal intrauterine devices (including copper IUDs and metal-framed devices)
- Recently surgically implanted metal devices in or near the pelvic region (surgical screws / titanium mesh / joint prostheses)
- Pregnancy or active conception attempts
- During menstruation (scheduling around your period is recommended · not an absolute contraindication, but comfort is reduced)
- Epilepsy or other neurological conditions that may be triggered by electromagnetic fields
- Moderate-to-severe pelvic organ prolapse (gynecology or urology referral should take priority)
- Active pelvic or urinary tract infection (uncontrolled)
Clinical Scenario vs. Recommended Approach
Dr. Xu has clear clinical preferences for different scenarios — BTL Emsella® is one tool among several:
| Clinical scenario | First-line option | Second-line / combination option | Reason |
|---|---|---|---|
| Post-vaginal delivery stress urinary incontinence (SUI) + laxity | Emsella + Kegel | CO2 Intimate laser as adjunct | Directly targets the pelvic floor muscle pathway |
| Post-prostatectomy SUI in men | Emsella + home training | Collaborative follow-up with urology | FDA male indications |
| Urge urinary incontinence | Emsella + bladder training | Urological medications (where indicated) | HIFEM evidence support for urgency incontinence |
| Menopausal GSM-related vaginal dryness | CO2 Intimate laser | Emsella (with urinary leakage) | Mucosal pathway + muscle pathway |
| Moderate-to-severe pelvic organ prolapse | Gynecology / Pelvic floor surgery | — | Emsella does not address prolapse |
| Severe SUI / neurogenic | Urology | Emsella as supportive / adjunct | Emsella evidence strength is insufficient |
| Purely cosmetic intimate tightening concerns | Alternatives discussed at consultation | — | This treatment is not for cosmetic purposes |
BTL Emsella® Treatment Planning
The standard treatment is 6 sessions, twice weekly, spaced 3 days apart, completed over 2–3 weeks. Each session is 28 minutes, performed fully clothed in a seated position. Most patients begin to notice improvement after the 2nd or 3rd session. Peak results are reached 8–12 weeks after completing all 6 sessions, with 1–2 maintenance sessions per year thereafter.
Initial consultation and incontinence classification
Free 30-Minute Consultation, conducted personally by Dr. Xu (M.D., CCFP) · Includes intake interview, ICIQ-UI SF scoring, bladder diary guidance, implant screening, and referral pathway discussion where needed.
Sessions 1–2 (Week 1)
Sit fully clothed on the Emsella chair · 28 minutes per session · Browse your phone or read during treatment · Walk out immediately after · Resume all activities the same day.
Sessions 3–6 (Weeks 2–3)
2 sessions per week · 3 days apart · Most patients notice improved bladder control or reduced leakage episodes after the 2nd or 3rd session · 6 sessions constitute one standard course of treatment.
1–2 maintenance sessions per year
Schedule a single maintenance session 6–12 months after completing treatment · Continue home Kegel exercises and bladder diary · Co-manage with urology or gynecology as needed.
Typical Treatment Schedule
Below is the standard timeline for Emsella® clients, from initial consultation through annual maintenance:
| Timeline | Content |
|---|---|
| Week 0 | Free 30-Minute Consultation (incontinence classification · implant screening · bladder diary guidance · informed consent) |
| Week 1 | Sessions 1–2 · 28 minutes per session, fully clothed · 3 days apart |
| Week 2 | Sessions 3–4 · Some patients begin to notice improved bladder confidence or reduced leakage |
| Week 3 | Sessions 5–6 · Completion of the standard 6-session course |
| Weeks 8–12 | Peak results · Repeat ICIQ-UI SF assessment · Bladder diary comparison |
| Months 6–12 | Annual single-session maintenance · Continued home Kegel and bladder training |
| 1–2 times per year | Long-term maintenance schedule · Co-managed follow-up with local gynecology and urology |
The exact number of sessions and treatment intervals are determined by Dr. Xu at consultation, based on incontinence type, severity, and prior treatment response.
What Can the Emsella Chair Treat?
This treatment is intended for men and women with clearly defined pelvic floor concerns — it is not marketed as an intimate cosmetic or lifestyle service. The indications listed below are supported by BTL Emsella’s published clinical data; the strength of evidence varies by indication, and Dr. Xu will walk you through each one during your consultation.
Female stress urinary incontinence
Leakage triggered by coughing, sneezing, running, jumping, or laughing (ICIQ-UI SF ≤ 12; most patients benefit). This is one of the indications with Emsella’s strongest evidence base. Understanding SUI.
