Laser, a light-based technology, enables the restructuring of collagen and the stimulation of new collagen production within tissues by focusing energy on a single point. Many medical specialties benefit from laser technology.
In functional gynecology, it is used as a healing-oriented alternative to surgery for all conditions related to collagen tissue. Laser treatment is an important method we use not only for cosmetic purposes in gynecology but also effectively for functional improvements.
Urinary Incontinence
Gynecological laser applications are frequently used in the treatment of urinary incontinence. Through this method, successful outcomes are achieved in cases of mild to moderate urinary incontinence caused by relaxation of the vaginal anterior and posterior walls and vaginal enlargement. Urinary incontinence is a very common issue among women.
Especially in women over the age of 35–40, about one in three or four experiences moderate to severe stress incontinence. This problem, triggered by increased intra-abdominal pressure from coughing or sneezing, negatively affects daily life. Women often don’t talk about it and tend to accept it as normal. Although surgical methods are used in more advanced cases, laser treatments are now applicable for many patients. With three laser sessions, the problem can be nearly eliminated. As a result, hospitalization rates and complications associated with surgery can also be reduced.
Vaginal Tightening and Narrowing
Genetically loose connective tissue, childbirth, or previous surgeries can cause vaginal enlargement. This may lead to difficulties with orgasm and sexual incompatibility between partners. Laser is frequently preferred for vaginal tightening and narrowing. The procedure stimulates and restructures collagen tissue in the area. As a result, the tissue becomes stronger, sagging is reduced, and the vagina becomes more toned. Compared to surgical interventions, complications are minimal.
Recurrent Vaginal Infections
Laser applications are also successfully used in the treatment of recurrent genital infections and yeast infections. In stubborn cases where frequent discharge and infection occur due to a disrupted vaginal flora, laser treatments provide highly effective results by restructuring the vaginal mucosa.
Menopausal Period and Vaginal Dryness
Due to estrogen deficiency during menopause, significant changes occur in the genital system. Especially after the second year of menopause, vaginal dryness becomes more prevalent. Atrophy in the urinary tract also leads to frequent urination, burning, and sensitivity. Menopause is not the end of sexual activity, but vaginal dryness frequently causes deterioration in sexual function. Women may begin to avoid intercourse due to pain and discomfort.
To resolve the issue of dryness, estrogen replacement is typically necessary, but its use is limited. A 15-minute laser session in a clinical setting is especially effective for vaginal dryness during postmenopausal atrophic vaginitis.
Darkening, Stretch Marks, and Genital Warts
Pregnancy, diabetes, recurrent infections, cosmetics, and frequent shaving are among the causes of darkening in the genital area. With superficial laser applications to the external genital area (vulva), the skin can be restored to its original color. Vaginal whitening, which has no side effects, takes about 10–15 minutes and often yields successful results in a single session. In some cases, several sessions may be needed. Additionally, sagging in the labia majora can also be improved.
Another application area is “striae,” or stretch marks, especially those that occur during pregnancy. Genital warts, known as “condyloma,” can also be successfully treated with laser therapy today.
What is Laser Smooth Mode?
ER:YAG SMOOTH™ mode, an advanced laser technology, delivers laser pulses sequentially to the vaginal mucosa or skin, creating controlled and optimal heat distribution within the tissue. Microchannels are formed beneath the skin, stimulating the production of collagen and elastin fibers. This process promotes the formation and remodeling of new collagen. The patented SMOOTH™ mode, with a wavelength of 2.94 µm, is a controlled and safe method that targets tissues without affecting any critical structures.
Op. Dr. Aysın AKÇAY
Obstetrics and Gynecology Specialist