Fotona laser therapy for urinary incontinence | TREATMENTS AND SURGERIES

Laser vaginal tightening, or Fotona laser therapy, is a non-invasive treatment for mild stress urinary incontinence.

This innovative procedure, which is performed using a Fotona Erbium YAG laser, has been offered for a number of years now, in particular in Europe, to treat bladder problems in women. It involves photothermal tightening of the anterior wall of the bladder and urethra. The Fotona laser is configured to specifically target the collagen-rich vaginal mucosa. It remodels the treated vaginal tissues, resulting in their contraction and tightening.

It’s a safe and simple procedure that requires little preparation and doesn’t involve any incisions. It lasts about 15 minutes and has a short recovery period.

There are few studies on gynecological laser therapies. However, there are many studies in the field of dermatology about fundamentally similar laser treatments. To date, clinical assessment of this therapy has conclusively demonstrated its efficacy. Moreover, the patient satisfaction rate is high.

According to our Urinary Incontinency Treatment Policy, the vaginal tightening is automatically included.

Who’s a candidate for vaginal laser therapy to treat stress urinary incontinence?

This treatment is designed for individuals with mild or moderate stress incontinence caused by vaginal relaxation, the physical effects of childbirth or age-related collagen loss.

What are the benefits of vaginal laser therapy?

Improvement of urinary incontinence symptoms
Increased vaginal lubrication
Improved sensitivity during sexual activity
Narrower vaginal canal
Improved ability to reach orgasm
Overall improvement in the quality of a woman’s sex life

What’s does the procedure for undergoing vaginal laser therapy involve?

The laser treatment will take place at one of Dr. Marois’ urology clinics. It’s performed by Dr. Marois or by a urology nurse under Dr. Marois’ supervision.

The procedure is easy to perform and doesn’t take long. The patient is placed in the lithotomy position and an anesthetic cream is applied to the vulvar region by a nurse. Vaginal laser therapy is in itself painless. However, there may be some discomfort in the area around the vaginal opening (the vulva vestibule).

Patients must wear protective glasses for their safety.

A speculum is inserted into the vagina in order to dry the vaginal mucosa as much as possible. A laser probe is then inserted. It’s pulled out gradually, while emitting five to six pulses at every interval of 5 mm. This process will be repeated several times.

At the end of the operation, the probe will be passed over the vaginal and urethral opening several times, in a circular motion.

Laser treatment for urinary incontinence is automatically included as part of the vaginal atrophy treatment provided at Dr. Marois’ urology clinics in Greater Montreal and Quebec City.

How many treatment sessions are needed to see improvements?

For many patients with vaginal atrophy, their condition improves after only two sessions. In particular, their vagina lubricates better and is subject to less dryness. At Clinique Marois, we recommend two to three treatment sessions, scheduled one month apart, so as to give patients the maximum benefits from the treatment and ensure their satisfaction. The advertised price covers all treatment sessions.

How long do the benefits of the treatment last?

The treatment doesn’t produce permanent results. It has been shown that the contraction in vaginal tissues and increased vaginal lubrication lasts between 15 and 18 months, at which point the patient may opt to undergo the treatment again.

Are there other non-surgical treatments for women with urinary stress incontinence?

Perineal rehabilitation
Platelet-rich plasma (PRP) therapy for female sexual dysfunction or improved orgasms
Injection of urethral bulking agents

How to prepare for Fotona treatment

Post-operative recommendations for Fotona treatment

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Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

Thank you for your understanding.

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Dr. Marois is a urologist who is not a member of the Régie de l’Assurance Maladie du Québec (RAMQ). As such, if you require his professional services, you will have to pay directly the Cliniques Marois for the services rendered.

Cancellation Policy:

To ensure the smooth running of the clinics aa well as a minimum of courtesy towards other patients and staff members, we ask you to notify us 48 hours in advance for cancelling an appointment, 5 working days for cancelling a minor surgery in the office and 21 working days for major surgery at the CMC. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur and schedules change, so we ask patients to give us at least a 24-hour notice for any changes of appointment. We will be happy to reschedule another one for you. Failure to provide such notice within this timeframe will result in a $ 100 fee.

Thank you for your understanding.

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