What is urinary incontinence?
Involuntary urine loss is common. Embarrassment and shame may prevent discussion, leading to guilt, anxiety and depression.
It is not limited to older women. Stress incontinence is common between forty and fifty.
What causes
urinary incontinence in
women?
Increased bladder pressure overcomes the sphincter, allowing urine through. Overactive bladder or increased abdominal pressure may cause this.
Main stress incontinence causes include:
- Childbirth: trauma weakens pelvic muscles and support tissues, causing leakage.
- Ageing: muscles and support lose tone and elasticity.
- Intense activity: sudden movement or exertion may worsen symptoms.
Predisposing factors increasing abdominal pressure or weakening muscles include constipation, excess weight, pregnancy, inactivity and pelvic or gynaecological surgery.
Urinary incontinence: which symptoms?
Symptoms affect quality of life, social comfort, confidence and activities.
Symptoms include:
- Leakage during physical exertion : running, jumping or heavy lifting.
- Leakage with coughing, laughing or sneezing : actions suddenly increasing abdominal pressure.
What are the three types
of urinary incontinence?
There are three types.
- Stress incontinence: sudden exertion-related leakage without prior urge, even with minimal effort such as coughing.
- Urge incontinence: an irresistible need to urinate that cannot be held.
- Mixed incontinence: both types in one patient.
Stress incontinence is most common, affecting half of women, followed by mixed and urge types.
Urinary incontinence: which
solutions?
Several options treat stress incontinence or prevent worsening.
- Kegel exercises: strengthen the pelvic floor for bladder support.
- Pelvic support devices : pessaries or other devices support the bladder and reduce leakage.
- Pelvic floor rehabilitation.
- Non-invasive treatment: laser effectively strengthens vaginal tissues and urinary control.
- Surgery: for severe cases.
How can
urinary leakage be stopped?
Address constipation, excess weight, smoking, inactivity and high abdominal pressure from heavy lifting or intense exertion.
Pelvic rehabilitation is fundamental, strengthening and controlling perineal muscles.
How is urinary incontinence
treated in women? Laser
for urinary incontinence
Non-invasive laser gently heats pelvic floor tissues, stimulating collagen and strengthening support for effective stress incontinence treatment.
Effective for mild to moderate stress incontinence.
Altered vaginal connective tissue metabolism reduces collagen needed for support.
Laser stimulates collagen and improves mucosal thickness, quality, vascularity and elasticity.
Laser session procedure
The session has several stages.
- Assessment: identify needs and plan. Clinical examination and urologist-performed urodynamics must complement consultation.
- Preparation: comfortable positioning and protective glasses.
- Laser: a speculum is inserted and tissues heated for around 20 to 30 minutes.
- Afterwards, mild warmth may occur without significant pain.
Avoid sex and intense exercise for 48 hours, and hot baths, saunas and pools for days.
Benefits of laser treatment
Innovative, non-invasive intimate laser is appreciated for vaginal laxity, dryness and stress leakage.
Benefits include:
- Quick, painless, no downtime: averaging 10 to 15 minutes without anaesthesia or hospitalisation and immediate activities.
- Reduced leakage through stronger pelvic support for daily comfort.
- Collagen improves tissue firmness, elasticity, mucosal tone and support.
- Regeneration improves natural lubrication, hydration and comfort.
- Reliable, safe, effective care with gradual lasting results in many patients.
- Gentle, scar-free non-surgical option for avoiding invasive intervention.
Before / after laser incontinence results
Results are fairly quick: leakage reduces one month after session one; optimal at four to six months.
Results include:
- Significantly improved urinary control.
- Better quality of life, less social discomfort and greater confidence.
One session may stop leakage depending on severity. Dr Romano nevertheless recommends all three for stability.
Maintenance annually or every two years.
Which sports suit urinary incontinence?
Incontinence need not prevent sport. Choose exercises minimising pelvic pressure to avoid worsening.
Recommended sports and activities
- Swimming: water supports the body and reduces pelvic pressure.
- Walking: gentle regular activity without additional pelvic stress.
- Yoga: gentle poses strengthen pelvic muscles and control.
- Pilates: core and pelvic strengthening supports leakage control.
- Cycling, particularly stationary: low impact without excessive pressure.
- Water aerobics: reduced gravity allows effective exercise with less pressure.
Sports to avoid
- Running: repeated impacts worsen symptoms.
- Jumping, such as trampolining or high-impact aerobics, increases pressure.
- Heavy weightlifting increases abdominal pressure and pelvic strain.
- High-intensity sports with sudden movement or sustained effort.
