Publications & Clinical Evidence

Emsella Publications

  • Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and Natural History of Urinary Incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(5):301-319.
  • Barber MD. Pelvic organ prolapse. BMJ. 2016:3853.
  • Pelvic Organ Prolapse. Female Pelvic Med Reconstr Surg. 2019;25(6):397-408. Singhal D, et al.
  • Weber AM, Richter HE. Pelvic organ prolapse. Obstetrics & Gynecology. 2005;106(3):615-34.
  • Maher C, Feiner B, Baessler K, Schmid C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2013(4).
  • Jelovsek JE, Maher C, Barber MD. Pelvic organ prolapse. Lancet. 2007;369(9566):1027-38.
  • Lensen EJ, Withagen MI, Kluivers KB, Milani AL, Vierhout ME. Urinary incontinence after surgery for pelvic organ prolapse. Neurourol Urodyn. 2013;32(5):455-9.
  • Jelovsek JE, Barber MD. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am J Obstet Gynecol. 2006;194(5):1455-1461.
  • Nygaard I, Bradley C, Brandt D, Women’s Health Initiative. Pelvic organ prolapse in older women: prevalence and risk factors. Obstet Gynecol. 2004;104(3):489-97.
  • Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10-7.
  • Madhu C, Swift S, Moloney-Geany S, Drake MJ. How to use the Pelvic Organ Prolapse Quantification (POP-Q) system? Neurourol Urodyn. 2018;37(S6):S39-S43.
  • Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311-6.
  • Bø K. Can pelvic floor muscle training prevent and treat pelvic organ prolapse? Acta Obstet Gynecol Scand. 2006;85(3):263-8.
  • Bai SW, Jeon MJ, Kim JY, Chung KA, Kim SK, Park KH. Relationship between stress urinary incontinence and pelvic organ prolapse. Int Urogynecol J. 2002;13:256-60.
  • Norton P, Brubaker L. Urinary incontinence in women. Lancet. 2006;367(9504):57-67.
  • Brækken IH, Majida M, Engh ME, Bø K. Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial. Am J Obstet Gynecol. 2010;203(2):170-e1.
  • Stüpp L, Resende AP, Oliveira E, Castro RA, Girão MJ, Sartori MG. Pelvic floor muscle training for treatment of pelvic organ prolapse: an assessor-blinded randomized controlled trial. Int Urogynecol J. 2011;22:1233-9.
  • Elena S, Dragana Z, Ramina S, Evgeniia A, Orazov M. Electromyographic evaluation of the pelvic muscles activity after high-intensity focused electromagnetic procedure and electrical stimulation in women with pelvic floor dysfunction. Sex Med. 2020;8(2):282-9.
  • Silantyeva E, Zarkovic D, Astafeva E, Soldatskaia R, Orazov M, Belkovskaya M, et al. A comparative study on the effects of high-intensity focused electromagnetic technology and electrostimulation for the treatment of pelvic floor muscles and urinary incontinence in parous women: analysis of posttreatment data. Female Pelvic Med Reconstr Surg. 2021;27(4):269.
  • Cavkaytar S, Kokanali MK, Topcu HO, Aksakal OS, Doğanay M. Effect of home-based Kegel exercises on quality of life in women with stress and mixed urinary incontinence. J Obstet Gynecol. 2015;35(4):407-10.
  • Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol. 1948;56(2):238-48.
  • Guerette N, Molden S, Gopal M, Kohli N. Randomized Trial of HIFEM Pelvic Floor Stimulation Device Compared with Pelvic Floor Exercises for Treatment of Urinary Incontinence. J Womens Health Care. 2023;12(9):1-6.
  • Jackson S, Donovan J, Brookes S, Eckford S, Swithinbank L, Abrams P. The Bristol female lower urinary tract symptoms questionnaire: development and psychometric testing. Br J Urol. 1996;77(6):805-12.
  • Brookes ST, Donovan JL, Wright M, Jackson S, Abrams P. A scored form of the Bristol Female Lower Urinary Tract Symptoms questionnaire: data from a randomized controlled trial of surgery for women with stress incontinence. Am J Obstet Gynecol. 2004;191(1):73-82.
  • Zaiontz C. Real statistics resource pack software.
  • DeLancey J. The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery. Obstet Gynecol. 2003;101(1):46-53.
  • Leijonhufvud Å, Lundholm C, Cnattingius S, Granath F, Andol E, Altman D. Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth. Am J Obstet Gynecol. 2011;204(1):70.e1-70.e7.
  • Hlavinka TC, Turcan P, Bader A. The use of HIFEM technology in the treatment of pelvic floor muscles as a cause of female sexual dysfunction: a multi-center pilot study. J Women’s Health Care. 2019;8(455):2167-0420.
  • Samuels JB, Pezzella A, Berenholz J, Alinsod R. Safety and efficacy of a non‐invasive high‐intensity focused electromagnetic field (HIFEM) device for treatment of urinary incontinence and enhancement of quality of life. Lasers Surg Med. 2019;51(9):760-6.
  • Borstad E, Abdelnoor M, Staff AC, Kulseng-Hanssen S. Surgical strategies for women with pelvic organ prolapse and urinary stress incontinence. Int Urogynecology J. 2010;21(2):179-186.

