TREATMENTS AND SURGERIES

Platelet-rich plasma therapy for stress incontinence | TREATMENTS AND SURGERIES

TREATMENTS AND SURGERIES

Platelet-rich plasma therapy for stress incontinence | TREATMENTS AND SURGERIES

Appointments1 or as needed
Approximate time40 min

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 platelet-rich plasma to the female external genitalia, decreases vaginal pain, mitigates urinary incontinence and increases sexual pleasure in women.

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

 

  • A first consultation and a thorough evaluation are necessary necessary determine if the patient is a suitable candidate for this treatment. The urologists will inform her of unexpected side effects and possible results.
  • Before the intervention, an Ativan can be offered to reduce anxiety (only if accompanied).
  • It is best to shave the vulvar area beforehand to facilitate the application of an anesthetic cream.
  • During the menstrual cycle, if the menstrual periods are not too abundant or particularly sensitive, the intimate infiltration of platelet-rich plasma can be administered. However, platelet-rich plasma should be avoided if there is a vaginal infection or urinary tract infection.

Despite possible discomfort, usual activities can be resumed and many patients return to work the same day.

  • We advise to wait 24 to 48 hours before resuming sexual activities.
  • We also recommend to be physically active daily, to stimulate blood circulation; so exercise every day, such as a brisk walk of 3 to 5 kilometers.

Who’s a candidate for Platelet-rich plasma 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 therapy work?

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

While there’s still limited published research on Platelet-rich plasma 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.
  • Platelet-rich plasma therapy is also used for skin rejuvenation treatment of the face, breasts and other areas of the body.
Platelet-rich plasma 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 Platelet-rich plasma 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 Platelet-rich plasma 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 Platelet-rich plasma 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 Platelet-rich plasma therapy?

Platelet-rich plasma therapy doesn’t present a risk for adverse drug interactions nor ill effects on cardiovascular health. There are no contraindications to this treatment. Platelet-rich plasma 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.

Platelet-rich plasma 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

Would you like to make an appointment, or do you have any questions? Write to us and we will get back to you as soon as possible!

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