cosmetic MD

page-feature
LASER TREATMENTS FOR STRESS URINARY INCONTINENCE

At
cosmetic MD, we have a revolutionary laser treatment for stress urinary incontinence - the Incontilase.

The IncontiLase is a painless, non-invasive walk-in, walk-out procedure for the treatment of mild and moderate stress urinary incontinence (SUI). Clinical studies have shown that the treatment is easily tolerated, effective, and safe.

cosmetic MD’s physician Dr Hooi was trained by the original researchers of this procedure in Slovenia in 2015 and is proud to be able to offer this treatment for his patients. Utilising cosmetic MD’s long experience with Platelet Rich Plasma, these laser vaginal treatments may be combined with a PRP treatment or the O-Shot to improve the results.

cosmetic MD featured in Good Health August 2017.

How does IncontiLase work?

Firstly, one has to understand how SUI occurs. A more detailed explanation can be found below.

Basically, SUI occurs when activities which suddenly increase the pressure inside the abdomen such as coughing, sneezing, laughing, running or jumping overcomes the ability of the bladder and its supporting tissues to keep urine inside the bladder. The result is urine leaking out of the urethra which is the tube through which you pass urine.

It is thought that SUI occurs when the supporting structures of the bladder become weak through stretching during childbirth, ageing or with other conditions.

In the Incontilase™ treatment, the laser gently heats the vaginal tissue. This stimulates collagen remodelling, the growth of new collagen in the area of the front vaginal wall where the urethra is situated.

The result of stimulating collagen is shrinkage and tightening of the vaginal tissue subsequently giving greater support to the bladder and the return of normal urinary function.

What are the advantages of Incontilase?

The advantages of IncontiLase™ compared to conventional surgery procedures.

  • No incisions, cutting or bleeding
  • Safe, quick and easy
  • No downtime or pain relief required
  • No anaesthesia needed
  • No antibiotics required
  • No invasive surgery
  • Walk-in/Walk-out procedure


Is there any preparation involved before the procedure?

Prior to performing any vaginal treatments, you will have a comprehensive consultation with our physician.

The following conditions should be met before any treatment is undertaken.

  • Normal PAP smear within the last year (you should have this at your GP or gynaecologist before coming to see us)
  • No bladder /urine infection
  • Not pregnant
  • Not a heavy smoker
  • No chronic cough
  • Not a lifestyle with daily heavy lifting
  • Not obese, the best is a body-mass index (BMI) < 30
  • No menstrual bleeding at time of procedure
  • If diabetic, this should be under good control

What can I expect?

The procedure takes about 60 minutes which includes the consultation, consent and the actual treatment.

Depending on your circumstances, we may need to refer you for other investigations prior to the actual treatment.

A second follow up treatment is required 4 to 6 weeks after the first treatment.

Note that having the Incontilase treatment does not affect subsequent pregnancy and delivery.


Can I have a treatment with a sling in place?

Patients can be treated safely with an existing sling in place, should it fail and they begin leaking again, as long as it is not exposed (i.e. not visible on examination).

If there is an exposed sling, we do not recommend laser treatment.


What are the possible side effects?

It is generally painless. Some patients may experience mild pain, burning or itching sensation during treatment at the entrance to the vagina and /or vestibular area, however it is generally well tolerated and usually does not persist beyond 24 hours. No continuing or lasting post-treatment pain has been reported.

There will be mild swelling and redness of the treated area which should settle within 24 hours.

Is there any special after care advice?

No special after care or medication or special accessories is required.

The following activities should be avoided:

  • Take care to prevent trauma to the treated area
  • Abstain from sexual intercourse for five (5) to seven (7) days after treatment
  • Avoid heavy lifting and activities that increase pressure on the area for one month but otherwise resume usual activities
  • Refrain from inserting tampons into the vagina for two (2) weeks
  • Avoid activities that increase pressure on bladder and treatment area for one month such as heavy lifting
  • Prolonged periods of sustained exercise are not recommended for two (2) weeks 

_________________

To find out more about these procedures, go to our Contact page to send cosmetic MD an email or call us to organise a consultation.




