Gynecological / IncontiLase Tightening
What is Gynecologic Laser Therapy?
Stress urinary incontinence (SUI) is the involuntary leakage of urine with activities such as coughing, sneezing, laughing, lifting or exercise. The most common causes of urinary incontinence are pregnancy, childbirth, decreased estrogen or menopause, advanced age and obesity. It is believed that 1 in 4 Canadians experience some level of incontinence in their lifetime. In addition, the normal aging process and childbirth also results in stretching and looseness of the vaginal canal. This decreases the support of the bladder and diminishes the friction during sexual intercourse, resulting in decrease or loss of sexual gratification.
Previously, kegel exercises, pelvic floor physio or pessaries were the only treatment options for these conditions. These were often only mildly effective and had a long waiting list to even be assessed. Studies have also shown that women may also be too embarrassed to discuss this condition with their physicians, so 75% of cases go unreported and untreated. For more severe conditions, invasive surgery was recommended. However, due to the significant risk of complications and a long recovery period, most women preferred to just deal with the condition. However, the SP Dynamis Fotona laser has revolutionized the treatment of this condition and provided a life-changing option for women. This non-invasive treatment heats up the collagen fibers below the surface of the skin to stimulate collagen growth with little or no pain, and virtually no risk.
How does it IncontiLase work?
- The Erbium SMOOTH mode creates non-ablation thermal effects in the vaginal tissue that stimulates collagen remodeling
- The first laser hand piece directs the energy to the anterior portion of the wall to support the bladder
- The second hand piece directs the energy around the entire circumference to tighten the entire vaginal canal
- There is some immediately contraction of the collagen fibers as the tissues heat and contract
- New collagen is deposited in about 3 weeks
- Collagen continues to be formed for 6-8 months following the procedure, providing continued and long-term improvement
- The final result of collagen remodelling and formation is tightening of the entire vaginal canal and greater support to the bladder and urethra which dramatically improves incontinence while simultaneously increasing sexual gratification.
Visit WHYGETSHY.COM for more information and videos that demonstrate the procedure.
Advantages of Laser Treatment
- Minimally invasive – no cutting, bleeding or ablation of the tissue
- Can be done in a 45-minute appointment
- Fantastic results with very little or no risk
- 70% of patients’ reports being completely dry after 2 months
- 95% of patient reported >50% improvement to incontinence, most >75%
- 95% of patience reported more than moderate tightening and improved sexual gratification
Preparation & Contraindications
- Must have had a normal PAP smear within the past 12 months
- Must have had an examination from their family physician or gynecologist ensuring there are no physical abnormalities to the vaginal canal or exterior perineal region
- Cannot be pregnant
- Cannot have pessary in place during procedure
- Patients will IUD can still proceed with treatment
- Cannot be a heavy smoker (decreased vascularity limits level of improvement)
- No menstrual bleeding at time of treatment
- Patients who are not overweight obtain the best results (BMI <33 is best, however we have also seen good results in patients with a BMI >33
- Cannot have been on ACCUTANE within the past 6 months (delayed healing)
- No history of atypical or cancerous moles in the region to be treated
- No active cold sores, herpes or abrasions
- Patients with diabetes must have blood sugars under control
- No current use of anticoagulants (Coumadin, Warfarin, Xaralto, etc)
- No current urinary tract infection (UTI)
- Post-menopausal women with vaginal atrophy symptoms that result in impaired blood flow should be assessed by physician to consider adjunctive topical estrogen therapy
- A minimum of 2-3 treatments spaced 4-6 weeks apart is recommended for optimal results
- Additional treatments may be required to obtain optimal results and will depend on the severity of your condition, your age, weight and response to treatment.