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Research and Reports in Gynecology and Obstetrics | Volume 3
November 14-15, 2019 | Singapore
Obstetrics and Gynecology
4th International Conference on
Laser vulvovaginal rejuvenation is an option for vaginal
atrophy and SUI. The close association between the lower
urinary tract and female reproductive organs could explain
the genitourinary syndrome of the menopause, but also
the early ones of SUI after delivery and other gynecological
operation during the reproductive ages. Stress urinary
incontinence (SUI) is defined as involuntary urine loss that
is provoked by increase in intra-abdominal pressure, usually
during physical activity, and upon coughing, sneezing,
laughing or when engaging in intercourse. Bladder control
problems also affect younger people, especially women who
have just given birth. In fact, one in four women over 18
years old experience episodes of leaking urine involuntarily.
Even mild symptoms affect social, sexual, interpersonal
and professional function. One of the contributing factors
to stress incontinence in menopausal women is loss of the
para-urethral vascular plexus that surrounds the proximal
urethra. In the pre-menopausal state, this lush network of
vessels serves as a “hydraulic sphincter” to augment other
continence mechanisms. In the postmenopausal state, this
vascular plexus becomes flat and ineffective. To solve this
problem, we use for our patients Femi Lift Laser therapy and
PRP therapy, but also HRT- hormonal replacement therapy,
local or combined local and systemic. Sometimes it is not
enough to perform laser or /and PRP. NE Collagenesis and
remodeling of the connective tissue of the lamina propria is
achieved in response to the controlled injury caused by the
deep thermal effect after Femi lift therapy. Mature collagen
fibers increase of collagen fiber strain neovascularization:
new blood vessel formation, improved lubrication, normalize
vaginal pH and flora. A strong, fast and effective results after
laser procedure in the treatment of the SUI problems could
not be seen after PRP only for this indication. Our experience
shows that sometimes it is not enough to apply laser therapy
only as well. Individual approach to patients with SUI
problems is obligatory.
Speaker Biography
Ana Mitrovic Jovanovic was born in 1971 in Cetinje. She is currently
employed at Gynecological Obstetrics Clinic "Narodni Front" in Belgrade.
She is the chief of the daily hospital and an associate professor at the
Faculty of Medicine in University of Belgrade on the subject Gynecology
and Obstetrics. She did her Faculty of Medicine from University of
Belgrade. She graduated with a BA in 1995 and obtained her master's
thesis with great success on May 12, 1998 at the Faculty of Medicine in
Belgrade. She did her PhD thesis at the Faculty of Medicine, Belgrade
scientific field Human reproduction. She further specialized in fertility
and sterility. She is the founder and president of the Reproductive Health
Association and has been the member of many prestigious Gynecologic
Associations. She has so far published over 150 scientific papers and co-
authored 15 textbooks and monographs.
e:
Ana Mitrovic Jovanovic
University Clinic of Belgrade, Serbia
Vulvovaginal rejuvenation – SUI
Ana Mitrovic Jovanovic, Res Rep Gynaecol Obstet, Volume:3
DOI: 10.35841/2591-7366-C3-007