Patented high technology in aesthetic gynecology
Intraurethal Laser
Az elmúlt években közel 100 női páciensem választotta valamely – a rendelőmben is alkalmazott – intimlézeres kezelést. Betegeim visszajelzései alapján már az első alkalommal jelentős változás volt tapasztalható, ám a Fotona egyik legújabb fejlesztésének hála még tovább javíthatók az eredmények. Az IntraLase ® kezelést általában az IncontiLase (stressz inkontinencia-terápia) kiegészítő kezeléseként alkalmazom a hatásosabb eredmény elérése érdekében, de az eljárás önmagában is használható.
A kezelésről
A világon is egyedülálló intraurethralis lézerfejjel biztonságosan és viszonylag gyorsan (kb. 3 perc) alatt még tovább javíthatók a korábbi intimlézeres kezelések eredményei. Segítségével a húgycső belső zárógyűrű elégtelenségeinek következményei gyógyíthatók.
A kezelés során a helyi érzéstelenítést követően egy fém hólyagkatéterhez hasonló fejjel kezelem a húgycső belső felszínét. A kezelés biztonságos, ám kissé kellemetlen. A kiadott lézersugár hő általi hatására megváltozik a húgycső hámjának szerkezete:
- új kollagénrostok képződnek,
- a szövetek sejtközötti állománya felszaporodik,
- a hám vastagszik,
- vérellátása javul.
A rendelőmben alkalmazott többi intimlézeres eljáráshoz hasonlóan ez a kezelés sem igényel speciális előkészületet. Pácienseimet ambuláns kezelés során látom el, az eljárás maga pedig – öltözéssel együtt – nem vesz igénybe több időt, mint 15 perc. Így a kezelés akár egy ebéd vagy hosszabb kávé szünetben is megoldható, e miatt nincs szükség szabadság kivételére és diszkréten kivitelezhető.
A kezelés előnyei
Az intraurethralis lézerfejjel történő kezelés hatására eredményesebben kezelhető a húgycső fokozott mobilitása, mely nem más, mint a húgycsövet körülvevő kötőszövet gyengeségének következménye. Az IntraLase ® segítségével az inkontinencia több fajtája is sikerrel gyógyítható.
- Biztonságos és gyors kezelés.
- Nem műtéti eljárás, a kezelést követően a páciens azonnal folytathatja mindennapi tevékenységét.
- Alkalmazásával elkerülhetők a hagyományos sebészeti eljárásokkal járó esetleges komplikációk.
A kezelés eredményessége nagyban fokozható intim tornával.
Amennyiben sportolás közben, köhögéskor vagy tüsszentéskor akaratlan vizeletvesztést tapasztal, elképzelhető, hogy stressz típusú inkontinenciában szenved. Töltse ki inkontinencia tesztünket és derítse ki valóban vizelettartási zavarokkal küzd. Diszkrét, személyes beszélgetésért jelentkezzen be konzultációra, ahol még többet tudhat meg a személyre szabott kezelésről. Kérdéseivel forduljon hozzám bizalommal!
Dr. Nyirády Tamás
With more than 20 years of experience as an obstetrician-gynecologist, I am looking forward to welcoming those, who wish to recover in a newly renovated clinic that has been operating for 90 years.
FREQUENTLY ASKED QUESTIONS
You can find more information about the exact process of laser treatments in the video on this page.
First of all, a detailed medical history will be recorded, where, among other things, we will discuss all the symptoms and complaints you have experienced. This is followed by a general gynecological examination. Based on the results, a decision will be made about the treatment plan. During the consultation, after finishing the examination and summarizing the symptoms, we discuss the patient’s expectations and present the medical options in detail.
Yes, please always book an appointment for a consultation. You can book it online by clicking on this link or by phone at +36 30 305 4798. In the case of online booking, we will reach out to you, to set an exact appointment, through the provided contact information. Therefore, we kindly ask you to fill out the form accurately.
By prior appointment, treatment is available even on weekends or late in the evening.
You can book an appointment by clicking here, or by phone: +36 30 305 4798. In the case of online booking, we will reach out to you, to set an exact appointment, through the provided contact information. Therefore, we kindly ask you to fill out the form accurately.
Currently, two intimate laser procedures are available in Hungary. One works with a CO2 laser and the other with Fotona Smooth Er:YAG laser technology. The Hírös Intimlézer Center uses Fotona’s patented Smooth technology with an Er:YAG laser.
Comparing the lasers, we can say that both the Er:YAG laser and the CO2 laser are ablative, but the Er:YAG laser absorbs much better in water and therefore does not burn the skin.
