Magazine w Nº 9 w www.inter-medic.net w www.gynelase.es w www.podylas.com w
Laser and Light Solutions
Interview with gynecologist Dr. Fernando Cobián (Spain) “Over 90% of patients get well in their urinary incontinence with only two laser sessions”
GYNELASE™
Unique CO2 laser technology for mild to moderate stress urinary incontinence
SUMMARY
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Scientific training: a high priority for INTERmedic
New website on Gynelase ™ method to help doctors and their patients
Gynelase™: new revolutionary solution for stress urinary incontinence
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Dr. Fernando Cobián “90% of patients improves after 2 laser sessions of Gynelase™”
INTERmedic unique laser technology to treat stress urinary incontinence, vaginal atrophy and rejuvenation and gyne-aesthetic surgery
EDITA INTERmedic Arfran SA Parque Tecnológico del Vallés Boters, 8-10 08290 Cerdanyola del Vallés España Tel. +34 902 25 45 45 marketing@inter-medic.net www.inter-medic.net www.gynelase.es www.podylas.com
AVISO LEGAL
COMITÉ CIENTÍFICO Dra. Mailin Franco Lissott Dr. Antonio J. Zalacain Vicuña Dra. Elena de Planell Dr. Joaquín Surós Dra. Mª José Barba Dr. José Luis Nadal de Mora Dr. Luis Clemente
FOTOGRAFÍA
Archivo de INTERmedic Fotolia Shutterstock Dr. Fernando Cobián Sánchez
REDACCIÓN INTERmedic
MAQUETACIÓN INTERmedic
INTERmedic no se hace responsable de las opiniones ni de los comentarios de los colaboradores ni entrevistados, que las expresan, en todo momento, de manera individual y en caso alguno representando la opinión de la revista. La opinión de la revista sólo se refleja en el editorial. Queda prohibida la distribución o copia de los contenidos de esta publicación por cualquier medio, salvo expresa autorización de INTERmedic.
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INTERmedic Magazine
NEWS
Scientific training: A high priority for INTERmedic Being next to our customers is our priority. Therefore, through the INTERmedic Laser Academy top scientists around the world participate in seminars, workshops and training on the most advanced laser technology in many countries. INTERmedic periodically gathers the best experts in medical laser nationally and internationally to provide our clients sessions of intensive theoretical and practical training in the use of the most advanced laser tools for the medical and aesthetic market. To participate in any of our training contact us via email to workshop@inter-medic.net. w
New website on the Gynelase ™ method at www.gynelase.es With the aim of offering complete information to physicians and patients, INTERmedic has launched the new web www.gynelase.es. The portal provides detailed information on the Gynelase ™ method for urinary incontinence and intimate rejuvenation. The advantages offered by this new therapy compared to traditional treatment options are analyzed and it is also displayed a directory of the Spanish clinics that already have this revolutionary laser technology. For the moment the contents of the website are only available in Spanish.w
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Gynelase™: the most innovative solution for stress urinary incontinence About 30% of women in Spain suffer from urinary incontinence, a very common pathology especially after the age of 65. Most of the affected have spent years suffering urine leakage in silence, resigned to live pending pads that help “that other do not notice”.
The arrival of the CO2 laser to the gynecology and urology practices has been a substantial advance in the treatment of mild and moderate female urinary incontinence. This condition, which was treated with pelvic floor physical therapy –an effective therapy so far, but with slow results– or by surgery, with the drawbacks of hospitalization and anesthesia that this entails, has now a new treatment option, faster more comfortable and equally effective: INTERmedic’s Gynelase™ CO2 laser. This revolutionary minimally invasive laser 4
INTERmedic Magazine
therapy gets to solve urinary leakage without surgery and in just two sessions in women with mild and moderate stress urinary incontinence. It is a procedure without incisions or sutures; there is nor bleeding neither pain or downtime. The recovery is very fast and does not require the use of either analgesics or antibiotics.
Contraction and tightening of the vaginal canal INTERmedic’s non-ablative fractional CO2 laser causes a photothermal effect in the vaginal tissue,
which stimulates the synthesis of new collagen in the vaginal mucosa and remodels the existing one. This reinforces the tissue of the vaginal walls, favoring a tightening and contracting effect which improves women’s urinary retention capacity, without undergoing surgery.
