Stress urinary incontinence

Stress urinary incontinence (SUI) is the leakage of urine upon exertion. It can be triggered by sneezing, coughing, laughing, lifting heavy loads.

Stress urinary incontinence - SUI

Sui is an unpleasant problem that plagues more and more women. It is the involuntary leakage of urine after daily activities, such as: walking up the stairs, laughing, sneezing, coughing, running, sexual intercourse. Because women with SUI leak urine in drops completely unexpectedly and at any time during the day, this brings a lot of stress and embarrassment. The problem is best solved with laser treatment.

Different types of incontinence

We know different types of urinary incontinence, which manifest themselves in different ways. All of them have in common that they cause irregular or unwanted urination and thereby impair the quality of life.

"In addition, problems with SUI can be increased by long-term increased pressure in the abdomen, which occurs with chronic cough (e.g. in patients with asthma or bronchitis), clinical obesity or heavy lifting.​"

Stress urinary incontinence

Stress urinary incontinence (SUI) is the most common type of incontinence in which urine leaks during physical exertion such as coughing, laughing, lifting weights, having sex, or exercising. This means that completely everyday activities can cause unpleasant situations.

In the past, many women, because of shame and ignorance that it is a common and treatable problem, began to avoid activities that could cause urine leakage. It is important to know that incontinence can be cured and enable you to raise your children or grandchildren again, lead an active lifestyle and leave the house without the use of sanitary napkins.

What are the causes of stress urinary incontinence (SUI)?

The common denominator of involuntary leakage of urine is a weakened urethral closing mechanism found between the pelvic floor muscles. The pelvic floor muscles are a vital part of our body that act as a support structure for the organs in the pelvic cavity, including the bladder and urethra. These muscles stretch like a sort of hammock across the floor of the abdominal cavity, providing adequate support and control over urination.

However, if this "mesh" becomes weakened or damaged, its support can weaken. This means that every time there is pressure on the abdominal cavity, a woman experiences an increased risk of urine leakage.

The causes of this condition are varied. These are the most common:

- loss of muscle tone of the sphincter and other pelvic floor muscles (often as part of natural aging),
- birth injuries or complicated miscarriage,
- lack female sex hormones (estrogen)
- other degenerative changes in connective tissue (diseases such as multiple sclerosis, Parkinson's disease, spinal cord injuries).

In addition, it can increase problems with SUI long-term increased abdominal pressure that occurs with chronic cough (eg in patients with asthma or bronchitis), clinical obesity or heavy lifting.

How do I know I need treatment for stress urinary incontinence?

Symptoms of stress urinary incontinence include involuntary leakage of urine during physical activity. If you experience these symptoms, consult your doctor or a urinary incontinence specialist who can assess your condition and help you find an appropriate solution.

At Estetika Fabjan, you will first meet a specialist gynecologist during the treatment. The doctor will get to know you, examine you and discuss your problems with you. If he confirms that you have SUI, he will make a plan for further treatment. If he finds that the problem is elsewhere, he will also advise you on the next steps.

Urgent or urge urinary incontinence

We know some other, less common forms of incontinence. Urge urinary incontinence occurs when you have a sudden and urgent urge to urinate that is difficult to control. This can lead to leakage of urine before you can make it to the toilet in time. This type of incontinence is often caused by an overactive bladder.

Mixed urinary incontinence

Mixed urinary incontinence is a combination of stress and urge urinary incontinence. This means you have symptoms of both types of incontinence. You may leak urine when you are physically active, but at the same time, you may unexpectedly "take the toilet" even when you are at rest.

Functional urinary incontinence

Functional urinary incontinence occurs when, due to other medical conditions (physical or mental) or limitations, you cannot get to the toilet in time even though your bladder and urethra are working properly. This type of incontinence is often associated with other physical or cognitive problems that make it difficult to access the toilet in a timely manner, such as mobility limitations, dementia or other cognitive impairments. Treatment usually focuses on addressing these underlying problems and may include physiotherapy, improving access to the toilet or using aids such as walkers.