What really makes differences when comparing the two laser procedures available in Hungary, is the SMOOTH technology patented by Fotona, which is able to create a non-ablative gynecological laser in a way that is unique in the world. Being non-ablative means that there is no direct effect, i.e. no damage to the mucosa.
Thanks to SMOOTH technology:
- we reach the temperature required for denaturing collagen (we work painlessly at 62-63 Celsius), but it does not burn,
- as it is non-ablative, there is no need to fear infection due to the non-sterile nature of the vagina,
- does not hurt, no anesthesia or preparation is required.
Intimate laser technology is not a surgical procedure. It requires neither preparation nor aftercare. It is very fast and painless. There is no anesthesia, incision, suture removal, nor bleeding. For the body, this is a much less stressful solution. The result is as effective as the surgical procedure’s. Studies show that vaginal dryness is almost 100% eliminated, the vaginal comfort is increased, sex life is improved and becomes painless. According to a recent study, the RenovaLase® therapy was more effective than hormone therapy in treating vaginal atrophy.
No, you don’t have to. You may feel discomfort for 1-2 days after the procedure. Due to the uniquely non-ablative laser we use, the surface of the vagina will not be damaged.
It is a totally painless process. In some cases, which happens very rarely, patients may experience minimal discomfort feeling.
The treatment is quick and painless. It can be done during a lunch break, there is no need to take any day off. Provided that you choose intimate laser treatment, you will not be absent from work, your daily activities and routine will not be interrupted. The treatment is not a surgical procedure, so there is no incision, no anesthesia, no bleeding, no suturing.
After 2-3 days, any activity can be continued (sex life, thermal water, bathing, etc.). Due to the unique non-ablative nature of the laser we use, the surface of the vagina will not be damaged.
Intimate laser treatment can be used 6 weeks after delivery at the earliest.
No additional drug or medication shall be taken after the treatment.
An exception to this may be if a mixed type of incontinence treatment is needed, in which case an additional pharmaceutical product may be required to achieve the ideal effect, which we will determine in your personalized therapy.
Intimate laser treatment, especially the Fotona Smooth Er:YAG laser, is a gentle, fast and painless procedure. However, like all devices and preparations used in medicine, it can have side effects. The literature names the following factors:
- Scarring (hypertrophic, atrophic)
- Prolonged wound healing
- Persisting ulcerated areas
- Bleeding
- Mild redness of the skin that may last for a few days.
- Surface burns, sometimes with blistering.
- Transient hypo- or hyperpigmentation
- Mild to moderate discomfort or pain during treatment
- Bruising
- Pain
- Laxity
- Infection
- Edema
- Discoloration
- Paresthesia
- Erythema
- Irregular contour, deformations
- Partial skin erosion
- Pulling feeling
- Hemosiderin discoloration
- More intensive vaginal discharge
- Recurrent urinary incontinence
The effectiveness of Fotona intimate laser treatments is also proven by clinical research:
- The vaginal tightening effect of RenovaLase® was assessed as positive by 97% of patients and their orgasmic ability was improved in 58%. On average, the vaginal canal became 17% tighter.
- Almost 70% of IncontiLase® users are asymptomatic after 120 days. At 120 days post-treatment, 94% of patients reported significant improvement and 68% had complete cessation of urinary incontinence.
The date of each treatment, including the next treatment’s date, will be chosen when consulting your doctor. The time between the two treatments may vary from individual to individual, but you should usually wait 2-4 weeks.
After the intimate laser treatment, it is worth avoiding bathing, swimming pool activities and sauna for 1-2 days.
If you take contraceptive, please consult your doctor. Although no such complaint has been documented or received so far, several contraceptives may cause photosensitivity.
Yes, it is allowed. The mirror at the end of the laser device covers the coil, so it won’t ruin the process at all.
Tampons can be used 2-3 days after the process.
It is not allowed as the laser beam would be absorbed into the water content of the blood so that it would not reach the vaginal wall with adequate efficiency.
Before treating incontinence, it is definitely worthwhile to find out what incontinence is – with specific questions. This is because there are cases (for example, urinary incontinence due to nerve dysfunction, spine injury, side effects of medication, urge incontinence) for which laser treatment cannot be used. (In this case, other therapies are warranted.)
