New article in Cosmopolitan UK

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Laser for Female Stress Urinary Incontinence

Female Stress Urinary Incontinence

Laser therapy is useful for the treatment of mild and moderate stress urinary incontinence.

This technology works based on non-ablative photothermal stimulation of collagen neogenesis which may result in shrinking and tightening of vaginal mucosa tissue  and collagen-rich endopelvic fascia, which ultimately can result in  subsequently greater support to the bladder.

The indications for laser therapy are mild and moderate stress- and mixed-urinary incontinence (SUI). Preliminary clinical studies show that it is an efficient, easy-to-perform and safe procedure without any anaesthetic or down time.

Laser with proprietary “Smooth-mode” technology thermally affects the vaginal tissue, stimulating “collagen remodeling” and activates the synthesis of new collagen fibers in the region of the vestibule and urethral orifice, as well as in the area along the anterior vaginal wall.

The final result of collagen neogenesis is the shrinking and tightening of vaginal mucosa tissue and collagen-rich endopelvic fascia and subsequently greater support to the bladder and the return of normal continence function.

Women orgasm explained

Vaginal dryness

 Vaginal and vulva dryness is frequent problem for women young or not.

Often the origin is the menopause period and medical treatments like: antidepressants, neuroleptic, isatretinoin..

The decrease of estrogen secretion is the first cause during menopause, the vaginal mucosa become dry, thinner and we can see atrophy of glandular cells.

The skin loses elasticity and modification of collagen fibres create skin dryness, modification of labia majora and labia minora.

What we can propose :

• Reduction of labia minora with labiaplasty
• Injection of fat or Hyaluronic acid in labia majora
• Injection of hyaluronic acid in vaginal area for dryness

Labia majora hypotrophy

The labia majora involve with modification of fat ( lipodystrophy). It can appear very young after lose of weight. But often is appeared with pre-menopause near 35/40 years or during menopause.

The diminution of labia majora is feel unaesthetic for ol lot of women like very old sex appearance.
Also, the labia majora can be unable to perform their physiological fonction of protection of the vulvar region and vaginal introits.

Treatments:

1) Lipofilling :
The best technique is to inject fat in the labia Majora with local anesthesia. We need only 10 to 20 cc of fat that we can take from leg or abdomen in surgery room. The volume of fat injected reduces by 20-50% in the weeks following injection and need to injecte more in the first session or to do a touch up.

2) Hyaluronic acid injection :
This technique is more simple and can be perform in office with simple local anesthesia. The volume injected is immediately visible. We can use a canula to have less trauma of labia (bruises, oedema...)
The quantity injected is near 5 ml and can stay for 6 months to 1 year.

3) Skin reduction of labia Majora :
In some cases, we can reduce the skin with a little scar when the excess of skin and flattening is important.

 

Menopause and sex aging

With Menopause, the ovaries loss activity and the endocrine perturbation are very important. Skin and mucosa are very sensitive with loss of hormones.

Activity of fibroblast (collagen cell productor) is modified with diminution of collagen type I and augmentation of collagen type III. Elastin production is reduced too and induce hypotrophy of dermis and flattening of dermal-epidermal junction.

On the Genital area of women  we can have :

• Augmentation of labia minora hypertrophy,
• Involution of the clitoris with reduction of stimulation during sex act
• Hypotrophy of labia Majora with thinning of skin and mucosa
• Mucosa atrophy with dryness, discomfort or pain during sex act

Hormones and sexual pleasure

Hormones are chemical messengers, they have an action on differents kind of organes, often in different part of the body

• Testosterone : is the first hormone for sexual pleasure is. It is possible to test it by blood test and to correct the level by cream, injection or pellets.

• Thyroid hormons : have to be test because this hormone have action on a lot of organ like heart, weight, eyes..

• Growth Hormone : have effect on weight, depression 

• Prolactin : when a women product milk, the level is high and decreased libido and feeling of lack of arousal 

• Estrogen : keep vaginal mucosa heathly but it is not necessary to have a high level only normal level because it can have potential cancer action. It can help to feeling of love and tenderness

• Progesterone : this hormone can have an cancer protection action from estrogen on breast and uterus.