MORE INFORMATION ABOUT STRESS URINARY INCONTINENCE

What is incontinence?

Incontinence is an involuntary leakage of urine. There are different types of incontinence - urge, stress and mixed are the main types.

Sometimes incontinence is referred to as Light Bladder Leakage (LBL), which is the involuntary loss of a small amount of urine, but LBL does not represent all forms of incontinence.

Stress urinary incontinence (SUI) occurs when an activity, such as coughing or sneezing, causes a small amount of urine to leak. It is the most common type of incontinence suffered by women. SUI can occur in up to 45% of women who have given birth and is more common in older age groups.

Urge incontinence occurs when one has a sudden urge to pass urine and may leak if you do not go to the toilet in time. This is also known as overactive bladder. Currently, urge incontinence is not treated by laser.

SUI and urge incontinence can co-exist in the same patient (mixed incontinence).

What Causes Stress Incontinence?

With SUI, activities such as coughing, sneezing, and lifting place greater abdominal pressure on the bladder. That pressure overcomes the ability of the bladder and surrounding structures to retain urine and results in urine leaking from the bladder.

Stress incontinence, especially in women, is often caused by physical changes to the body. These changes include:

  • Pregnancy and childbirth
  • Menopause
  • Pelvic surgery
  • Problems with weakened muscles around the bladder and the urethra
  • Other factors include chronic coughing, smoking, and obesity.

Weakening of the structures around the bladder and vagina can also lead to pelvic organ prolapse (POP), where the bladder, vagina or rectum can fall down or out of the vagina. SUI and POP can often co-exist, though one of these may be mild or asymptomatic. Sometimes, surgery to treat POP may unmask previously asymptomatic or mild SUI.

Researchers have suggested that the pelvic ligaments of women with SUI have decreased collagen content or quality. It has also been suggested that women with SUI have an altered connective tissue metabolism causing decreased collagen production, which may result in insufficient support of the bladder and urethra.

What Are the Symptoms of Stress Incontinence?

The main symptom of stress incontinence is a leakage of urine at times of physical movement or activity. Examples of the kinds of activities associated with urine leaking include laughing, coughing, lifting, or exercise. The leakage may be as little as a drop or two, or may be a "squirt," or even a stream of urine.

While the leakage of urine may be anticipated by many sufferers of SUI, the impact on social activities (for example, planning bladder stops and ensuring knowledge of the location of the closest toilet) and embarrassment can lead to social isolation and avoidance of intimate contact for many patients with SUI.

How Is Stress Incontinence Treated?

The commonest non-surgical treatment methods until recently included:

  • Pelvic floor (Kegel) exercises, help strengthen the muscles that support the bladder, uterus, and bowels
  • Weight loss, if overweight
  • Timed voiding and bladder training
  • Pessaries - a pessary is a ring that, when inserted, puts pressure on the urethra in order to keep it in its normal location, which can reduce urine leakage

When other methods for treating SUI failed, surgery was then the next option. Surgery can effectively treat the vast majority of stress incontinence cases. However, side effects of surgery include pain, bleeding, infection and in a number of patients continued or worsened incontinence due to surgical failure.

Despite
the embarrassment and poorer quality of life associated with SUI, many women with symptoms of SUI do not seek medical treatment. A recent survey found that only 15% of women aged 40 years or older with SUI sought medical treatment for their symptoms. This may be due to embarrassment, lack of knowledge about possible treatments or fear that the treatment will require surgery.

What are the results from the Incontilase?

Scientific results from clinical studies (see the links on the Fotona website) show excellent improvement for mild to moderate stress urinary incontinence.


  • over 90% of patients reported improvement in their incontinence (measured at 3, 6 and 12 months)
  • 40-60% of patients claimed to be free of SUI symptoms (at 6 months, which was maintained up to 12 months)
  • No significant adverse events noted in any of the studies

Data in the chart below courtesy of
Drs Urska B. Ogrinc, MD & Sabina Sencar, MD & Helena Lenasi, MD. Novel initially invasive laser treatment of urinary incontinence in women. Lasers Surg Med 2015 Nov; 47(9): 689-97

Stacks Image 4294