INDICATION FOR LASER VAGINAL REJUVENATION
Normal cell cytology (PAP smear), negative urine culture, vaginal canal, introitus and vestibule free of injuries and bleeding, sexual activity at least 1/month
CONTRAINDICATIONS FOR LASER VAGINAL REJUVENATION
Pregnancy, intake of photosensitive drugs, injury or/and active infection in the treatment area, undiagnosed vaginal bleeding, and active menstruation.
TREATMENT PROTOCOL GUIDELINES
Introduction
Vaginal relaxation is the loss of the optimum structural architecture of the vagina. This process is generally associated with natural aging and is specially affected by childbirth, whether vaginal or not. Multiple pregnancies further increase the alteration of these structures. During the vaginal relaxation process, the vaginal muscles become relaxed with poor tone, strength, control and support. The internal and external vaginal diameters can greatly increase with a significant stretching of vaginal walls. Under these circumstances the vagina is no longer at its physiologically optimum sexual functioning state.
Laser therapy vaginal relaxation is a novel technical in Gynecology. Laser energy is transmitted as heat onto the mucosa surface, according to photothermal laser-mucosa tissue interaction cause heating of the tissue and collagen within. Heating of collagen causes its immediate contraction. Aside from a momentary collagen and tissue shrinkage reaction, the processes of collagen remodeling and neocollagenesis start and at the end of these processes the treated tissue becomes enriched with new collagen, appearing younger, tighter and more elastic, thus improving vaginal laxity and reducing the effects of vaginal relaxation.
Pre-operation attention
Patient should do pap smear test to check if there is any bacterial diseases or other contraindications laser can not to do.
Operation procedure
1, Connect the handpiece and laser system, set parameters.
2, Insert dilator to vaginal canal.
3, Insert the LVR handpiece to dilator. Shot the laser in the direction of 3 o’clock, 6 o’clock, 9 o’clock, 12 o’clock, each centimeter one pair of shots, withdraw the internal holder at 1 cm.
4, Get the LVR hand piece out and the procedure is finished.
Doctor feedback about procedure
Please notice below protocol for LVT (LASER VAGINAL TIGHTENING) to start:
you need to treat 6 to 8 sessions depending on the patient situation with intervals of 2 weeks between the sessions, to select the patient doctor should receive pap smear test and check the patient for any bacterial diseases,
the power starts with 7 in 980nm diode laser , doctor should go for 9 watts in the second session and 11 for the third and up to the end of sessions, laser mode should be set on repeat mode with on time of 500 ms and off time of 500 ms, doctor shot the laser in the direction of 3 o’clock, 6 o’clock, 9 o’clock, 12 o’clock, each centimeter one pair of shots, this treatment could be done twice for the total of 600 joules for each session, some gynecologists have a measuring device for internal diameter of vagin which helps the doctor so much, the patient could not have sex for at least 24 hours and could observe a great result from the second session.
because you need to radiate the laser to the whole area of circular surface inside the vagin, you have to shot with different directions. you start the sessions with 7 watts and ends the sessions with 11 watts, from the second session the patient observes the result,in each sessions you use the total length of the hand piece.
donna@gigaalaser.com
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