6 sessions / completed over 2–3 weeksUrge urinary incontinence
Sudden urgency and leakage before reaching the bathroom. BTL Emsella® has demonstrated improvement in urgency episode frequency through pelvic floor muscle strengthening; it is recommended to be combined with bladder training and fluid management, forming a comprehensive treatment plan.
6 sessions + bladder trainingMixed urinary incontinence
Mixed incontinence involves both stress and urgency components. During your consultation, Dr. Xu identifies the dominant component and adjusts the treatment plan accordingly. BTL Emsella® is one of the few non-invasive options with the ability to address both components simultaneously.
6 sessions (up to 8 when clinically indicated)Post-prostatectomy urinary incontinence in men
Stress urinary incontinence following radical prostatectomy or transurethral resection of the prostate (TURP). This falls under the FDA male indications; a co-assessment with urology is recommended. Emsella® strengthening may begin once foundational post-surgical rehabilitation is complete.
6 sessions + co-management with urologyPost-vaginal delivery pelvic floor laxity
Vaginal delivery 3 months prior with persistent pelvic floor laxity and mild leakage. Moderate-to-severe prolapse must be ruled out. An Emsella + home Kegel exercises combination is recommended; some patients may concurrently use CO₂ laser for vaginal mucosal improvement.
6 sessions / 3-day intervalsSexual function (pelvic floor muscle-related)
Pelvic floor strength is directly associated with sexual function — including sensitivity, quality of orgasm, and erectile support in men. In some patients, BTL Emsella® may concurrently improve sexual experience, but it is not promoted as a standalone sexual function treatment.
6 sessions (as a functional secondary benefit)Age-related pelvic floor decline
Patients aged 50-70 experiencing mild to moderate urinary leakage and pelvic floor laxity due to hormonal changes and muscle mass decline. BTL Emsella® offers a non-invasive, hormone-free, medication-free pathway to pelvic floor muscle strengthening.
6 sessions + annual maintenanceSurgical adjunct support (pre-operative / post-operative)
Patients planning incontinence surgery may use pelvic floor strengthening beforehand to optimize surgical outcomes; BTL Emsella® can also serve as a rehabilitation aid beginning 6–12 weeks post-operatively. Timing should be coordinated with your surgeon.
Personalized treatment plan8 Indication Types × Treatment × Evidence Level — Detailed Reference Table
| Indications | Recommended treatment | Interval | Strength of evidence |
|---|---|---|---|
| Female stress urinary incontinence | 6 session(s) | Twice weekly | Strong |
| Post-prostatectomy SUI in men | 6 session(s) | Twice weekly | Moderate to strong (Health Canada–licensed male indication) |
| Urge urinary incontinence | 6 sessions + bladder training | Twice weekly | Moderate |
| Mixed urinary incontinence | 6-8 session(s) | Twice weekly | Moderate |
| Post-vaginal delivery laxity | 6 session(s) | Twice weekly | Moderate |
| Pelvic floor muscle-related function | 6 session(s) | Twice weekly | Moderate (functional secondary benefit) |
| Age-related decline | 6 sessions + annual maintenance | Twice weekly | Moderate |
| Surgical adjunct | Personalized | — | Adjunct-level |
Pre-Treatment Information · During Treatment · Post-Treatment Care
BTL Emsella® involves no conventional recovery period; however, implant screening and pre-treatment preparation are critically important — and central to the safety of this treatment.
Pre-treatment preparation
- Complete written screening of all implants: cardiac pacemakers, neurostimulators, metallic intrauterine devices (IUDs), joint prostheses, surgical screws, and similar implants
- Confirm non-pregnancy (female patients) · Urine HCG test when clinically indicated
- Rule out active pelvic or urinary tract infection
- Begin recording a bladder diary 1–2 weeks before your appointment for comparison purposes (recommended)
- Wear breathable cotton everyday clothing (avoid clothing with excessive metal, such as zippers)
- Empty your bladder before treatment · Avoid excessive fluid intake beforehand
During the treatment session
- Seated fully clothed in the BTL Emsella® chair · No changing of clothes · No removal of underwear · No physical contact with the body
- Our team assists with positioning, ensuring the pelvic floor muscles are centered within the electromagnetic field
- Once treatment begins, you will feel rhythmic, intense but usually well tolerated pelvic floor muscle contractions
- 28 minutes per session · Browse your phone, check emails, or read
- The device progressively increases in intensity throughout the session to maintain training efficacy.
