The muscles and tissues of your pelvis, including the lining of your vagina, provide support to various structures including the uterus, bladder and rectum. When the strength of the vaginal canal is compromised by childbirth, ageing or other conditions these structures can “prolapse” or slip downwards.

In severe cases, the structures slip down so much that they protrude from the vaginal opening. In milder cases, nothing might be visible from the outside, but there can be a sensation of everything not being in place internally.

Many women don’t realise they have a pelvic organ prolapse, but might notice one or many of the following symptoms:

  • a feeling of pressure or fullness in the pelvic area
  • a feeling of something falling out of the vagina
  • an ache in the lower back
  • pain during intercourse
  • leaking of urine
  • constipation
  • spotting or bleeding from the vagina

Remedy Laser is pleased to introduce ProlapLase™, a new laser procedure for prolapse developed in Europe and now growing in popularity throughout the world. The doctors at Remedy Laser have special skills in the use of this ground breaking technique.

 

What are the types of prolapse?

The types of pelvic organ prolapse are named based on which structure is slipping downwards. The most common types are:

  • prolapse of the bladder known as a cystocoele
  • prolapse of the uterus known as a uterine prolapse
  • prolapse of the rectum known as a rectocoele

All these types of prolapse, along with other problems such as stress urinary incontinence, can occur on their own or in various combinations. They all have the same cause – a weakening of the vaginal wall due to childbirth, ageing or other medical conditions.

prolapse and vaginal relaxation syndrome
The normal arrangement of structures is shown on the left. (1) vaginal canal, (2) bladder, (3) uterus, (4) rectum.
The 3 types of prolapse as shown from L to R: cystocoele (bladder), uterine prolapse (uterus), rectocoele (rectum)

 

What is ProlapLase™?

ProlapLase™ is an effective, safe, non-surgical and virtually painless procedure using an Er:YAG laser.

It is an alternative to common surgical procedures such as the use of meshes or slings. It can even be useful in women who have had failed surgery.

ProlapLase™ is a simple walk-in and walk-out procedure, with no down time required. There is no preparation required prior to treatment, and there is no need for pain-killers, antibiotics or any other medications after treatment.

 

Advantages of ProlapLase™

The ProlapLase™ laser is a safe, complication-free alternative to surgery which provides extremely effective relief from LBL.
 
Non surgical
Unlike surgery, ProlapLase™ doesn’t involve injections, cutting, bleeding or sutures.
 
Virtually painless
Most women do not feel any pain during the procedure. There can be a sensation of heat at times, but this can be easily relieved by a local anaesthetic gel.
 
No down time
It is truly a walk in and walk out procedure, with no preparation required prior to the treatment and no disruption to activities afterwards.
 
No complications
There are no reported problems with treatment. There’s no need for pain killers or antibiotics.

 

How does ProlapLase™ work?

ProlapLase™ uses special attachments enabling the application of carefully controlled laser energy into the vaginal canal. The entire vaginal wall is treated to achieve a general tightening effect. Particular attention is then given to the front of the vagina in cases of cystocoele or the back of the vagina in cases of rectocoele.

The aim is to cause a painless heating effect, leading to a shrinkage of collagen fibres. The result is a tightening, thickening and strengthening of tissues that support the prolapsing structures.

At least three treatment sessions are required to ensure an effective and long lasting correction of prolapse. More severe cases might require up to six sessions. The effect of the treatment is immediate, and the result actually continues to improve for 6 months after treatment as your body lays down more collagen.

 

Can ProlapLase™ help you?

Women can experience varying degrees of prolapse. In mild cases they might not even be aware they have the problem, but a doctor doing an internal examination can diagnose an early prolapse.

In more severe cases the prolapse can be clearly visible hanging out of the vaginal opening, and can even be difficult to place back in extreme cases.

Doctors classify the severity of prolapse into 4 grades (I, 2, 3 and 4). The prolapse can be clearly visible externally in the higher grades (3 and 4).

ProlapLase™ is useful in treating all grades of prolapse. It can completely correct lower grades of prolapse. In more severe cases, while the prolapse might not be completely corrected, it should at least be reduced enough that it is no longer visible or causing any problems.

 

Are there any side effects?

There are no long term complications following an ProlapLase™ treatment. In fact, the vast majority of women experience no side effects at all.

A small number of women (less than 1 in 20) might experience minor issues such as a stronger than usual vaginal discharge, a little bit of spotting or bleeding, some redness or a slight pain. None of these issues are likely to last more than a few days.

 

The process – put things back in place

Freeing yourself from pelvic organ prolapse might require just four visits to Remedy Laser.

 

pelvic organ prolapse

Visit 1
One of our doctors will perform a thorough medical assessment to assess your prolapse and your suitability for laser treatment.

Your bladder needs to be full when you arrive for this assessment.

Please empty your bladder and then drink a litre of water at least an hour before your appointment.

It is important that you don’t then go to the bathroom until after our doctor performs an ultrasound to measure your urine volume.

We use an ultrasound device to measure your bladder volume. Other tests might also be performed at this visit (please refer to Screening in our “Plus” menu).

 

Visit 2
It’s time for your first ProlapLase™ treatment. There is no special preparation required prior to this treatment, no significant discomfort during treatment, and you’ll likely walk out with an immediate improvement of your prolapse.

You can immediately return to your normal life, but it is advisable to abstain from intercourse for a week. Excessive exercise and heavy lifting should also be avoided.

 

Visit 3
You will have your second ProlapLase™ treatment 4 weeks after the first. The aim of the second treatment is to further reduce slippage of your prolapse.

 

Visit 4
You will have your third ProlapLase™ treatment 4 weeks later. It is important to understand that even if you felt better after the first two treatments they are unlikely to have completely fixed the problem. The third treatment is important to ensure long lasting success.

 

Further visits
More severe cases of prolapse can require up to six treatment sessions. Our doctor will have let you know at your initial assessment if your prolapse requires more than the standard three sessions.

 

Our Specialists

All gynaecological treatments at Remedy Laser are performed by experienced doctors trained in the use of medical grade lasers.

See more about our team at Remedy Laser on our About Us Page

 


 

Contact

If you would like to learn more about this treatment or make a booking, please call 02 9411 3352 or send us an enquiry using the form below.

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Located in the Concourse Medical Precinct.

Car park entrance via Ferguson Lane off Archer Street, 1st hour free.

 


 

Need a Second Opinion?

If you are at all concerned about the procedures involved here at Remedy and whether or not they are right for you, we are more than happy to discuss treatment options with your GP.

Please see our GP Contact Page for more details.