61 Princeton Hightstown Rd, Unit-2C, Princeton Junction, NJ 08550
61 Princeton Hightstown Rd, Unit-2C, Princeton Junction, NJ 08550
Emsella is a non–invasive pelvic floor therapy offered by Dr. Jetty at Princeton Aesthetics that can reduce nighttime awakenings to urinate when the underlying cause is an overactive bladder or a weakened pelvic floor. Every consultation begins with a physician workup to identify the true cause of your nocturia, because Emsella is not the right answer for every case.
Serving Princeton, NJ and Surrounding Communities
Nocturia has three distinct mechanisms, and treatment depends entirely on which one is driving your symptoms. Emsella helps with one of them, does not help with the others, and identifying which category applies to you is why every consultation begins with a proper physician workup. Nocturia is not one condition. It is a symptom with three very different root causes.
When the bladder contracts too easily or the pelvic floor no longer supports it well, the sensation of urgency wakes you at night even when the bladder is not full. This is the category where Emsella is genuinely helpful.
Overnight overproduction of urine from age-related ADH decline, heart conditions, sleep apnea, uncontrolled diabetes, evening fluid intake, or medications. Emsella will not help. We identify and treat the underlying cause directly.
Sleep apnea is one of the most common hidden causes of nocturia and is frequently missed. When apnea is treated, nocturia often resolves without any bladder-directed treatment. We screen and refer appropriately.
Patients remain fully clothed and seated on the Emsella chair for 28 minutes. No needles, no anesthesia, no lidocaine, no downtime. Most patients read, work, or use their phone during the session and drive themselves home immediately after.
Emsella addresses nocturia caused by pelvic floor weakness or overactive bladder in both men and women. Post-prostatectomy men and post-menopausal women both benefit equally. Emsella is gender-neutral and is not appropriate for nocturia driven by nocturnal polyuria, sleep apnea, or other non-pelvic causes (identified through the physician workup at consultation).
Every nocturia consultation is done by Dr. Jetty personally. Nocturia is a multifactorial symptom, not a diagnosis, and the workup requires physician-level judgment.
We tell you if Emsella is not the right answer and refer you to the appropriate specialist. Nocturia driven by sleep apnea, kidney, or cardiac causes deserves the right treatment.
No needles, no anesthesia, no recovery period. Drive home and return to work immediately after each session.
Emsella is equally effective for men and women. Post-prostatectomy men and post-menopausal women both benefit.
Voiding diary, urinalysis, post-void residual, sleep apnea screen, medication review. Not a sales visit.
Every session is under physician supervision. If your response is not what we expect, we adjust or refer.
Each 28-minute Emsella session delivers HIFEM energy that penetrates the pelvic floor musculature and triggers thousands of supramaximal contractions no voluntary effort could achieve. Over a course of treatment, this reconditions the muscles that support bladder capacity, urethral closure, and nighttime bladder stability. When nocturia is driven by pelvic floor or bladder mechanisms, this translates into fewer awakenings and longer stretches of sleep.
You sit fully clothed on the Emsella chair. Legs relaxed, pelvis centered over the HIFEM applicator built into the seat. No preparation, no undressing, no injection.
The device generates a focused electromagnetic field that penetrates the pelvic floor musculature, triggering supramaximal contractions of the pubococcygeus, iliococcygeus, and puborectalis muscles.
Over 28 minutes, the pelvic floor performs the equivalent of thousands of Kegel-style contractions, well beyond any voluntary session. Muscle fiber recruitment, endurance, and coordination all improve.
No recovery period. You stand up, walk out, and drive home. Return to work, exercise, or normal activity immediately.
HIFEM recruits both slow-twitch and fast-twitch pelvic floor fibers, which voluntary Kegels rarely activate together. Full-spectrum reconditioning is why the results outperform home exercise alone.
Stronger pelvic floor support translates directly into improved bladder storage before the urge-to-void signal fires. That is the mechanism that reduces nighttime awakenings in urgency-driven nocturia.
Pelvic floor strengthening improves urethral closure pressure at rest, meaning less involuntary leakage and less urgency-triggered nighttime wake-up in patients with mixed incontinence.
Repeated supramaximal contractions retrain the neuromuscular pathways controlling bladder and pelvic floor coordination. This is why the benefit persists beyond the treatment course, with maintenance sessions preserving it.
Emsella works alongside behavioral changes (fluid timing, evening caffeine reduction), pelvic floor physical therapy, and appropriate medical management of any concurrent conditions identified in your workup.
Emsella is a strong candidate treatment for nocturia when your physician workup identifies pelvic floor weakness or an overactive bladder as the underlying driver. It is not appropriate for every case, and part of the value of a physician consultation is knowing when to recommend it and when to refer you to a specialist for a different cause. The following patient categories are typical candidates.
