New Treatment Option for Stress Urinary Incontinence
by: Marja Sprock M.D., F.A.C.O.G. FPMRS board
incontinence (SUI) is urine leakage with coughing,
sneezing, laughing, jumping, running or even walking.
The kind of urine leakage which requires an increase in
abdominal pressure and failure of urethral closure and
pelvic support system. The pelvic support, a combination
of muscles, ligaments, connective tissue with collagen
fibers can contract and avert leakage at inopportune
SUI prevention attempts
can be seen when women stop walking, cross their legs
and sneeze; otherwise it will run down their legs.
Laughing really hard can also often lead to dripping
down the legs or on the pad. Moments like these increase
the abdominal pressure and if you suffer from SUI can
lead to leakage in your pad, underwear or outer wear.
Treatments for SUI are
training of the pelvic muscles also called Kegel
exercises. “Kegel exercises do not work” I often hear on
a first visit to our office. Believe me, they do work,
however may not be enough for the severity of your
problem or possibly you are moving all kinds of muscles,
but not the right ones.
Pelvic floor muscle
training is the first level of treatment for SUI.
Studies on the in-office,
non-painful Incontilase™ laser show
no adverse effects and more than 90%
of patients reported an improvement,
with 70% reporting to be dry.
Once the muscles have
been optimized, the next option for treatment of SUI is
the sling, or is it? The surgical option for SUI is the
sling. This is recommended by AUGS (American
Urogynecologic Society) and SUFU (Society of Urodynamics,
Female Pelvic Medicine& Urogenital reconstruction) as
the surgical standard of care for SUI. SUFU and AUGS
state the sling is safe, effective, and has improved the
quality of life for millions of women.
The multimedia and
medical legal field attention to the sling has given
some women a negative perception of this option. In
reality the polypropylene midurethral sling has helped
millions of women with SUI regain control of their
incontinence through an outpatient procedure with almost
immediate return to daily activities.
There are different
forms of incontinence and also mixed forms. If you
suffer only from SUI, medications will not help you. SUI
treatment will consist of making sure the pelvic muscles
are strong, regularly emptying the bladder and not
over-hydrating. Once these conservative measures fail;
options would be peri-urethral bulking or a sling.
Incontilase™ is a new and innovative in-office laser
treatment, available at Central Florida UroGynecology in
Rockledge, optimizing your natural tissue to combat SUI.
ER;YAG revolutionary laser treatment stimulates collagen
neogenesis and remodeling. No pain, no down-time
in-office treatment to strengthen your own tissue.
Collagen neogenesis and
remodeling on the anterior vaginal wall as well as
around the urethra improves the pelvic support naturally
by rejuvenating your own tissue. Incontilase™ is
in-office, virtually painless, no incision, no cutting,
no sutures, no bleeding; a true walk in and walk out
procedure. You could have it done during your lunch
break. The laser is FDA approved and works for mild to
moderate SUI; it is not insurance covered. No special
pre- or post-procedure precautions are necessary.
Studies on the
Incontilase™ show no adverse effects and more than 90%
of patients reported an improvement, with 70% reporting
to be dry. The Incontilase™ laser may be repeated if
needed, it usually requires 1, sometimes 2 treatments.
Fotona’s 2940 nm Er:YAG
Incontilase™ non ablative laser, thermally affects the
vaginal and pelvic fascial tissue, stimulating collagen
neogenesis and remodeling. It provides targeted, heat
induced collagen denaturation, which results in new
The final result of
collagen new growth is both tightening and shrinking of
the vaginal tissue and underlying collagen rich fascia
tissue, providing greater support to the bladder,
urethra and return of the normal continence mechanism.
Finally a new
innovative, own tissue rejuvenating method to target
SUI, without any surgical intervention.
UroGynecology in Rockledge as usual is at the forefront
of innovation and the Fotona Er:YAG laser Incontilase™
is ready for you. We are a Fotona training center and
have a great experience with Incontilase™
Do not take our word
for it, but listen to Rochelle, 48 who did not feel her
SUI was severe enough to have a sling inserted. She did
her research and wanted to try the Incontilase™.
Initially her thoughts were: “I have nothing to lose”.
Now she will tell you: “I had no idea; so simple and
such a difference. I used a pantyliner every day and no
longer. No more insecurity. The procedure did not hurt
and I went back to work immediately. I had it done right
after my period, since you can’t be on your period.
Incontilase is a wonderful addition for SUI treatment”.
The Incontilase™ is a
unique and innovative treatment for mild to moderate
SUI. It is currently not covered by insurance, however
Call today for a
consultation and find out if you are a candidate.
Call Central Florida
UroGynecology in Rockledge 321-806-3929 or check us
Marja Sprock, M.D and
Katrina Davis M.D. are board certified in OB/GYN and
Female Pelvic Medicine and Reconstructive Surgery (Urogynecology)
and are offering academic level medicine in a private
Florida UroGynecology where high tech and common sense