- Resume normal activities immediately after each session · Minimal downtime required
Post-procedure care
- No restricted periods · All activities can be resumed immediately after treatment (driving / exercise / sexual activity)
- A small number of patients experience mild pelvic floor muscle soreness within 24 hours of their first session (similar to post-exercise muscle fatigue)
- Treatment supplemented by concurrent home Kegel exercises is recommended to consolidate treatment results
- For urge incontinence clients: adjunct bladder training / timed voiding / fluid management / caffeine reduction
- Complete a bladder diary / ICIQ-UI SF score for follow-up assessment
- Contact the clinic immediately if you experience any discomfort or unexpected reactions
D0-D90 Complete Treatment and Assessment Timeline
| Duration | What clients should do · What clients should avoid |
|---|---|
| D0 (on the day of treatment) | Resume work, walking, and driving as normal · No restrictions · Recommended to note your treatment experience |
| D1-D3 | A small number of patients may experience mild pelvic floor muscle soreness, similar to post-exercise fatigue · Schedule 2nd session |
| D1 – W2 | 2 sessions per week · 3 days between sessions · Begin home Kegel exercises alongside treatment |
| W2-W3 (Sessions 3–6) | Most patients begin to notice improved bladder control · Complete the 6-session standard course |
| W4-W8 | Cumulative improvement continues · ICIQ-UI SF score reassessment · Bladder diary comparison |
| W8-W12 | Peak treatment effect · Compare against baseline measures · Confirm whether additional or maintenance sessions are needed |
| M6-M12 | Continue home Kegel exercises · Prepare for annual maintenance treatment |
Benefits of the Emsella Kegel Chair
Technology defines the possibilities; the physician defines the direction — the core value of BTL Emsella® lies in non-invasive, non-contact, and fully clothed direct strengthening of the pelvic floor muscles themselves, offering a medically grounded, gender-inclusive solution for various types of urinary incontinence and pelvic floor laxity.
Completely non-invasive
No probe · No needles · No incisions · A clear distinction from all invasive pelvic floor procedures.
Fully clothed, seated position
No change of clothing, no removal of undergarments, no physical contact with the body · No intimate examination burden.
11,000 supramaximal contractions per session
A single 28-minute session delivers the equivalent training volume that manual Kegel exercises would take months to accumulate.
For both men and women
Includes the Health Canada–licensed indication for male post-prostatectomy urinary incontinence.
Minimal downtime
Walk in, walk out · Resume exercise, driving, and work immediately after treatment.
Non-hormonal · Non-pharmaceutical
No reliance on estrogen or bladder medications · Suitable for patients with a range of contraindications to pharmacological therapy.
Coverage across multiple incontinence types
Stress / urgency / mixed / male post-surgical incontinence · One device, all indications.
Maintenance for 6–12 months
After completing the initial course, 1–2 maintenance sessions per year are sufficient to sustain results.
Comprehensive Comparison: Emsella vs Other Pelvic Floor Treatment Options
| Treatment plan | Approach | Recovery period | Available for male patients | SUI Improvement |
|---|---|---|---|---|
| Emsella HIFEM Kegel Chair (Emsella®) | Electromagnetic stimulation of the pelvic floor muscles | None | Available | Stress / urgency / mixed |
| Manual Kegel exercises | Voluntary muscle contraction | None | Available | Mildly effective · Requires consistent long-term adherence |
| Pelvic floor muscle biofeedback | Electromyographic (EMG) biofeedback training | None | Available | Mild to moderate |
| CO2 Intimate laser | Mucosal collagen regeneration | 7 day(s) | Not applicable | Mild to moderate (mucosal approach) |
| Votiva Vaginal radiofrequency | Radiofrequency thermal effect | Very short | Not applicable | Limited |
| Urethral sling procedure | Surgical intervention | 4-6 week(s) | Not applicable | Preferred option for moderate-to-severe cases |
| Bladder suppressants (medications) | Medication | None | Available | Urge-predominant |
Note: This table is a simplified reference. Actual treatment selection requires a comprehensive assessment that considers incontinence type, severity, sex-specific factors, surgical history, and contraindications — all determined through a consultation with Dr. Xu.