Urinary incontinence

This type of incontinence is also called chronic urinary retention. Overflow incontinence occurs when the bladder is too full and exceeds its capacity, causing urine to leak. This can happen if the bladder cannot empty properly or if the flow of urine is blocked, eg when bladder stones occur.

Constant incontinence

Persistent incontinence, as the name suggests, is a condition in which a person leaks urine continuously or most of the time. This type of incontinence is usually the result of a serious injury or abnormality of the urinary system, which leads to constant leakage of urine from the bladder. Causes may include congenital abnormalities, severe injury to the urinary tract, or complications from surgery. Permanent incontinence is rare and requires special medical treatment, often with surgery.

How is stress urinary incontinence (SUI) treated with laser?

The newest and most successful method of treating stress urinary incontinence (SUI) is the use of laser technology. It is used for mild to moderate stress urinary incontinence. Clinical tests show that the method is effective, simple and, above all, safe. This wavelength with a photothermal effect affects the collagen fibers in the tissue lining the vagina and urethra and the endopelvic fascia (this is the connective tissue structure that supports and maintains the position of the organs in the pelvis ). In the collagen tissue, the laser causes collagen remodeling, redistribution and regrowth. With this, we improve the support and water retention of the urethra and its closing mechanism.

The procedure does not interfere with an inserted uterine device, nor hormonal contraception, hormone replacement therapy or prior sterilization, and is not performed during menstruation.

Your procedure visit will look like this:

- The procedure takes place on a gynecological chair and takes about 10 minutes. The entrance to the vagina is sprayed with a local anesthetic, so that the entire procedure is completely painless.

- To protect her eyes from the laser light, the patient wears protective glasses at all times.

- At the beginning of the intervention in the vagina we insert a specially adapted gynecological "beak". We insert a 360° laser probe with a gold spray into it and in a few steps we illuminate the entire vaginal wall with short laser pulses.

- Then we replace the laser probe. We insert a 90° laser probe with a gold spray into the beak and illuminate the front vaginal wall with short laser pulses in a few passes.

- The beak is then pulled out and the entrance to the vagina is illuminated with a manual attachment. This part of the procedure is particularly demanding and crucial for improving the quality of sexual relations. This concludes the procedure.

How is stress urinary incontinence (SUI) treated with laser?

The success of laser treatment for stress urinary incontinence can vary from individual to individual. However, studies show that this method is very effective, with a success rate of over 80% in some studies. After 120 days, 94% of clients reported that their stress urinary incontinence was significantly improved, and 68% stated that they no longer had problems with stress urinary incontinence. No one reported any side effects.

One of the advantages of laser treatment for stress urinary incontinence is that it is non-invasive and does not require surgery. The procedure is quick, often taking less than half an hour, and has a minimal recovery period.

During the procedure, laser energy is directed into the tissues of the urethra and surrounding connective tissue to stimulate production of collagen, a protein that helps restore and strengthen tissue. This stimulation increases tissue density and elasticity, helping to reduce urine leakage.

Evidence shows that most patients notice an improvement in symptoms after the first visit, but for best results, multiple sessions are recommended. Our practical experience confirms this finding. It often takes several months for the full effects of the treatment to show, as the body needs time to produce new collagen. Nevertheless, over time the effect will be achieved and the control of urine leakage will be improved.

What is the price of laser incontinence treatment?

Stress urinary incontinence is very often associated with loose vagina syndrome. The two phenomena can also be intertwined, which is why we offer our patients treatment for both in one procedure by replacing the laser probe (attachment on the laser)!

Package treatment of stress urinary incontinence (SUI) and vaginal rejuvenation: €830

It is recommended that laser surgery for SUI stress urinary incontinence and vaginal laxity be performed at the same time. This is how we achieve the maximum possible effect. When treating, we always do 3 treatments. Treatments are performed 4-6 weeks apart.

Price from:

1st treatment: €330,
2nd treatment: €300,
3rd treatment: €200


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