Dr Natalia Novikova is a gynaecologist practising in Cape Town and Johannesburg. She has a special interest in endoscopic surgery, pelvic floor reconstructions, aesthetic gynaecology and urogynaecology. Dr Novikova has treated thousands of women for various forms of stress urinary incontinence in Cape Town and Johannesburg. Stress urinary incontinence is the leaking of urine which generally occurs when you run, cough, sneeze or jump.
It is important to visit a specialist to establish the causes of stress urinary incontinence, which could range from infection to vaginal laxity through weight gain, pregnancy and childbirth or ageing. Depending on the severity and causes of the condition Dr Novikova recommends one of a range of options, both surgical and non-surgical.
The first device of its kind, the BTL EMSella Chair has been launched worldwide for the treatment of urinary incontinence in women. This pelvic floor trainer makes use of a high-intensity electromagnetic field to activate motor neurons, which resultantly strengthens muscles and restores support to the pelvic organs. In just 28 minutes the chair provides 11,200 pelvic floor contractions to the patient, who sits on the chair, fully clothed for the duration of the session. BTL has recommended a treatment course of six sessions, administered over three weeks.
The EMSella pelvic floor trainer is a testament to the rapid advancement taking place in this field. Traditionally, stress urinary incontinence was treated through ‘Kegel’ exercises (where a woman repeatedly contracts and relaxes her pelvic floor muscles to strengthen them) or surgical methods such as sling procedure. “Very few women ever follow a Kegel exercise regime thoroughly for long enough or precisely enough to make a significant difference to their condition” says Dr Novikova. “Surgery is associated with risks, anaesthesia, and down-time, which is unsuitable for many women running busy households and businesses. Women often look for alternatives to surgery to cope with the condition”
Dr Novikova has been treating mild to moderate stress urinary incontinence, vaginal laxity and vaginal atrophy using vaginal fractional CO2 laser (Femilift) in Cape Town, and vaginal radiofrequency treatments (Exilis) in Johannesburg. The results have been positive, and Dr Novikova believes that introducing the EMSella will bring about even better results. The Emsella is a modality that can be used on its own or to complement existing procedures.
“BTL EMSella Pelvic Floor Exerciser has already shown results after just a few weeks in my practice. The response from patients has been very positive. Interestingly, not only stress urinary incontinence has improved, but urgency and needing to pass urine frequently and even vaginal laxity.” says Dr Novikova. Significant improvement in patients suffering from stress urinary incontinence in Cape Town has been reported as a result of undergoing six 28-minute procedures, twice a week over a three-week period. There is no down time following this treatment and there are no risks involved.
“I am very excited about the introduction of EMSella into my practice and giving my patients options to choose from for the management of their issues.” says Dr Novikova
Dr Natalia Novikova is a gynaecologist, practising in Cape Town and Johannesburg.