Dr. Dan Xu, M.D., CCFP
ID Cosmetic Clinic Founder & Medical Director · Author of Timeless Asian Beauty
As one of Toronto’s most respected Chinese-Canadian physicians, Dr. Dan Xu is recognized for deep clinical expertise, a longstanding commitment to functional medicine, and a measured, evidence-grounded approach to patient care and has earned broad trust. She brings experience from more than 80,000 treatment areas in aesthetic and functional treatments spanning energy-based devices, injectables, minimally invasive tightening, and non-invasive pelvic floor strengthening.
In the area of pelvic floor function, clear clinical principles guide every decision in Dr. Xu’s approach to incontinence classification, postpartum pelvic floor rehabilitation, post-prostatectomy recovery in men, and perimenopausal pelvic floor changes. Dr. Xu actively follows evidence-based updates on BTL Emsella® across its various indications — stress urinary incontinence (SUI), urgency incontinence, post-prostatectomy incontinence in men, and others — and applies defined criteria for when Emsella® is appropriate versus when referral to gynecology or urology should come first.
Her clinical philosophy is clear and understated: “Being a candidate does not always mean proceeding is the right choice. Identifying patients who should not undergo Emsella is just as important — if not more so — than delivering excellent outcomes for those who should.” This principle guides every pelvic floor treatment consultation we conduct.
Professional Certifications & Credentials
- Education — M.D. + Family Medicine Specialty (CCFP)
- Trust — CPSO-registered physician (publicly verifiable)
- Trust — All BTL Emsella® treatment plans are personally assessed and customized by Dr. Xu
- Expertise — Specialized medical training in pelvic floor function and urinary incontinence classification
- Expertise — Cross-platform experience with energy-based devices (laser / radiofrequency / HIFU / HIFEM)
- Authority — Allergan / Juvéderm North America Official Trainer
- Authority — Candela Medical Canada Key Opinion Leader
- Authority — Cynosure PicoSure Pro Canada KOL
- Authority — Sofwave Key Opinion Leader
- Authority — McMaster University Clinical teaching physician
- Authority — IMCAS International Aesthetic Medicine Conference Speaker
- Trust — Author of Timeless Asian Beauty (2024)
《Timeless Asian Beauty》
Timeless Asian Beauty, authored by Dr. Dan Xu, is not a conventional beauty book — a substantial portion of the text exploreshealth considerations for Asian patients across different life stages: From postpartum recovery and perimenopause management to post-prostatectomy rehabilitation in men and age-related pelvic floor decline — this clinical framework forms the foundation of how ID Cosmetic Clinic approaches pelvic floor concerns, including treatment with BTL Emsella®.
Drawing on her cross-border clinical experience in China, Korea, and Canada, Dr. Xu articulates clearly in the book:Pelvic floor dysfunction should never carry stigma – leakage, loss of bladder confidence, postpartum laxity, Post-surgical incontinence is not“a sign of aging”or“something to be embarrassed about”Pelvic floor dysfunction should never carry stigma — leakage, loss of bladder confidence, postpartum laxity, and post-surgical incontinence are not signss of “getting old” or something to be embarrassed about. They are genuine medical conditions, Should be taken as seriously and managed as rigorously as hypertension or diabetes.
The book’s central philosophy — “not to change who you are, but to become a better version of yourself” — aligns completely with how we approach Emsella: adhering strictly to medical indications, treating both men and women, and never marketing it as a sexual enhancement service.
Not to change who you are — but to embrace the most authentic version of yourself.
Identify with your own beauty. – Dr. Dan Xu, M.D.
Why Choose ID Cosmetic Clinic for BTL Emsella®?
Real clinical experience
- 10+ years of clinical practice in medical aesthetics and functional treatments
- 80,000 cumulative treatment areas
- Covering postpartum recovery in women, perimenopausal pelvic changes, post-surgical rehabilitation in men, and other pelvic floor concerns
- Complete treatment and follow-up documentation for every BTL Emsella® client
Specialized medical training
- M.D. — full medical school training and education
- CCFP — family medicine specialty certification
- Expertise in pelvic floor anatomy, incontinence classification, and the principles of neuromuscular stimulation
- Cross-platform experience with energy-based devices (laser / radiofrequency / HIFU / HIFEM)
- Thoroughly versed in published research on BTL Emsella® for SUI, urgency incontinence, and male post-surgical indications
Industry-recognized credentials
- Allergan / Juvéderm North America Official Trainer
- Candela Medical Canada Key Opinion Leader
- Cynosure PicoSure Pro Canada KOL
- Sofwave Key Opinion Leader
- McMaster University Clinical teaching physician
- IMCAS International conference speaker
- The clinic maintains established referral pathways with local gynecology, urology, and oncology practices.