How does laser work in the treatment of urinary incontinence ? The treatment of urinary incontinence of grades I and II with Gynelase™ consists in the application of laser in the vaginal tissue and pelvic floor. The
objective of this procedure is to help women to regain control over their ability to urinary retention. Collagen stimulator thermal effect The heat generated by the Gynelase™ laser stimulates the formation of collagen fibers. The results can be seen, in most cases, after two treatment sessions. Patients should not follow any special postoperative care and can return immediately to their daily activities . The procedure does not require a recovery period. w
BENEFITS OF GYNELASE™ Incisionless mínimally invasive treatment without scars No risks and no side effects Immediate return of patients to their daily routine Prevents and treats mild and moderate stress urinary incontinence Stimulates the formation of new collagen and the restructuration of the existing one The Gynelase™ treatment is performed using an exclusive handpiece for this application
Reduces the diameter of the vaginal canal
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Interview with Dr. Fernando Cobián Sánchez Text: INTERmedic Photos: Dr. Fernando Cobián Sánchez. Cobián Clinic (www.clinicacobian.es)
“90% of patients notice improvement in just 2 sessions of CO2 laser for urinary incontinence” The Cobián Clinic in La Coruna (Spain) is a pioner offering their patients the treatment for urinary incontinence with Gynelase™. Its director, Dr. Fernando Sanchez Cobian, explains in this interview the benefits of this laser treatment for his patients and his clinic. What is the impact of urinary incontinence among women? Urinary incontinence affects 30% of the female population. In Spain it is estimated that more than 2 million women suffer it. From age 65 it affects 1 in 2 women and between 25 and 64 years, it affects 1 in 10. How has evolved the treatment of urinary incontinence over the years? Until recently, the only effective treatment existing for
urinary incontinence was surgery. As this was and is unreachable for the vast majority of women who suffer this pathology, the idea that “losing urine is normal” became widespread and the solution to the problem was to use cellulose compresses to relieve discomfort. Given the dissatisfaction of many women suffering from this condition, units specialized in pelvic floor physiotherapy started to arise. These units base their work on the prevention of incontinence, for example, helping to work the muscles in this area during pregnancy and recovering the ones damaged by childbirth or menopause. Two years ago the CO2 laser started to be used for the treatment of mild or moderate stress urinary incontinence, with very interesting results in well-selected patients. What type of urinary incontinence is indicated this laser treatment for? For mild and moderate stress urinary incontinence. It is not advised in severe cases in which surgery is more effective. It is, therefore, essential a proper and individual assessment of each patient before the application of this treatment. What type of women can undergo this laser therapy? Those who suffer losses of urine after efforts that increase abdominal pressure, eg, laughing, coughing, jumping or running. Urinary incontinence is not a disease that endangers the lives of women, but can significantly impair their quality of life decreasing their self-esteem and autonomy (they cannot leave home for fear of losing urine).
Dr. Fernando Cobian explains that the degree of satisfaction of patients treated for mild to moderate incontinence effort with Gynelase ™ is very high and they are themselves , who recommend it to their known to suffer from this problem
How is a treatment session performed? Laser treatment is applied on an outpatient basis. Women normally only require two sessions held with an interval of 45 days between each. The procedure is
performed after the application of a topical anesthetic cream. There is no downtime and women only have to avoid having sex for 5 to 7 days. The procedure is performed with a speculum inserted into the vagina, similar to the ones used by gynecologists. The laser travels inside this handpiece, which has a gold mirror on one of his tips that reflects laser energy in the vaginal mucosa. How does the laser act in the tissue? The heat generated by the laser acts on the collagen fibers of the pelvic floor, in two ways: remodeling the existing collagen and favoring the synthesis of new fibers. These two effects promote the recovery of vaginal tone. Therefore, the thermal energy reservoir in the tissue of the vaginal mucosa causes tightening and contraction of the endopelvic fascia and the pelvic floor tissue. How many sessions are needed to achieve the desired effect? 2 sessions are recommended, although in exceptional cases there would be needed more. What percentage of effectiveness has the Gynelase ™ laser treatment? More than 90% of patients notice improvement with only two sessions and in 70% of cases, urinary incontinence is completely corrected. Which are the benefits of laser technology in the treatment of female urinary incontinence from the point of view of the doctor? To be able to treat women with pelvic floor problems in which physiotherapy cannot solve the problem of mild or moderate incontinence, but whose cases are not severe enough to undergo surgery. Between these two situations is where the CO2 laser treatment finds its place. And what are the benefits for patients? The most important advantage is that it improves the quality of life of many women thanks to a simple, painless treatment with almost immediate results. What postoperative care should be followed? After treatment, the patient can continue with their
