What is the treatment of mild to moderate incontinence with CO2 laser?
Before talking about this novel technique, we talk about the female anatomy, in which we have the vaginal introitus with a urethra and bladder, with vagina and uterus, and rectum. This would be the musculature, the elevator of the pelvic floor, and this pelvic floor, if it is well and strengthened, makes the continence, together with the angulation of the urethra and bladder, to be correct. The novel technique consists of applying intravaginal heat energy, which is done by inserting CO2 laser energy. Thus, this heat generates a reorganization and a manufacturing of these collagen fibers, which leads to a tightening of this anterior wall, so that, by tightening, we reorganize the angulations between the urethra and the bladder. In this way, continence improves or disappears.
What type of patients is the CO2 laser recommended for?
Gynelase is dedicated to or aimed at women with urine loss, mainly stress urine loss. What is stress urine loss? Those incontinences that are generated when one runs, when one coughs, when one makes an effort. It is not useful for incontinence caused by a disease called bladder hyperactivity.
Are the results of the CO2 laser definitive and what advantages does it offer?
We are talking about a procedure that consists of two treatment sessions, each session lasts approximately 25 minutes and the interval between the first and the second session is four weeks. After this treatment we need three months for this reorganization and this new generation of collagen fibers to take place and for this regeneration to be completed. Three months after the Gynelase treatment, we are currently in the order of 70% of women who improve and make their urinary leakage disappear.
How should the patient recover after the CO2 laser treatment?
The truth is that recovery after treatment with Gynelase is very simple. It is a treatment that is done on an outpatient basis, that is, patients come to the office, stay 25 or 30 minutes and go home to do their usual routine. You don’t have to do without or restrict any kind of habit you used to have, and whether it’s diet, sports or walking, you can do whatever you want from the very first minute.