Adults whose nocturia is driven by urgency episodes from an overactive bladder, particularly when daytime urgency is also present.
Women whose nocturia developed or worsened after vaginal delivery, especially with a history of large babies, multiple deliveries, or prolonged pushing.
Post-menopausal women with age-related and hormonal pelvic floor deconditioning presenting as nighttime urgency and incomplete storage.
Men following prostate surgery, and men with age-related pelvic floor muscle loss contributing to nighttime urinary changes. Emsella is fully gender-neutral.
Emsella is FDA-cleared for stress urinary incontinence, urge urinary incontinence, and mixed incontinence in men and women. Use for nocturia specifically is off-label and appropriate when nocturia is driven by pelvic floor or bladder mechanisms rather than other causes. We discuss this openly during your consultation.
Emsella can significantly reduce nocturia episodes in appropriately selected patients, typically by 30 to 60 percent of baseline episodes. It is not a cure for all nocturia, and the response depends on identifying the correct underlying mechanism. Patients whose nocturia is caused by nocturnal polyuria or sleep apnea will not benefit from Emsella regardless of how many sessions they complete.
Most patients notice improvement within the initial 6-session course over 3 weeks. Continued improvement often occurs over the following 4 to 8 weeks as the pelvic floor muscles remodel. Maintenance sessions every 3 to 6 months preserve the effect.
Emsella is not painful. Patients feel intense pelvic muscle contractions, which can feel unusual but is not painful. Most patients read, work, or use their phone during the 28-minute session.
No. Metal implants in the treatment field are a hard contraindication for Emsella regardless of the metal’s MRI-conditional rating. Emsella uses pulsed electromagnetic energy, which behaves differently from static MRI magnetic fields and can induce currents or heating in metal implants. If you have a UroLift, prostate implant, copper IUD, sacral neuromodulator, or similar pelvic implant, we will discuss alternative options at your consultation.
No referral is needed for the consultation. If our workup identifies a cause of nocturia outside our scope (sleep apnea, cardiac, kidney, BPH obstruction), we coordinate with your primary care physician or refer to the appropriate specialist.
Pricing is discussed at your consultation once candidacy and session count are confirmed. Emsella for nocturia is not typically covered by health insurance. Package pricing is available for the initial 6-session course.
Your Partner in Physician-Led Pelvic Health
Founded and led by Dr. Siva Teja Jetty, MD, a board-certified physician and Teaching Attending at RWJ Barnabas. Your workup and treatment are directed by a physician throughout, not delegated to non-physician staff.
We use the genuine BTL Emsella chair, the same FDA-cleared HIFEM device used in the published clinical evidence for pelvic floor conditioning.
Every nocturia consultation and every treatment plan is authored personally by Dr. Jetty. No cookie-cutter protocols, no non-physician recommendations.
Voiding diary, urinalysis, post-void residual, sleep apnea screen, medication review. The evaluation is standard-of-care internal medicine before any pelvic floor recommendation is made.
If your nocturia is caused by sleep apnea, cardiac, kidney, or BPH obstruction, we refer to the right specialist rather than recommend Emsella. Your outcome matters more than our service revenue.
Emsella is equally effective for men and women. Post-prostatectomy men and post-menopausal women both receive appropriate physician-directed treatment here.
No needles, no anesthesia, no recovery period. Drive yourself home, return to work, resume exercise immediately after each session.
Standard initial course is 6 sessions twice weekly, then maintenance every 3 to 6 months. Your specific cadence is customized based on response and your individual pattern.
We schedule consultations promptly. If you are dealing with sleep disruption from nocturia, waiting weeks to be seen makes no sense.
Beyond the sessions themselves, we counsel you on fluid timing, caffeine and alcohol adjustments, and daytime voiding intervals that support and extend the treatment benefit.
The same physician who evaluates you initially oversees your treatment course and any maintenance sessions. Continuous physician relationship, not a rotating cast.
Located at 61 Princeton Hightstown Rd in Princeton Junction, NJ. Convenient access for patients throughout Princeton, West Windsor, Plainsboro, Hightstown, East Windsor, and central New Jersey.
Waking up multiple times a night is not something you have to accept as normal aging. Tell us about your nocturia pattern and Dr. Jetty will personally evaluate whether Emsella, another pelvic health intervention, or a specialist referral is the right answer for your case. Same-day consultations often available.
Princeton Aesthetics was founded by Dr. Jetty on a simple principle: every patient deserves a treatment plan built around their specific goals, anatomy, and needs — not a preset menu.
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At Princeton Aesthetics, our skin rejuvenation services go beyond mere treatments; they pamper your senses while revitalizing the health and appearance of your skin. Each session is an opportunity to indulge in luxury while achieving visible, lasting results, making our clinic the epitome of skincare excellence.
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