Vaginal Widening and Urinary Incontinence with Ind Treatment

Approximately 17% of women experience this complaint, with percentages reaching 34% to 46% in patients aged 70 to 80 years. Any involuntary urinary leakage leads to a loss of quality of life, creating social and sexual withdrawal. Many women have already undergone surgeries without the desired results. Even Botulinum toxin (Botox), used and approved by the American FDA, is employed in cases of overactive bladder.

All procedures such as perineal surgeries, mesh placement, and Botox application in the bladder, require hospitalization, anesthesia, and absence from professional activities for 21 to 40 days. Similarly, vaginal widening, whether due to normal vaginal births, atrophy of the perineal muscles, or lack of activities focused on pelvic floor muscles, has become a common complaint in clinics, responsible for sexual inadequacy and even difficulties in achieving orgasm in women.

Fractionated Erbium laser and Fractionated Co2 laser are state-of-the-art equipment groups used in various indications for facial, body, and genital rejuvenation, with increasingly effective applications and a lower incidence of adverse effects due to incorporated new technologies.

More than 2 years ago, in Croatia and Argentina, the development of a technique emerged with new equipment suitable for improving these female complaints: the application of the fractionated Erbium YAG laser. This procedure is performed without any discomfort, using only topical anesthetics. Lasting 15 to 20 minutes, it is non-invasive, requires no hospitalization, and does not interrupt professional duties or physical activities. It is performed in the clinic itself or on an outpatient basis without admission. The results are surprising.

Women who undergo this procedure not only report an improvement in urinary incontinence symptoms but also in vaginal widening, noticed even by sexual partners who observe a decrease in the diameter of the vaginal canal, making it narrower. In our experience, results are obtained with just one session in over 80% of cases. It is fundamental to conduct a thorough study, including a Urodynamic study (study of urination dynamics and urinary leakage), Urine culture, Cystoscopy (bladder endoscopy), gynecological evaluation, and Perineometer measurement (which measures the strength of the pelvic floor muscles). After this preliminary assessment, the procedure is planned. Patients should abstain from heavy physical activities such as gyms and walking for 24 hours and sexual abstinence for 7 to 10 days. Results can be noticed around 30 to 45 days. The best form of evaluation is the opinion and satisfaction of male partners, who are the first to benefit from increased friction and vaginal contact due to the reduction in vaginal caliber, and, of course, the comfort and pleasure of the woman herself. This new minimally invasive therapeutic approach revolutionizes the entire history of urinary incontinence, giving women the chance to regain a quality of life without sacrifices to be free from this complaint.

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