Laser Gynaecology Treatments
SkinScience Medical Esthetics Clinic is now proud to welcome Dr. Kerri Hetherington. Dr. Hetherington is a Family Physician with a special interest in woman’s health and has completed a Fellowship in Women’s Health at Women’s College Hospital in Toronto.
She will be performing all the gynaecology laser treatments, including Incontilase and Intimilase.
IncontiLase and IntimaLase are revolutionary new treatments for Stress and Mixed Urinary Incontinence and Vaginal Relaxation Syndrome, using special gynaecological instruments developed by Fotona, for use in these 2 minimally invasive treatments.
There is a continual decrease in collagen in the tissues of the body with the aging process affecting structure and support. This is where the laser has its impact; to immediately shrink the tissues, and with this controlled heating of the tissue , the cells will be respond by stimulating the production of new collagen within about 3 weeks and further collagen maturation for 6-8 months.
The treatment is based on precisely controlled laser-induced thermal effects in the mucosa tissue in the region of the vestibule and urethral orifice, as well as in the area along the anterior vaginal wall.
The laser used is a 2940 YAG, with built-in proprietary technology solutions that enable delivery of specially composed laser energy packages to the vaginal mucosa tissue and to collagen-rich endopelvic fascia.
Studies have shown that the resulting collagen neogenesis and remodeling leads to the shrinking and tightening of irradiated tissues, and the return of normal continence function.
This enhances the structure and support of the vaginal mucosa leading to improvement in the symptoms of stress urinary incontinence and vaginal laxity.
This process involves 2 laser treatments, one month apart.
Mild to Moderate Stress Urinary incontinence, (or leaking with coughing, sneezing, exercise)
Mixed Urinary Incontinence (which is a combination of stress urinary incontinence and urge incontinence)
Mild to moderate vaginal relaxation/laxity
What to expect?
Treatment begins with a consultation with Dr. Hetherington. This consultation will include a full history and physical, as well as a vaginal, and/or speculum examination, if deemed to be necessary.
No special pre-op preparations or post-op precautions are necessary. Topical local anesthetic will need be applied to the vagina for your added comfort during this procedure.
Treatment duration will be approximately 60 minutes for the first treatment and then 45 minutes thereafter.
You can immediately return to normal everyday activities, once completed.
Additional advantages are, that the procedure is incision-less and virtually painless, with no ablation, cutting, bleeding, or sutures. Recovery is extremely quick without need for the use of analgesics or antibiotics.
Contraindications to treatment
- Pure urge incontinence / Overactive bladder / Spastic bladder/ Bladder stones
- Infections of urinary tract or vaginal canal
- Infections of urinary tract or vaginal canal
- Positive PAP smear
- Impaired integrity of the of the vaginal mucosa [irritation, open areas]
- Active menstrual bleeding
- Any conditions or abnormalities of the reproductive system
- Oral isotretinoin (Accutane) and Vit A use
- Anticoagulant therapy or bleeding disorders
- Clear signs of abnormal skin sensitivity
- Morbid obesity BMI > 35
- Severe prolapse
- Severe neurological conditions associated with incontinence (multiple sclerosis, spinal cord injury, stroke, Parkinsonâ€™s disease)
- Uncontrolled diabetes
FREQUENTLY ASKED QUESTIONS
HOW MANY TREATMENTS WOULD I NEED?
A minimum of TWO treatments is required for optimal results.
However, a maintenance treatment will be required annually, since natural aging and collagen loss will continue.
IS IT PAINFUL?
No, it is virtually painless. Topical local anesthetic will be applied for added comfort. You will experience some heat within the vagina, and especially at the vaginal opening.
WHEN CAN I RETURN TO NORMAL ACTIVITY?
You can return to work on the same day, immediately after the procedure â€“ there is no downtime.
BUT, no sexual intercourse AND strenuous exercise for TWO weeks following the procedure.
HOW MUCH DOES IT COST?
A package of two treatments will cost $1700 + tax.
Maintenance treatments thereafter will cost $750 + tax.
HOW LONG BEFORE I SEE RESULTS?
Some improvements are noticed immediately after the 1st procedure, but usually, 3-4 weeks after the 2nd procedure.
TERMS AND DEFINITIONS
Stress Urinary Incontinence (SUI) is the involuntary leaking of urine with activities such as coughing, sneezing, laughing, lifting or exercise.
Urge Urinary Incontinence is having a sudden intense need to urinate, even if you just went but being unable to hold it long enough and wetting before being able to reach a bathroom.
Mixed Urinary Incontinence (MUI) is a combination of stress and urge incontinence.
Functional Incontinence is a result of a physical condition (Parkinsons, arthritis, etc) or neurological condition (Alzheimers, stroke, paralysis) that hinders one’s ability to get to the bathroom on time.
Overflow Incontinence is the leaking of urine because the bladder does not empty completely.
Overactive Bladder is a result of an overactive muscle in the bladder that is pushing urine out causing one to need to urinate often, even if have just gone, may only be small amounts of urine, waking up more than 2 times per night to urinate, urgent desire to urinate Bladder infections can cause these symptoms, stress, some medications, diabetes.
Vaginal Relaxation Syndrome is the stretching, looseness of the vaginal canal generally related to childbirth and aging, this can result in decreased sexual gratification during intercourse due to a decrease in friction.
Pelvic Organ Prolapse (POP) is the dropping of any of the pelvic organs lower into pelvis and putting pressure against walls of vagina. It is often associated with the stretching of muscles and tissues with childbirth that do not return to pre-pregnancy strength. This can also occur with aging and after surgery such as hysterectomy. With POP there can be a feeling of pressure against the vagina wall, a feeling that something is falling out of the vagina, pain or discomfort during intercourse, stress urinary incontinence, and constipation.
This video illustrates the procedure and the response of the vaginal tissue to the laser.