The literature names cases where treatment (Er: YAG laser) is not recommended. These can be:
- Urinary tract infections (UTI)
- Injuries or bleeding around the tissue to be treated (vaginal vestibule and anterior vaginal wall)
- One of the following urinary disorders:
- excessive bladder capacity (<300 cc),
- residue after discharge> 50 cc,
- spasmodic bladder,
- vesicoureteralis reflux (VUR),
- bladder stones,
- bladder tumors,
- urethral stenosis and bladder neck stenosis
- Abnormal wound formation
- Infection or inflammation of the treated area
- Excessive exposure to sunlight (tanned skin)
- History of photosensitivity disorder or drug treatment with photosensitivity
- Pregnancy
- Irradiation of the gonads
- Diabetes
- Collagen and connective tissue disorders
- Wound healing and wound formation disorders
- Blood clotting disorders
- Heart or lung disease
- Vascular problems (including general circulatory disorders)
- Endocrine disorders
- Hypertension
- Abnormal obesity
- Epilepsy
- Fever
- Taking iron supplements or anticoagulant therapy
- Take a medicine to treat severe acne within 6 months
- Systemic or oral antifungal therapy within 6 months
- Use of vasodilators
- Gold therapy
- Insulin-dependent diabetes (written consent of the GP is required)
- Cancer in the area to be treated
- Autoimmune disorders, e.g. lupus
- Previous seizures
- Herpes simplex infection in the treated area
- Impossibility to display the area to be treated
- Malignant preoperative histological finding
- Anatomical observations inconsistent with the diagnosis
The majority of patients usually begin to experience unpleasant intimate symptoms after childbirth, but in some cases, treatment can be used from the age of 18.
The thermal action of the 2940 nm wavelength, non-ablative, Erona YAG laser beam stimulates collagen sorting and production in the tissues of the vaginal canal. As a result, the vaginal wall thickens (replenishes) and this strengthens, supports the bladder base, correcting the altered anatomical position that causes urinary loss.
Complete our test to see if your symptoms suggest stress incontinence!
For slight symptoms, lifestyle changes, regular exercise (especially gymnastic exercises in the perineal area), and proper nutrition can help a lot. During medical treatment, the patient is given oral hormone replacement preparations. It is also possible to have surgery. The most advanced procedure available today to eliminate incontinence is laser treatment. This type of healing procedure does not count as surgery, it is a quick and painless treatment that does not involve aftercare.
Complete our test to see if your symptoms suggest stress incontinence!
Stress incontinence can be suspected if you experience involuntary urination when lifting heavier objects, coughing, sneezing, exercising, or even walking up stairs.
Complete our test to see if your symptoms suggest stress incontinence!
Temporary urinary incontinence is usually caused by eating habits (caffeine, alcohol, low fluid intake) or certain medications. In the case of persistent incontinence, anatomical abnormalities due to an event (pregnancy, cystitis, injury) can usually cause urinary retention problems.
Complete our test to see if your symptoms suggest stress incontinence!
There are several types of urinary disorders:
- Stress incontinence: Accidental loss of urine due to lifting heavier objects, coughing, sneezing, exercising. In this case, urinary dribbling occurs due to an increase in abdominal pressure. This abdominal pressure can also occur during pregnancy. If the barrier muscle cannot withstand this pressure, urine may drip. Most women first notice it in connection with pregnancy and childbirth, as well as during menopause. Of all the incontinence, this type is the most common.
- Urgent or urge incontinence: In this case, there is a sudden urge to urinate, which the patient needs to control. This usually fails because the stimulus is so strong that it is too late to act. In this case, the coordination between the stimuli delivered by the brain and the functioning of the bladder is inadequate. The problem often has a nervous system cause, but can also be the result of inflammation.
- Functional incontinence: The patient is unable to reach the toilet in time due to some reason (such as an inability to move or a condition affecting mental performance).
- Reflex incontinence: Injury (brain damage or spinal cord injury) causes disruption in the regulation of bladder function, and the loss of voluntary control. It works like for babies who are not yet potty trained.
- Overflow incontinence: Unintentional urine leakage due to weak muscle contraction or some obstruction in the bladder. The wall of the bladder is unable to contract, unable to hold the amount of fluid that has accumulated in it. The pressure in the bladder causes a constant dribbling of urine that simply overflows.
- Mixed incontinence: several types of urinary incontinence are present at the same time.
Complete our test to see if your symptoms suggest stress incontinence!
Urinary incontinence means loss of bladder control. There are several stages of it. The mildest is when urinary dribbling occurs due to strong abdominal pressure (such as sneezing, coughing). We are talking about a more unpleasant problem if urine is inadvertently released even with less effort (for example, when exercising, climbing stairs). The most severe case of incontinence means the inability to hold urine at rest and accidental urination.
Complete our test to see if your symptoms suggest stress incontinence!
TREATMENTS
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