Prices of female urinary incontinence laser treatment
Non-invasive laser for mild to moderate incontinence is part of intimate medical care. Sessions cost 600 CHF.
Numbers depend on discomfort, age, hormones and response. Usually 2 to 3 sessions spaced months apart in year one provide notable, lasting improvement. Assessment establishes a personalised plan.
Total directly reflects sessions, with transparent pricing, no unexpected extras and a detailed prior quotation.
Patient feedback on laser incontinence treatment
Feedback is positive, reflecting non-invasive effectiveness.
Many report significant leakage reduction after one session.
They value simple, quick, painless care without anaesthesia or recovery.
A multicentre randomised trial involving 126 participants compared three Er:YAG laser sessions with a sham treatment for mild to moderate stress urinary incontinence. At three months, the objective success criterion was met in 71.43% of patients in the active group, compared with 36.59% of controls. Not all questionnaires differed between the groups; these results concern this specific protocol.
A multicentre trial on stress urinary incontinence compared three Er:YAG laser sessions with a sham treatment. At six months, a reduction of at least 50% in leakage on the pad-weight test was observed in 32 of 51 patients in the active group, compared with four controls. This response criterion corresponds to reduced leakage, not necessarily its disappearance.
A randomised trial involving 114 premenopausal women who had given birth compared non-ablative Erbium:YAG laser with a sham treatment for stress urinary incontinence. At three months, leakage-related bother and sexual function scores improved more in the laser group. No leakage, according to the questionnaire used, was reported in 21% of treated patients, compared with 4% in the control group.
Frequently asked questions about urinary incontinence
How does laser incontinence treatment work?
Gentle heating stimulates collagen, firmness and support.
How many sessions are needed ?
Depends on severity; generally 2 to 3 optimise results.
What are laser benefits over traditional methods?
Quick, lasting results without invasive procedure risks or recovery.
What results can be expected?
Significantly reduced leakage, improved quality of life and confidence.
Is laser incontinence treatment painful?
Most feel mild warmth without pain.
What are possible side effects?
Minor temporary warmth or light bleeding.
Who is a good candidate?
Healthy women with mild to moderate stress symptoms seeking non-invasive care. Consultation confirms eligibility.
What is the best medicine for leakage?
Anticholinergics such as oxybutynin often treat urge incontinence. No specific medicine treats stress incontinence.
How is incontinence treated naturally?
- Kegel exercises.
- Reduced caffeine and alcohol.
- Weight management.
Can incontinence be treated?
Yes, through medicines, surgery, pelvic strengthening or behavioural therapies.
Which plant helps leakage?
Griffonia root and pumpkin seed are known for symptom management.
Which herbal tea causes least urination?
Soothing chamomile may reduce frequency.
How can overactive bladder be calmed naturally?
- Stress management.
- Kegel exercises.
- Eliminate stimulating drinks such as coffee and alcohol.
Which essential oil for incontinence?
Cypress is often used for astringent and toning properties.
Which exercises help leakage?
Kegels are most recommended.
Which homeopathy for overactive bladder?
Common remedies are Equisetum and Belladonna.
How can the perineum tighten naturally?
Regular Kegels strengthen and tighten muscles.
How can the perineum be strengthened after 60?
Kegels and devices such as vaginal cones may help after 60.
Is walking good for the perineum?
Yes, regular walking helps maintain muscle tone including the perineum.
What do Geisha balls do?
They strengthen pelvic muscles for urinary control and bladder tone.
What is the best pelvic strengthening device?
Pelvic floor electrical stimulators.
Which sport best strengthens the perineum?
Pilates and yoga are excellent.
How can pelvic rehabilitation be done at home?
Daily Kegels and biofeedback devices.
What damages the perineum?
Multiple births, intense exertion and inappropriate sport can weaken it.
What causes leakage?
Pregnancy, childbirth, age, menopause, obesity and certain chronic conditions.
When should leakage cause concern?
Consult if frequent, affecting quality of life or accompanied by other symptoms.
Which diseases cause leakage?
Diabetes, urinary infections and neurological disorders can cause it.
What are incontinence risk factors?
Age, sex (more common in women), family history, smoking and certain activities.
At what age does leakage appear?
Any age, but more common after 40, particularly postmenopause.
Which tests investigate leakage?
Urinalysis, ultrasound, cystoscopy and urodynamics assess bladder and urethral function.
Can stress affect the bladder?
Yes, worsening overactivity and causing leakage.
Which foods harm the bladder?
Spicy foods, citrus, chocolate and artificial sweeteners may irritate.
Is coffee bad for the bladder?
Yes, caffeine irritates and can worsen incontinence.