normal routine. You do not have to do anything special. We recommend using a vaginal moisturizer for 5 days and avoid having sex until a week after the treatment has been applied. When do the patients notice the first results? What do they comment when they return to the clinic? After the first session and before applying the second treatment, the patients report almost unanimously improving both their incontinence as their vaginal dryness, those who suffer. Are patients satisfied with this treatment? Overall satisfaction is very high and are the patients themselves who will recommend to their known suffering the same problem. The laser treatment can be combined with other treatments such as pelvic floor exercises? I think that’s the ideal. I’m a big advocate of pelvic floor physiotherapy as it will allow, once improved or solved the problem with CO2 laser, to lessen the number of women who relapse. Do women treated with laser for incontinence also benefit from a rejuvenating effect of the vaginal mucosa and an improvement in their sexual life? Menopause involves the decrease of estrogen because of ovarian failure. This causes a thinning of the vaginal walls, which loose elasticity and making difficult sexual intercourse. The heat released in the vaginal mucosa by the CO2 laser thickens it and improves lubrication and microcirculation, decreasing the symptoms associated with vaginal atrophy. The results in this field are also very interesting, because women who had great difficulty having sex improved considerably. Finally, are you satisfied with the INTERmedic laser? It has been a great success to use INTERmedic’s laser equipment. The company has extensive experience with this technology and offers professionals easy to use and safe laser equipment. They also highlight the great value to professional support from a viewpoint by giving their customers continued training.w
DR. FERNANDO COBIÁN SÁNCHEZ Specialist in Gynecology and Obstetrics Cobián Clinic (www.clinicacobian.es)
Dr. Fernando Cobian is a gynecologist, graduated in Medicine and Surgery at the University of Navarra (Spain). He is also a specialist in Obstetrics and Gynecology from the St George‘s University Hospital of London ( UK ), where he acquired extensive theoretical and practical experience. Dr. Cobian is accredited by various Spanish and international scientific societies such as the Fetal Medicine Foundation in London and the Ultrasound Section of the Spanish Society of Gynaecology and Obstetrics ( SESEGO ) in the field of obstetric-gynecological ultrasound. Since 2004 he directs the Cobián Clinic in La Coruna (Spain), a vanguard medical center with the most advanced technologies for gynecology and obstetrics, such as Gynelase™ CO2 laser which they already offer to treat womem who suffer from mild and moderate stress urinary incontinence.
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INTERmedic's unique laser technology to care of the women's intimate area The combination of high technology with maximum performance and versatility make of this CO laser an indispensable tool for urinary incontinence, vaginal atrophy, vaginal rejuvenation and gyne-aesthetic surgery. 2
Aesthetic and functional problems of the female genital area have today a solution thanks to INTERmedic’s most advanced medical technology: Gynelase™. Made in Spain and with medical CE marking, this CO 2 laser platform offers an innovative and effective solution for the full recovery of the female intimate area. Gynelase™ corrects mild and moderate stress urinary stress incontinence, combining photothermal power and delicacy to ensure effective but gentle treatment in such a sensitive area as the inside of the vagina.
The best choice for the intimate area Gynelase™ causes a minimally invasive photothermal retraction of the vaginal canal without incisions or bleeding. Laser energy is delivered with a precise control along 8
INTERmedic Magazine
INDICATIONS OF GYNELASE™ Mild and moderate stress urinary incontinence Vaginal rejuvenation Vaginal atrophy Vaginal laxity Gyne-aesthetic surgery Warts Condilomas Human Papilloma Virus (HPW)
the vaginal wall, heating the tissue without damaging it and stimulating the formation of new collagen. The procedures are easy to perform, do not have complications and recovery is very fast, since neither surgery nor incisions are necessary.
Gynelase™ frational pattern
Gynelase™ in the VIII National Congress of Pelvic Floor in Granada In order to support the spread of the Gynelase™ system among gynecologists, INTERmedic will present its laser system at the VIII National Congress of pelvic floor,
The laser energy can be delivered into the tissue in different ways: through a conventional pattern, through a fractional pattern o through the Gynelase™ exclusive fractional pattern. The advanced technology of Gynelase™ scanner Multiscan™ has been exclusively developed by INTERmedic for the treatment of the vaginal mucosa. It also allows the operator to adjust the main laser parameters: energy density, power delivered in each point, percentage of treated tissue and distance between points.
to be held at the Exhibition and Congress
CO2 laser: an invention of the 60s
Center of Granada (Spain) on 14th -16th
The carbon dioxide or CO2 laser was invented in the beginning of the 60s in the USA by Indian electronic engineer Kumar Patel, as reported in wikipedia. In 1996, Mr. Patel was condecorated with the Science National Medal by President Bill Clinton for the invention of the CO2 laser and its contribution to quantum electronics. Also pioneering the research in medical laser, INTERmedic has managed to develop Gynelase™, one of the most powerful and effective CO 2 laser platforms in the market, with many applications in various medical and surgical disciplines thanks to its exceptional power of cutting, coagulation, vaporization and tissue retraction.w
April 2016. INTERmedic will be at booth No. 11 to inform visitors about the applications and advantages of Gynelase ™ in the field of uro- gynecology. We look forward to see you! VIII National Congress of Pelvic Floor Granada (Spain), 14th-15th April 2016 INTERmedic Booth: Nº 11 www.congresosuelopelvico2016.es
Laser energy is delivered with precise control along the vaginal wall, heating the tissue without damaging it and stimulating the formation of new collagen 9
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