MINIMALLY INVASIVE APPROACH IN THE TREATMENT OF URINARY INCONTINENCE – CO2 LASER VAGINAL THERAPY, Darina Davidova, Elis Ismail, Emil Kovachev

Abstract: Urinary incontinence (UI) is a common condition that significantly impairs the quality of
life for affected women. Stress urinary incontinence (SUI) is the most prevalent form and is
characterized by uncontrolled urine leakage during physical exertion, coughing, or sneezing.
Traditional treatments for SUI include medication, physical therapy, and surgical interventions.

However, minimally invasive therapies, such as CO2 laser vaginal treatment, have emerged as a
promising alternative for women seeking a less invasive and painless approach.
CO2 laser therapy works through fractional laser treatment of the vaginal and pelvic floor tissues,
stimulating collagen fiber regeneration and improving the tone and elasticity of the muscles
responsible for urinary control. This procedure does not require hospitalization and is associated
with minimal discomfort for patients, with many reporting improvements after the initial sessions.
The aim of this article is to explore the effectiveness and safety of CO2 laser vaginal treatment for
stress urinary incontinence. Clinical study results demonstrating improvements in incontinence
symptoms, as well as the long-term effects of the treatment, will be analyzed. The article will also
discuss the importance of personalized treatment strategies for the prevention and management of
SUI, providing guidance for clinical practice and future research in the field.
Key words: Urinary incontinence ; Stress urinary incontinence (SUI); CO2 laser; Vaginal treatment;
Pelvic floor; Minimally invasive approach

Download full text as PDF file