What is Laser Urinary Incontinence Treatment?

Genital laser applications offer many advantages in terms of both aesthetics and functionality, especially in recent years. It has also gained quite a popularity. In this section, laser urinary incontinence treatment is discussed.

You will be able to find answers to questions such as “How is laser urinary incontinence treated, to whom is it applied, what are the results?” Today, carbon dioxide and Er:YAG lasers are most commonly used for laser urinary incontinence treatment.

What is Stress Urinary Incontinence (SUI)?

The complaint of urinary incontinence in women when intra-abdominal pressure increases, such as coughing, laughing, lifting heavy loads, or doing fitness, is called “Stress Urinary Incontinence” (SUI).

Stress urinary incontinence may sometimes occur with bladder or uterine prolapse, but sometimes it may occur without organ prolapse. The herniation of organs such as the uterus, bladder and intestines located in the pelvis (pelvic bones) and protruding out of the vagina is called “Pelvic Organ Prolapse” (POP).

There are surgical and non-surgical treatments for the treatment of Stress Urinary Incontinence (SUI). Surgical bladder removal, primary operations (TOT and TVT) and laparoscopic operations are among the surgical procedures.

Laser is a good form of treatment for those who have mild genital organ prolapse (POP) or those who have true stress incontinence without organ prolapse. Laser is a non-surgical treatment method for urinary incontinence.

How is laser used to treat urinary incontinence?

The patient is first prepared for the procedure, just like in the vaginal tightening procedure. Then, the laser wand is placed firmly inside the vagina and the laser is turned on to scan the front wall of the vagina, especially at the 11-12-1 o’clock position.

Depending on the patient’s age, tolerability and tissue condition, the energy used is between 80-120 mjoules/pixel in young patients. During this process, the high-energy light beam produced by the laser is transferred into the tissue, turns into heat within the tissue, and collagen synthesis increases and the tissue is renewed thanks to the reparative cells that come into the environment after mild bruising caused by heat.

The increase in collagen and elastic fibers provides a solution to the problem of urinary incontinence by increasing the support around the bladder neck and urinary tract. The procedure is repeated 2 or 3 times with an interval of 1 month, and when necessary, the entire procedure is repeated every 1.5-2 years.

​Are there any risks to laser urinary incontinence treatment?

Laser urinary incontinence treatment has no risks or complications reported in the literature to date.

What are the advantages of treating urinary incontinence with laser?

Laser urinary incontinence treatment is very safe and offers many advantages. These;

It is extremely painless,
Does not require anesthesia,
Since it is not a surgical procedure, no stitches are required.
The whole process takes approximately 3-4 minutes on average.
No risks or major complications have been reported,
It does not require rest and people can return to their social lives on the same day.
It does not require dressing or antibiotic use after the procedure.
Can everyone receive vaginal laser treatment?

Laser urinary incontinence treatment can be performed on any patient, especially those who do not have moderate or severe pelvic organ prolapse and who do not have aesthetic problems related to the genital area.

Surgical methods should be considered first in patients with moderate to severe bladder and bowel prolapse problems, especially in patients with advanced vaginal enlargement problems due to birth. Vaginal tightening surgeries provide a permanent treatment for these patients.

Risky pregnancy or high risk pregnancy; These are pregnancies that have an additional disease before or during pregnancy, or where there is a risk of miscarriage or a risk of disability in the baby in the scans.

In cases where normal vaginal birth cannot be performed, the method used is cesarean delivery. In cases where normal birth is considered, a caesarean section can be performed urgently, or a caesarean section decision can be made by prenatal planning. If it is determined that a cesarean section will be performed before birth, the date and time of the procedure can be determined.

Caesarean section is a birth technique performed under operating room conditions and anesthesia. In this procedure, the baby is removed from the mother’s womb by making an incision first in the abdomen and then in the uterus. Then, the incisions are closed with stitches and the birth is completed.

Aginal discharge is the fluid secreted from small glands in the vagina and cervix. This fluid leaks from the vagina every day to flush out old cells and debris, keeping the vagina and reproductive system clean and healthy. Vaginal discharge may occur from normal changes in estrogen levels

In uterine prolapse, the muscle around the vagina, connective tissues, and the nerve that holds the pelvic organs and tissues in place, break as the muscle tissues weaken and prolapse occurs outside the vagina. It occurs due to reasons such as normal birth, insufficient estrogen, and old age.

Sexually transmitted diseases that can be treated are: Syphilis, gonorrhea, chlamydia, and trichomoniasis. The 4 most common sexually transmitted diseases are; hepatitis B, herpes simplex, HIV (AIDS) and HPV cannot be fully treated

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