Er:YAG SMOOTH mode Laser Treatment of Pelvic Organ Prolapse
Pelvic organ prolapse (POP) is a common problem, affecting almost 50% of parous women to some degree. Before ProlapLase® there were only two solutions available: supporting pessaries and surgical methods, both of which have been associated with problems and high levels of adverse effects.
ProlapLase® is an innovative and unique non-invasive Er:YAG laser alternative for the treatment of POP. It utilizes the gentle, nonablative photothermal effects of Fotona’s SMOOTH mode to tighten the tissue and contract the vaginal canal. Preliminary clinical studies show that it is an efficient, easy-to-perform and safe procedure.
Promising clinical results
The latest scientific results presented by Dr. Urska Bizjak-Ogrinc and Dr. Sabina Sencar clearly show that Fotona’s novel thermal laser treatment is an effective and safe noninvasive option for the treatment of POP:
• The average POP grade was significantly reduced already after the first session (Fig.1).
• The POP continued to improve with further sessions (Fig. 2).
• Treatment discomfort was very low (mean VAS score 0.4) and patient satisfaction high (median 4 on 1-5 scale).
• There were no adverse events reported.
Abstracts of published scientific studies examining the effectiveness and safety of Fotona SMOOTH® laser therapy in gynecology can be found in the following Compendium of Clinical Studies.
How does ProlapLase® work?
The ProlapLase® treatment is based on precisely controlled laser-induced photothermal effects of Fotona's 2940 nm Er:YAG laser in mucosa tissue, stimulating collagen remodeling and the synthesis of new collagen fibers. The result of collagen neogenesis and remodeling is shrinkage and tightening of the vaginal canal without removal of any tissue.
The ProlapLase® protocol includes three steps:
Step 1: Circular (360°) irradiation of the whole vaginal canal.
Step 2: Angular irradiation of the prolapsed side of the vaginal wall.
Step 3: Irradiation of the vestibule region and prolapsed vaginal wall.
Usually, patients will require more than one treatment session (up to four).
Unique advantages of ProlapLase® for your patients
With ProlapLase® the overall impact and burden on the patient’s organism is minimal, as opposed to more invasive classical surgical procedures. No special pre-op preparation or post-op precautions are necessary. Patients can immediately return to their normal everyday activities.
Additional advantages of ProlapLase® are that the procedure is incisionless and virtually painless, with no cutting, bleeding or sutures.
Getting started with ProlapLase®
After clinical approval, training in ProlapLase® will be provided through the Laser and Health Academy* (www.laserandhealth.com) as a stand-alone training workshop under the guidance of experts in medical laser technology. The extensive workshop, where participants engage in live demonstrations and gain an in-depth understanding of laser physics and laser-tissue interaction, will provide the needed insights into the fundamentals of the ProlapLase® treatment and other procedures that can be performed with Fotona’s laser systems.
ProlapLase® and other clinical gynecology treatments can be performed with the following Fotona laser systems:
The FotonaSmooth SP multi-application laser system from Fotona provides a single, uniquely capable gynecology solution that combines the power of the industry's highest performance Er:YAG, Nd:YAG and QCW* Nd:YAG lasers, ideal for treating all gynecological applications plus a wide range of other treatments in aesthetics, dermatology, and surgery.
The FotonaSmooth XS Er:YAG laser offers the power and precision to perform an impressive range of non-contact, non-invasive gynecological procedures with greater patient comfort, reduced downtime and quicker healing. In addition to gynecology treatments, the FotonaSmooth XS is also a powerful skin rejuvenation solution, with functions ranging from superficial to deep peels, from non-ablative to fully ablative and from full-field to fractional resurfacing.
The FotonaSmooth XS and SP systems are both equipped with a high performance VSP Er:YAG laser that ablates tissue efficiently and can be accurately tuned to varying “cold” ablation and non-ablative thermal ratios. Full customizability allows you to precisely attain the clinical outcomes your patients require.
The complementary Nd:YAG laser on FotonaSmooth SP lasers penetrates deeply to create thermal effects without damaging the skin surface. Compared to conventional Nd:YAG technologies, Fotona’s proprietary VSP (Variable Square Pulse) technology creates virtually instantaneous temperature increases that are limited to the targeted structures only. No unnecessary energy is deposited into the tissue.
Handpieces & Accessories
Fotona's specially designed, innovative handpiece technology allows safe, precisely controlled and effective delivery of laser pulses to the treatment area. More information about handpieces and other accessories is available on the above product pages.