Transparent and verifiable
- CPSO Registered practicing physician (publicly verifiable)
- Google 4.9★ · 283 genuine client reviews
- Written informed consent form · Includes comprehensive implant screening and contraindication checklist
- Cases presented without identifiable images · Anonymous functional outcome data only
- Author of Timeless Asian Beauty (2024)
Emsella is not “intimate aesthetics” — but a medically indicated treatment for clearly defined urinary incontinence and pelvic floor dysfunction.
There is a significant amount of marketing-driven narrative surrounding energy-based pelvic floor devices — ID Cosmetic Clinic does not participate in that narrative. We only accept evidence-supported indications — stress / urgency / mixed urinary incontinence, post-prostatectomy SUI in men, pelvic floor laxity following vaginal delivery, and pelvic floor muscle-related sexual function — with full disclosure of BTL Emsella® clinical data, alternative treatment options, and referral criteria.
Dr. Xu’s position has always been consistent: Identifying patients who are not suitable candidates for BTL Emsella® is just as important as delivering excellent outcomes for those who are. – If your consultation concludes that this treatment is not suitable or necessary for you, please understand that as a sign of our commitment to your wellbeing — not a shortcoming.
How Much Does the Emsella Chair Cost in Toronto & Markham?
Emsella is priced per session or as a 6-session treatment package. Following a free 30-minute consultation, Dr. Xu (M.D., CCFP) will assess your incontinence type and develop a personalized treatment plan. If your consultation reveals that this treatment is not appropriate or necessary for you, Dr. Xu will tell you clearly and recommend suitable alternatives — at no charge.
28-minute session, fully clothed
TORONTO PRICE RANGETypically 6 sessions
TORONTO PRICE RANGEThese figures are a general price range for Toronto, not a quote from ID Cosmetic Clinic. Where a treatment falls in the range depends on the area treated and how much treatment it needs (product volume, units or number of sessions) — and above all on who performs it: a physician or a technician, their years of clinical experience in medical aesthetics and their professional qualifications. Treatment by a more experienced, more highly qualified practitioner generally costs more, because their judgement and technique shape both your safety and your result. Your fee at ID Cosmetic Clinic is confirmed at your consultation.
- We accept VISA / Mastercard / Amex / Debit / E-transfer
- Affirm / PayBright financing available (select treatment packages)
- Private insurance: some extended health benefit (EHB) plans may cover consultation fees — please inquire about your individual plan
- OHIP: cosmetic treatments are not covered
- All new clients receive a free 30-minute consultation and assessment
Common reactions · Serious risks · Contraindications · Safety protocols
Transparency is itself a component of safety in pelvic floor treatment. We openly disclose all possible reactions, serious risks, absolute contraindications, and the safety protocols our clinic follows — so you have complete information before your consultation. Before every treatment session, Dr. Xu reviews each point with you individually and asks you to sign a written informed consent form.
Common Responses (may occur during or after treatment)
- A rhythmic, intense pulsing sensation in the pelvic floor muscles (occurs throughout the session · painless · this is the device working as intended)
- Mild pelvic floor muscle soreness within 24 hours of the first session (similar to post-exercise soreness, typically resolving on its own within 1–2 days)
- Mild fatigue after the first session in a small number of clients (a normal response following a high volume of pelvic floor muscle contractions)
- A temporary change in urinary frequency shortly after the first session in patients with predominantly urgency incontinence (a neuromuscular recalibration process)
Serious Risks (rare, but must be disclosed)
- Implanted electronic device malfunction — Cardiac pacemakers / neurostimulators are absolute contraindications; treatment is never proceeded with unless confirmed pre-treatment
- Migration or heating of metal implants — Metal intrauterine devices / recent metal implants are absolute contraindications
- Seizure induction — Extremely rare; the electromagnetic field may trigger seizures in susceptible individuals. A history of epilepsy is a contraindication.
- Outcomes fall short of expectations — Evidence for Emsella is limited for moderate-to-severe SUI and prolapse-related leakage; approximately 10–20% of patients may require combination therapy or surgical assessment.
- Delayed diagnosis of significant pathology — This is the least visible risk of any non-invasive pelvic floor treatment: using Emsella as a substitute for a necessary gynecological or urological evaluation may delay the diagnosis of an underlying condition. Dr. Xu upholds a strict referral principle to prevent this.
