Laser in the Treatment of Stress Urinary Incontinence and Syndrome of Relaxed Vaginal Walls

Abstract The aim of this paper is to present the new laser technology using erbium laser JAG various minimally invasive, non-surgical procedures in gynecology. The laserhas its effect through photothermal action, leading to reconstructtion and stimulation of new collagen synthesis in the vaginal walls and fascia of the pelvic floor muscles. This results into hardening and tightening of the vaginal walls, which contributes to better leverage of the bladder and urine retention. In gynecology this laser treatment is used for treatment of vaginal walls failure, stress urinary incontinence, pelvic organ prolapse and vaginal atrophy. From 2010 to 2014 several clinical studies were conducted, all of them about the use of laser in the treatment of these 4 conditions and the aim was to confirm the efficacy and safety of this technology. The results showed that SMOOTH mode erbium laser is an effective and safe method for treatment of vaginal walls weakness, stress urinary incontinence, pelvic organ prolapse and vaginal atrophy.