Intimate plastic surgery and treatment of urinary incontinence «Incontilase» in «TOP Laser»

Incontilase is a laser procedure that is used to treat early stages of stress urinary incontinence, including those complicated by pelvic floor prolapse. The main advantages of the procedure are high efficiency, painlessness and low invasiveness. You can return to active sex life already 72 hours after the procedure.

Indications for treatment with IncontiLase technology:

• Urogenital (stress) urinary incontinence.
• Pelvic floor prolapse.

What are the contraindications?

• Inflammatory diseases of the pelvic organs.
• Pregnancy.
• Herpes (in the acute stage).
• Tumor diseases of the urogenital system.
• Diabetes.
• Complete or partial prolapse of the uterus.

What tests are required before treatment with this technology?

• Analysis of vaginal discharge.
• Scraping for oncocytology from the cervix.
• Ultrasound of the pelvic organs.
• In this case, the statute of limitations for analyzes is no more than 14 days.

The essence of the method: in patients suffering from stress urinary incontinence and pelvic floor prolapse, the ligaments have a reduced collagen content, as well as a reduced content of cervical collagen. Laser energy not only effectively improves collagen structure, but also stimulates neocollagenesis. As a result of the procedure, the intermolecular cross-links of the collagen triple helix are shortened, which leads to a reduction in the length of the collagen fibers by 2/3 compared to their length before the procedure.

How is the procedure going:

• A laser reflector is inserted into the vagina to guide the delivery system of the laser beam - an Er: YAG fractional handpiece with an angled adapter, which allows targeting the anterior vaginal wall. The laser energy is directed along the front wall in several longitudinal passes by gradually extending the handpiece out of the laser reflector. Laser energy (in the amount of about 10 J) is delivered to each irradiated area, generating a thermal effect on the mucous membrane as well as on the intrapelvic fascia of the vaginal wall. This, in turn, causes the reduction of old collagen and the stimulation of non-collagenesis.
• Further, the procedure is performed in the area of the vaginal vestibule by means of a straight fractional maniple. The entire area is treated with a laser beam in order to achieve the required level of thermal effect on the collagen fibers in the treated area.
• Anesthesia is not used in any phase of the procedure. The duration of the procedure is 25-50 minutes. During the procedure, there may be slight unpleasant sensations associated with the reversal of the reflector in the vagina, as well as a slight tingling sensation at the exit from the vagina. However, these sensations are insignificant. The thermal effect of the laser is no more than 60-63 ° C. The rehabilitation period is not needed, the patient's ability to work remains.

What are the medical criteria for evaluating the effectiveness of the procedure?

Medical evaluation criteria are standard patient questionnaires. After the procedures, the patients answered questions related to the symptoms of urinary incontinence, the quality and frequency of sexual intercourse. Pelvic floor muscle strength was also measured using a perineometer and a Q-tip test (to assess bladder and urethral support). After the procedure, the patients notice positive dynamics, the best result is observed 3 months after the treatment.

The course of treatment is no more than 2 procedures.

Treatment results using IncontiLase technology:

• The patients noted that it became possible to attend all kinds of events without fear of urination, lead an active lifestyle, play sports, and also return to an active sex life.
• New pleasant sensations appear during intercourse.
• Immediately after the procedure, you can do any business, since there are no unpleasant sensations and side effects.