The CO2 Fractional Laser system improves urinary function by utilizing fractional thermal effects to physically reinforce the periurethral connective tissues. By promoting the thickening and tightening of the anterior vaginal wall, the treatment restores the structural support necessary to alleviate frequency, urgency, and stress incontinence, directly resulting in significantly lower UDI-6 scores.
The system does not merely mask symptoms; it triggers a structural regeneration of the anterior vaginal wall and urethral support. This physical reinforcement leads to a sustained reduction in Urogenital Distress Inventory (UDI-6) scores by addressing the root mechanical causes of urinary dysfunction.
Structural Reinforcement of Tissue
Restoring Periurethral Support
The primary mechanism of action relies on fractional thermal effects applied to the vaginal mucosa.
This thermal energy specifically targets the connective tissues surrounding the urethra.
By delivering controlled heat, the system enhances the support structures that underpin the bladder neck and urethra.
Thickening the Anterior Wall
The treatment directly promotes the thickening and tightening of the anterior vaginal wall.
This creates a robust structural foundation that was previously weakened by menopausal atrophy.
Improved tension in this area creates a "backstop" for the urethra, physically counteracting the mechanical lapses that cause incontinence.
The Cellular Regeneration Process
Stimulating Fibroblast Activity
At a cellular level, the laser generates a controlled thermal effect that stimulates the metabolic activity of fibroblasts.
These cells serve as the architects of tissue repair, triggering a natural regeneration response within the vaginal epithelium.
Collagen and Elastin Renewal
The metabolic boost leads to the production of new collagen fibers and elastin.
This process reconstructs the vaginal tissue structure, reversing atrophy and restoring the wall's elasticity.
The restoration of these proteins is essential for maintaining the long-term tension required for urinary control.
Measuring Clinical Success
Reduction in UDI-6 Scores
The clinical impact is measured by a significant decrease in UDI-6 (Urogenital Distress Inventory) scores.
This metric quantifies the alleviation of specific symptoms, including urinary frequency, urgency, and stress urinary incontinence.
Because the treatment addresses the structural root cause, the reduction in these distress scores is sustained over time.
Understanding the Trade-offs and Indicators
The Importance of pH Balance
While structural tightening improves incontinence, it must be paired with biological recovery to be fully effective.
Monitoring vaginal pH levels is a critical, objective indicator for assessing total treatment success.
The therapy shifts the vaginal environment from an alkaline state back to a healthy acidic state, promoting beneficial Lactobacillus colonization.
If the pH does not lower, the risk of urinary tract infections may remain high even if structural incontinence improves.
Making the Right Choice for Your Goal
When evaluating the efficacy of CO2 Fractional Laser treatment for GSM, consider your specific clinical objectives.
- If your primary focus is Symptom Relief (Incontinence): Look for the physical thickening of the anterior vaginal wall as the driver for reduced frequency, urgency, and lower UDI-6 scores.
- If your primary focus is Preventative Health: Monitor vaginal pH levels to confirm the restoration of an acidic microenvironment, which is essential for reducing the risk of future infections.
True recovery requires both the mechanical support to stop leaks and the biological balance to protect tissue health.
Summary Table:
| Improvement Category | Mechanism of Action | Clinical Outcome |
|---|---|---|
| Structural Support | Thickening & tightening of the anterior vaginal wall | Reduction in stress urinary incontinence |
| Cellular Level | Fibroblast stimulation & new collagen production | Increased elasticity and tissue regeneration |
| Biological Balance | Restoration of vaginal pH to acidic levels | Enhanced protection against infections |
| Symptom Metrics | Thermal reinforcement of connective tissues | Significant reduction in UDI-6 distress scores |
Elevate Your Clinic’s Women’s Health Services with BELIS
Provide your patients with life-changing results for GSM and urinary dysfunction using BELIS’s professional-grade CO2 Fractional Laser systems. As experts in medical aesthetic equipment, BELIS provides premium salons and clinics with advanced laser technology, Nd:YAG, Pico, and HIFU systems designed for safety and clinical efficacy.
Why partner with BELIS?
- Precision Engineering: Deliver targeted thermal effects for superior tissue remodeling.
- Comprehensive Support: From body sculpting (EMSlim, Cryolipolysis) to specialized skin care, we empower your business growth.
- Proven Results: Help your patients achieve significant UDI-6 score improvements and long-term urogenital health.
Ready to integrate the latest in regenerative medical technology? Contact our specialists today to find the perfect solution for your practice!
References
- Yingying Qi, Yueming He. Different effects of CO<sub>2</sub> laser and estrogen treatment on vaginal mucosa microbiota and function in genitourinary syndrome of menopause patients. DOI: 10.1111/jog.15876
This article is also based on technical information from Belislaser Knowledge Base .
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