Urogynecology

IncontiLase® therapy is performed at MC MARKOVS with Fotona's high-tech NX Dynamis laser system. It practically mimicks the effect of natural estrogen stimulation on the vaginal mucosa. This induces the regenerative processes and restores the firmness of the vaginal wall, strengthens its function and increases sensitivity.

The main advantage of IncontiLase® is that the procedure is performed in an outpatient setting (in an office) – painless, without ablation, without surgical incision, without bleeding and without sutures. Recovery is extremely fast, without the need to use analgesics and antibiotics.

For more information about the possibilities of diagnosis and treatment of your problems related to urinary stress incontinence, you can call MC MARKOVS. The center has excellently trained AG specialists and modern Fotona laser medical equipment. These are necessary prerequisites for an accurate and precise assessment of your condition and planning of correct and adequate treatment.

FREQUENTLY ASKED QUESTIONS

How does the procedure go?

Fotona's IncontiLase® laser therapy takes place in two stages. The procedure is performed on a gynecological chair. Your Ob/Gyne specialist will insert a special glass speculum into the vagina, which limits the contact with the laser applicator. The vaginal mucosa is then processed with the aplicator along its entire length, working according to a strictly prescribed protocol. There is usually no pain or burning sensation during the procedure. Around the vaginal entrance, ocasionally, it is possible to feel a slight burning sensation which is short-lived. The duration of the procedure is between 30 and 40 minutes.

What are the indications?

It is suitable in all cases with pronounced clinical manifestation of urinary stress incontinence, including in women:

• In menopause;
• After therapy of a malignant disease or other surgical intervention, who cannot use hormone therapy;
• Who do not respond to or have contraindications to topical estrogen therapy;
• With recurrent infections of the urinary tract;
• With recurrent pain, vaginal discomfort or bleeding during intercourse;
• With reduced elasticity of the vagina, slight prolapse or weak leakage of urine with minimal physical effort, as a result of a traumatic vaginal delivery.

How do I know if I am suitable for laser therapy?

In the presence of clinical complaints of urinary stress incontinence, which can be influenced by IncontiLase® therapy, you can book a consultation appointment at MC MARKOVS. During the preliminary examination, your Ob/Gyne specialist will clarify whether your complaints meet the indications for laser therapy. Before each procedure, a Pap smear and a microbiological examination of the vaginal discharge will be performed.

Are there any contraindications?

You should keep in mind that Fotona's IncontiLase® laser therapy is relatively ineffective in other forms of incontinence - imperative, mixed type, etc. The procedure is contraindicated in case of infection and narrowing of the urinary tract, abnormal smear result, menstruation, pregnancy. It is weakly effective in overweight patients (BMI >40) as well as in severe degrees of genital prolapse.

Is there a risk of complications?

Fotona laser therapy for urinary stress incontinence has an extremely low risk of procedure-related complications.

What should I expect after the procedure?

After Fotona's IncontiLase® therapy, it is possible to observe increased vaginal discharge during the first 2-3 days. Light vaginal bleeding is rarely observed. The effect is noticeable after the first procedure. After 2 or 4 laser treatments, the results last up to 18-24 months. Recovery is extremely fast, without the need to use analgesics and antibiotics. It is necessary to abstain from sexual contact until one week after the procedure. It is recommended not to insert tampons into the vagina until 4 weeks after therapy. Heavy physical exertion is not recommended for at least 2 weeks after the manipulation.

When should I expect any clinical effects?

At least two procedures are usually recommended to relieve mild to even moderate stress urinary incontinence. In more severe cases, 3 or 4 treatments are recommended. Procedures are done once a month.