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
Where to apply THREADS
Apply it as 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
Bayonet 1 ( here with thread)
Bayonet 2 ( here with threads)
Introduction of the bayonet with 1 thread
Introduction of the bayonet with 2 threads
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)
Ultrasonography