Genital laser applications offer many advantages in both aesthetics and functionality, especially in recent years. It has also gained significant popularity. In this section, laser treatment for urinary incontinence is discussed. You will be able to find answers to questions such as "How is urinary incontinence treatment with laser done, to whom it is applied, and what are the results?". Today, carbon dioxide and Er:YAG lasers are the most preferred and used lasers in the clinics.
In women, the complaint of urinary incontinence in cases of increased intra-abdominal pressure such as coughing, laughing, running, heavy lifting, and doing fitness is called "Stress Urinary Incontinence" (SUI).
Stress urinary incontinence can sometimes occur with urinary bladder or uterine prolapse, or sometimes without pelvic organ prolapse. The herniation of organs such as the uterus, bladder, and bowel in the pelvis and prolapse from the vagina is called "Pelvic Organ Prolapse" (POP).
Terminologically, “Rectocele” is prolapse of rectum, “Cystocele” is prolapse of bladder, “Descensus Uteri” is prolapse of womb.
There are surgical and non-surgical treatments for Stress Urinary Incontinence (SUI). Surgical procedures include surgical bladder removal, sling operations (TOT and TVT),and laparoscopic operations.
Laser is a good treatment for those with mild genital prolapse (POP) or genuine stress incontinence without prolapse. Vaginal laser rejuvenation is a non-surgical method for the treatment of urinary incontinence.
The patient is first prepared for the procedure, just like in the non-surgical laser vaginal rejuvenation procedure. Afterward, the laser probe is inserted well into the vagina, and the front wall of the vagina is scanned, especially at the 11-12-1 o'clock positions, by operating the laser.
The energy used according to the patient's age, tolerability, and tissue condition is between 80-120 mjoules/pixel in young patients. During this process, the high-energy light beam produced in the laser is transferred into the tissue, transforming into heat in the tissue, and after the light bruising due to heat, collagen synthesis increases with the repair cells that come to the environment the tissue is renewed.
The increase in collagen and elastic fibers provides a solution to the problem of urinary incontinence by increasing the connective tissue support around the bladder neck and urinary canal. The process is repeated 2 or 3 times with an interval of 1-3 months, and when necessary, the whole procedure is repeated every 1.5-2 years.
No, it’s totally pain free, so no need for any anesthesia.
Urinary incontinence treatment with the laser has no risk and no major complications reported in the literature to date.
Urinary incontinence treatment via vaginal laser is very safe and offers many advantages. Some of these are;
Urinary incontinence treatment via CO2 laser can be performed in every patient who does not have moderate or severe pelvic organ prolapse and does not have aesthetic problems related to the genital area.
Surgical methods should be considered in the first place in patients with moderate-to-severe bladder and bowel prolapse problems and with advanced vaginal enlargement, mainly due to multiple vaginal childbirth. Vaginal tightening surgeries provide more efficacy and a permanent solution for the treatments of vaginal enlargement in these patients.
The fees for urinary incontinence treatment with laser vary depending on the number of sessions performed, the type of laser used, the treatment protocol applied, and the pricing policy of the center. For this reason, it will be better to talk to the center.
In Hera clinics, we use Femilift and Monalisa touch CO2 ablative lasers.
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