VARIOUS EVIDENCE BASED OPTIONS
Fotona Er:YAG Smooth laser – Fotona’s IntimaLase and Incontilase are gynaecological lasers that uses Smooth mode, a form of non-ablative laser pulse duration. When applied to the vaginal mucosal surface, it photothermally stimulates collagen and elastin production which thickens the vaginal wall, improves blood circulation, strengthens the pelvic floor, and reduce unwanted urine leakages.
Fractional CO2 laser – This procedure allows for vaginal wall rejuvenation and remodelling through fractional ablation. By absorbing water within cells, fractional CO2 lasers cause micro zones of injury to vaginal mucosal lining, which initiates the process of collagen remodelling. However, as water absorption of a CO2 laser is lower than that of an Erbium Yag laser, excess heat builds up which can cause thermal damage to surrounding tissue. A patient might therefore experience longer recovery time and more discomfort post- treatment.
Fractional Er:YAG laser – Similar to a CO2 laser, a fractional ablative Erbium YAG laser can also be used to stimulate collagen production and rejuvenation to vaginal wall tissue. With a better water absorption compared to a CO2 laser, heat damage to surrounding tissue is lesser and more controlled. This allows for quicker recovery time compared to a fractional CO2 laser treatment, however, a period of downtime would be still expected due to its ablative nature.
Radiofrequency Devices – Heat is generated in the vaginal wall using radio waves, which remodels and stimulates new collagen growth. Results are more subtle and one may require multiple treatment sessions