Emsculpt NEO Publications

  • Jacob C, Kent D, Ibrahim O. Efficacy and Safety of Simultaneous Application of HIFEM and Synchronized Radiofrequency for Abdominal Fat Reduction and Muscle Toning: A Multicenter Magnetic Resonance Imaging Evaluation Study. Dermatol Surg. 2021;47(7):969-973.
  • Samuels JB, Katz B, Weiss RA. Radiofrequency Heating and High-Intensity Focused Electromagnetic Treatment Delivered Simultaneously: The First Sham-Controlled Randomized Trial. Plastic & Reconstructive Surgery. 2022;149(5):893e-900e.
  • Palm M, Halaas Y, Kinney B, Goldfarb R. Spot Reduction of Localized Fat Deposits on the Lateral Thighs by Simultaneous Emission of Synchronized Radiofrequency and HIFEM energy: Magnetic Resonance Multicentre Study. Published in the Dermatologic Surgery 49(1):p 48, 2023
  • Weiss RA, Bernardy J, Tichy F. Simultaneous Application of High-Intensity Focused Electromagnetic and Synchronized Radiofrequency for Fat Disruption: Histological and Electron Microscopy Porcine Model Study. Dermatol Surg. 2021;47(8):1059-1064.
  • Goldberg DJ. Deletion of adipocytes induced by a novel device simultaneously delivering synchronized radiofrequency and hifem: Human histological study. J Cosmet Dermatol. 2021;20(4):1104-1109.
  • Halaas Y, Duncan D, Bernardy J et al. Activation of Skeletal Muscle Satellite Cells by a Device Simultaneously Applying High-Intensity Focused Electromagnetic Technology and Novel RF Technology: Fluorescent Microscopy Facilitated Detection of NCAM/CD56. Aesthet Surg J. 2021;41(7):NP939-NP947.
  • DiBernardo B, Goldberg D, Katz B, McCoy JD, Chilukuri S. Augmentation of Gluteal Muscles by HIFEM Procedure is Considerably Enhanced by Simultaneous Radiofrequency Heating. Aesthetic Surgery Journal Open Forum. 2023;5:ojac087.
  • Duncan D. Safety and Efficacy of Simultaneous Application of HIFEM and Synchronized Radiofrequency for Non-invasive Fat Reduction and Muscle Toning in Inner Thighs: Magnetic Resonance Imaging Evaluation. J Clin Aesthet Dermatol. 2022;15(8):28–32.
  • Katz B. Concomitant Use of Radiofrequency and High Intensity Focused Electromagnetic Field Energies for Full-body Remodeling: MRI-evidence Based Prefatory Trial. J Cosmet Dermatol. 2021;00:1–7.
  • Jacob C, Weiss R. Upper Arm Toning and Strengthening With Simultaneous Application of HIFEM and Synchronized RF. J Clin Aesthet Dermatol. 2023;16(2):50–54.
  • Weiss R. Safety of Simultaneous Application of HIFEM and Synchronized RF for Fat Reduction in Multiple Zones on the Same Day Verified by Plasma Analysis of Liver and Lipid Profiles. Accepted for publication in the Dermatologic Surgery.
  • Kent D, Jacob C, Kinney B. Visceral Fat Reduction with Simultaneous Application of HIFEM and Radiofrequency Energies Retrospectively Assessed from MRI Scans. Accepted for publication in the Journal of Cosmetic Dermatology.
  • Goldberg D, Lal K, Pospiech M. Adipocyte Apoptosis Induced by Treatment With Synchronized Radiofrequency and High-intensity Focused Electromagnetic Procedure: Human Histologic Analysis. Presented at: 41st Annual Conference of the American Society for Laser Medicine and Surgery. April 27-30, 2022; San Diego, CA.
  • Duncan D. A Novel Technology Combining RF and Magnetic Fields: Technical Elaboration on Novel RF Electrode Design. Am J Biomed Sci Res. 2020;11(2):147
  • Duncan DI, Busso M. Effectiveness of combined use of Targeted Pressure Energy, Radiofrequency, and High Intensity Focused Electromagnetic fields to improve skin quality and appearance of fat and muscle tissue in different body parts. J of Cosmetic Dermatology. Published online July 29, 2022:jocd.15280.
  • Duncan D, Kent D, Appelbaum E. The Improvement in Quality of Life and Core Muscle Strength in Elderly Patients by Simultaneous Application of HIFEM with Synchronized Radiofreqency: Preliminary Data. Presented at IMCAS world congress, Paris, 2023.
  • McCoy JD, Pezzella A, Samuels J. The Improvement of Quality of Life in Female Patients after Childbirth by HIFEM with Synchronized Radiofrequency for the Strengthening of Core Muscles: Interim Data. Presented at IMCAS world congress, Paris, 2023.
  • Duncan D, Consecutive application of Standalone HIFEM procedure with Simultaneous application of HIFEM and Synchronized Radiofrequency for Sarcopenia Treatment. Presented at: the 5th Annual Global Aesthetics Conference. November 3-6, 2022, Miami, FL
  • Jacob C, Cohen J, DiBernardo B et al. The Simultaneous Application of HIFEM Procedure with Synchronized Radiofrequency on Lateral Abdomen for Fat Reduction and Muscle Strengthening – Interim Data. Presented at American Society of Dermatologic Surgery Annual Meeting 2022. October 6-10, 2022; Denver, CO. *Results and patient experience may vary. Above mentioned averages are based on the patients results who participated in referenced clinical trials. These averages may differ in commercial patients.
  • Duncan D, Chilukuri S, Kent D, Hoffmann K, Tingsong L. Non-invasive Alternatives for Liposuction. In: Enhanced Liposuction – New Perspectives and Techniques [Working Title]. IntechOpen, London. 2022
  • Goldberg DJ, Enright KM, Goldfarb R, Katz B, Gold M. The role and clinical benefits of high-intensity focused electromagnetic devices for noninvasive lipolysis and beyond: A narrative review and position paper. J Cosmet Dermatol. 2021;00:1–6. https://doi.org/10.1111/jocd.14203