Objectives
BEFORE 2018 , all treatments were using surgery, laser. HIFU.
Their goal was to correct THE HYPER URETRAL MOTILITY.
NOWADAYS, we propose less invasive treatments using:
- ENDOPEEL
- THREADS
- PRP
Other Advantages of Endopeel Treatment vs Lasers and HIFU
3D Application for urinary Incontinence
Where to Apply ENDOPEEL
Goal is to get a 3D isovolumetric myoplasty, myopexy and myotension of the puborectalis of the elevator of the anus and deep transverse of the perineum.
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on muscle puborectalis of the elevator of the anus
on muscle puborectalis of the elevator of the anus
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on muscle deep transverse of the perineum
on muscle deep transverse of the perineum
It has been prooved scientifically that the use of threads if combined with Endopeel have no actions at all and just increase the price for the patient,
In case you do apply them,use a resorbable mesh,in the fatty layer of the urethro-vaginal space.
It is important to remember the anatomy of the urethra
with it s 3 layers
- Mucosa
- Fatty Layer
- Muscle Layer
Physiopathology of Urinary Incontinence
Protocol
LEGEND:
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The continuous line marks the horizontal with respect to the pubic
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the discontinuous line marks the mobility of the urethra, which is obtained from the difference between A and B (rest and effort)
