• 21 APR 17
    • 0

    Urinary Incontinence, Vaginal Atrophy – Laser Treatment. What does the technique consist of

    It consists of introducing a cylindrical scanner terminal into the vaginal canal to apply the laser steadily throughout the mucosa.  In cases of urinary incontinence, special emphasis will be placed on the anterior face, opening, and urethral orifice.  It consists of two, 15-20 minute sessions with an interval period of 6-8 weeks between both sessions.

    It is an outpatient procedure and virtually painless. Topical anesthesia may be used.  The patient is able to return to normal activity immediately after treatment.  Sexual intercourse can be resumed after 5-7 days.  The laser activates the fibrocytes of the vaginal mucosa by converting them into fibroblasts.  These stimulate the biosynthesis of new collagen.  There is an increase in the production of hyaluronic acid and new glycoproteins, which increase water retention by improving the collagen structure.  The increased tissue permeability promotes blood flow, thickness and consistency of the vaginal wall.

    The thermal effect produces retraction and tightening of the vaginal mucosa.  Laser treatments of stress urinary incontinence and vaginal regeneration are safe, fast, outpatient medical procedures.  It is done in-office.

    This technology allows a homogeneous warming of the mucosa and underlying layers of the vaginal tissue; this avoids temperature accumulation at the surface.  There is no ablation (removal of material from the surface of an object by erosive processes) or bleeding.  This heating produces a remodeling of the collagen and triggers the processes of neocollagenesis (new formation of collagen) and neoangiogenesis (new formation of blood vessels), favoring the improvement of thickness, elasticity, and firmness of the vaginal canal.  As a consequence of the thermal effect there is a stretching of the vaginal wall.  After the tissue is retracted from the outer layers, the inner layers become tense.

    The use of the fractionated CO₂ laser reconstructs and rejuvenates the anterior vesicovaginal fascia.

    Reports on the effect of intravaginal laser were first published in 2011 in the USA.

    With the tightening, we reorganize the angulations between the urethra and bladder improving incontinence, or eliminating it altogether, and allows the regain of urination control.

    Fractional CO₂ lasers have been shown to be effective in remodeling tissues in different parts of the body (face, neck, neckline), without side effects.  Nowadays their use extends to the treatment of atrophy of the vaginal mucosa.

    Laser impacts are fractional; this allows the existence of healthy tissue between the impacts of the laser, achieving rapid recovery of the mucosa.  With the scanner delivering fragmented points, it follows a random pattern to prevent heat buildup in the tissue.

    The treatment effect is not cursory but long-lasting, causing remodeling and neocollagenesis.

    The tissue is thicker more elastic and vaginal laxity improves.  This new treatment safely and effectively corrects vaginal atrophy, vaginal relaxation, and mild and moderate urinary incontinence, without incisions or surgery.  It also decreases the predisposition to vaginal prolapse.  After the treatment, histological changes have also been found:

    increase in the amount and activity of fibroblasts; increase in connective tissue density and onset of neoangiogenesis.  The vaginal mucosa renews your collagen and improves lubrication.

    A CO₂ laser with very short pulse emission is used in addition to a sequential random emission fractionated scanner.  In addition, an intravaginal device is used which drives the fractionated laser light beam, incorporating a reflecting mirror.

    The patient is given an anesthetic cream.  After waiting 20-30 minutes, the anesthetic cream is removed and the intravaginal device attached to the scanner is inserted.

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