The most common form of urinary incontinence in women is stress incontinence, ie. SUI. Is defined as the involuntary loss of urine when sneezing, coughing or physical exertion and other situations of everyday life.
Er: YAG laser is a non-ablative procedure, which allows the reproduction of collagen tissue exposed as a result of this tissue shrinks and diminishes.
Then it comes to Sparta bladder are limited by what symptoms of stress urinary incontinence. Non-ablative laser therapy can achieve selective thermal denaturation of dermal collagen, which leads to the postponement of collagen in such a way as to cause the least damage the epidermis.
Contraction of collagen and connective tissue is only a transitional effect. Starts remodeling of collagen and neocolagenesis and at the end of the enrichment process of new collagen is treated tissue, which becomes more elastic and stretched tension.
Indication for surgery
If you have a problem with stress urinary incontinence, this tratment is right for you.
The proceedings before tratment
Before carrying out the treatment you need the current cytology and urinalysis. An additional requirement is a state organ prolapse without pathology.
The treatment is composed of two steps. The first step is the exposure of the vaginal tract on its entire length to the laser light . We use the special observe laser device and the special adaptor which sends the correct laser bundle. Thanks to those devices we can exposure whole vagina canal to the laser light easy and quickly. During each exposure the applied energy is 90J. This is done through a special sequence, which, creates nonablative and completely controlled exclusively thermal effect on the walls of the vagina, causing immediate contraction of tissue and remodeling the collagen as well as a new collagen synthesis in the mucosa membrane of the vagina.
The second step consists of exposing to the laser light the entrance to the vagina and the vulval vestibule. To perform this step a special laser head emitting a bundle straight ahead is indispensable. During the process, energy is supplied. During the treatment the use of anesthesia is not required, and immediately after the treatment you can return to ordinary, everyday activity. The treatment normally lasts from 40 to 60 min. After the treatment, you should avoid the sexual activity for a month, during a month after the tratment apply gel with estrogen 2 times a week.
After two months you should come for a control visit.
Effects after treatment
The effect of the treatment is to strengthen the vaginal wall, interpelvis fascia area and the the urethra area. In addition, there is a contraction and tension of the treated tissues, decreases the angle of inclination and restored to the normal functionality of the urethra.
Normally just one sesion is enough to reduce the stress incontinence problem. The efficacy of the treatment is around 90% in the case of light incontinence and about 75% in case of medium incontinence.
Contraindications to the treatment
- severe systemic disease
- active menstruation
- taking medications sensitive to radiation
- undetected vaginal bleeding
- infection in the treated area
- suspected or detected breast cancer
- Thromboembolic disease