Platelet-rich plasma therapy for stress incontinence

The injection of platelet-rich plasma for female urinary incontinence and sexual disorders is a simple and painless treatment designed to increase blood flow and stimulate regeneration in the tissues of the clitoral, periureteral and anterior vaginal regions.

As a urologist, Dr. Marois is trained and certified to offer this innovative technique that, by uniformly distributing PRP to the female external genitalia, decreases vaginal pain, mitigates urinary incontinence and increases sexual pleasure in women.

This type of PRP therapy is a non-surgical treatment option for mild cases of urinary incontinence in women.

Who’s a candidate for PRP therapy for stress urinary incontinence?

This is a suitable treatment option for women with mild to moderate cases of urinary incontinence. More severe cases usually call for surgical intervention.

In addition, it’s a viable treatment option for women with stress incontinence who haven’t been able to improve their condition with perineal rehabilitation or who don’t wish to undergo surgery.

How does platelet-rich plasma (PRP) therapy work?

Platelet-rich plasma (PRP) therapy is an innovative and promising treatment that represents a major advance in regenerative medicine.

While there’s still limited published research on PRP therapy, it’s currently used in various areas of medicine:

In the field of sports medicine, it’s used to treat a variety of injuries.
In the field of aesthetic medicine, it’s used to erase stretch marks. Specifically, platelet-rich plasma stimulates production of collagen by fibroblasts.
In the treatment of alopecia, platelet-rich plasma helps to anchor grafts and stimulate hair follicles when injected in the scalp.
PRP therapy is also used for skin rejuvenation treatment of the face, breasts and other areas of the body.

PRP therapy follows a standard procedure. It involves taking a blood sample from the patient and centrifuging the vial in a Health Canada-approved device that isolates the platelet-rich plasma from the blood. The blood is separated into two sections, with the red cells at the bottom of the vial and plasma at the top. The nurse then isolates the plasma layer, which is replete with platelets that released growth factors during centrifugation. When injected into the patient, the platelets, growth factors and other chemicals found in high concentration in the platelet-rich plasma help the body to heal, repair or reject various tissues. Platelet-rich plasma has a powerful ability to regenerate tissue. The colour of the plasma may vary from dark to light yellow depending on the lipid content.

How is PRP therapy used to treat stress incontinence?

One of the growth factors (among the 20-plus currently known to researchers) found in platelet-rich plasma is vascular endothelial growth factor (VEGF).

The injection of PRP into the periureteral region and the anterior vaginal wall appears to stimulate regeneration of blood vessels, nerves and tissues, all of which become healthier and more functional in zones connected with sexual stimulation and urinary incontinence. The injection of PRP encourages localized clotting, which has been shown to reinforce the urethra.

What does the procedure involve?

If a local anesthetic is administered, the procedure causes little to no discomfort.

A nurse will apply an anesthetic cream to the vaginal and vulvar areas. Next, blood will be drawn from the patient, then centrifuged for five minutes to isolate the platelet-rich plasma. The plasma will then be transferred into syringes and injected into the suburethral region.

What are the possible risks and complications following PRP therapy?

PRP therapy doesn’t present a risk for adverse drug interactions nor ill effects on cardiovascular health. There are no contraindications to this treatment. PRP therapy can even be used by individuals taking blood thinners; there will simply be an increased risk of bruising.

Temporary skin reactions at the injection site are possible. Signs of infection include redness, slight discomfort, edema, swelling and bruising.

How long does the treatment remain effective?

Most women begin to experience positive changes in the first few weeks, at a gradual rate. These benefits can last several months to several years, at which point the treatment needs to be repeated. On average, the treatment is effective for 12 to 18 months.

PRP injections can be re-administered to the patient as needed.

Are there are other treatments available for stress urinary incontinence?

Perineal rehabilitation
Vaginal laser treatment for urinary incontinence
Injection of urethral bulking agents
Surgery for female urinary incontinence

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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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