Absolute contraindications (treatment not performed)
- Cardiac pacemaker / implantable cardioverter-defibrillator (ICD) / neurostimulator
- Metal intrauterine devices (including copper IUDs and metal-framed devices)
- Recent surgical metal implants in the pelvic region (e.g., screws, titanium mesh, joint prostheses)
- Pregnancy · Active conception cycle · Breastfeeding — assessed on an individual basis
- Epilepsy or other neurological conditions that may be triggered by electromagnetic fields
- Active pelvic or urinary tract infection (uncontrolled)
- Moderate-to-severe pelvic organ prolapse (gynecology or urology referral should take priority)
- Active malignancy or ongoing pelvic radiation therapy
Safety protocols strictly enforced by Dr. Xu
- All patients must complete the following before treatment: a written implant screening checklist that includes all metal and electronic implants
- Written informed consent form signed before each session · Includes all contraindications and alternative options
- All BTL Emsella® treatment plans are assessed and customized by Dr. Dan Xu (M.D., CCFP) · Every session is carried out following standardized clinical protocols.
- Private treatment area · Suitable for all genders · Fully clothed, seated position
- Authentic BTL Emsella® device · Operated strictly within Health Canada–licensed parameters
- Established referral pathway with local gynecology and urology · Referral prioritized when clinically warranted
- Complete documentation of all treatments and follow-up visits · Long-term tracking of ICIQ-UI SF scores / bladder diary / pad usage changes
Frequently Asked Questions: Emsella® Pelvic Floor Treatment in Toronto
Answered personally by Dr. Dan Xu, M.D., CCFP — based on the most frequently asked questions from male and female patients in Toronto and Markham.How is Emsella priced, and why do prices vary between clinics?
Pricing differences lie not in the device or product itself, but in the depth of assessment. The BTL Emsella Chair dosage, treatment points, combination strategy, and whether a multi-modality plan is needed can only be determined after a physician consultation — this cannot be answered by a standard price list alone.
Routine, stable cases may be performed by our trained medical team following Dr. Xu's established protocols, offering a more accessible price point. Complex cases, those with special contraindications, or revision procedures involve Dr. Xu directly throughout — and pricing reflects the level of medical expertise required. Injectable treatments are always performed by a physician. For laser and energy-based treatments, the price difference fundamentally reflects the clinical experience gap between physician-performed and technician-performed care (physician vs. technician). Both the treatment plan and associated costs are determined by your clinical needs, not by a standard price list. New clients receive a free 30-minute consultation and assessment, during which Dr. Xu will discuss your results with you in detail.
Do I stay fully clothed during Emsella?
Emsella, CO2 vaginal laser or Votiva: how do I choose?
Can men have Emsella? Does it help after prostate surgery?
I have an IUD, pacemaker, joint prosthesis, or other implant — can I still have BTL Emsella® treatment?
Is Emsella painful?
How many sessions before results appear? How long do they last? Is ongoing treatment required?
Can Emsella improve sexual function?
How soon after vaginal delivery can I start BTL Emsella®? Is it safe to have treatment during menstruation?
I have moderate-to-severe urinary incontinence or prolapse — can BTL Emsella® still help?
Does Emsella really work?
Is Emsella better than Kegel exercises?
Can I buy an Emsella chair?
Is Emsella covered by insurance?
Real Clients · Google Reviews
What Our Clients Say
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
Medically reviewed by Dr. Dan Xu, M.D., CCFP · Founder & Medical Director, ID Cosmetic Clinic
The clinical content on this page is reviewed by Dr. Xu.
Ready to begin your Emsella® pelvic floor journey?
The Free 30-Minute Consultation is conducted personally by Dr. Dan Xu (M.D., CCFP) and includes a full intake interview, urinary incontinence classification, ICIQ-UI SF scoring, implant screening, bladder diary guidance, and — where needed — a discussion of referral pathways to gynecology or urology, as well as a personalized treatment plan. If the consultation determines that this treatment is not appropriate or necessary for you, Dr. Xu will tell you clearly and recommend alternatives. There is no charge at any point. Appointments are open to both male and female patients.
Ready to leave urinary leakage behind and regain your confidence? Book now atID Cosmetic ClinicBook your private BTL Emsella® consultation.
Address: 30 Gibson Dr, Units 113-117, Markham, ON L3R 2S3
Phone: 905-477-2225
Free 30-Minute Consultation
Every consultation is conducted personally by Dr. Xu (Mon–Sat).
24 hr response · English/Chinese OK
The device defines what's possible. The physician defines the direction.
Identify with your own beauty.
