Who performs the Genityte procedure?
Genityte is a specialized procedure performed exclusively by Gynecology physicians who complete training to become a Certified Genityte Provider.
What can I expect during a Genityte procedure?
The treatment is done in a physician’s office. A standard Genityte treatment takes 1.5 hours to treat the pelvic floor and an expanded Genityte procedure takes 2.0 hours to treat the pelvic floor plus the vaginal vault. An infrared light device is used to gently heat the treatment area without pain or burning. There is no recovery time, no redness, no pain and no negative effects during or after the procedure.
What are the risks of the Genityte procedure?
There are virtually no risks. Infrared light stimulates a natural process of fibroblasts re-toning skin, muscle and connective tissue. The urethra, skin, urinary system or external genitals are not harmed during the standardized Genityte procedure.
NOTE: If you have a history of genital herpes, the gentle heat used in the Genityte treatment could stimulate a recurrent herpes breakout; therefore prescription medication for herpes prophylaxis is recommended before Genityte treatment as a preventative measure for all patients with genital herpes history.
What if I had previous surgery for Urinary Incontinence or Vaginal Prolapse?
Genityte is a very effective treatment for patients with prior surgery (or surgeries) that have failed or stopped working. A prior history of the surgical ‘sling’ procedure is not a contraindication for the Genityte procedure, as long as foreign material from the sling is not eroding through the skin. If suture or mesh material are eroding through the urethral or vaginal skin, the material may need to be surgically removed prior to Genityte treatment.
How many Genityte procedures are needed to reach treatment goal for Urinary Incontinence?
The severity of urinary leaking, examination of the urethra and age help your Genityte physician determine how many treatments you will need.
Younger women • Pre-menopause average 2-3 treatments
Middle-Age Women • Peri-menopause average 2-4 treatments
Older women • Post-menopause average 3-5 treatments
When will I have results from Genityte treatments?
With each treatment urinary urges and urinary leaking continue to improve. Most women initially notice less nighttime urges and less volume of leak. With subsequent treatments, daytime urgency and frequency improve as does urinary holding and ability to be stay dry while being more active.
How far apart are treatments spaced?
For patients who need two to five treatments, the protocol is one treatment followed by four weeks of rest while the body goes to work re-toning the pelvic floor. Before each subsequent treatment, an examination and functional evaluation is done to see if the treatment goal of 90 – 100% resolution of symptoms has been reached. If symptoms have not yet optimally improved, additional treatment is given followed by four weeks of rest. The above protocol is repeated until treatment goal is reached.
How effective is Genityte in treating Urinary Incontinence?
Genityte consistently gives improvement of stress and urge urinary incontinence symptoms in women of all ages. Nine out of ten women with Stress Urinary Incontinence achieve complete resolution of symptoms and nearly six out of ten women with Mixed Urinary Incontinence achieve complete resolution of symptoms.
How effective is Genityte in treating Vaginal Wall Prolapse?
Genityte consistently gives improvement of Cystocele, Rectocele and Vaginal Vault Prolapse (both Cystocele and Rectocele).
Cystocele: The majority of women with symptomatic cystocele report resolution of pressure and discomfort from prolapsing tissue and most are able to return to a more active lifestyle.
Rectocele: The majority of women with symptomatic rectocele report improvement in feeling the urge that signals a bowel movement, improvement in muscle function eliminating the need for splinting during bowel movements, and overall improvement in coordination of bowel movements.
Vaginal Vault Prolapse: Women with vault prolapse report all of the benefits of cystocele and rectocele improvement plus many women report that sexual intercourse is much more comfortable when tone has been returned to prolapsing vaginal walls. Extensive vault prolapse may not qualify for Genityte treatment.
How effective is Genityte in treating Rectal Incontinence?
Genityte consistently gives improvement of rectal tone for gas and stool control. All women with rectal incontinence have reported improvement in rectal tone for holding. Most women achieve greatly reduced rectal incontinence after Genityte treatments. Some women have achieved complete resolution of rectal incontinence after Genityte treatments.
What factors determine how long Genityte will last?
Factors affecting how long your Genityte toning will last after completing Genityte treatment series: 1) age of initial treatment 2) estrogen status 3) consistency doing after-toning exercises for the pelvic floor.
Should I expect when pelvic tone to decrease over time?
Clinical data suggests that the majority of women retain full Genityte toning for five years and beyond. After-toning exercises for the pelvic floor are key to retaining and maintaining tone. Genityte treatment can be repeated over time as needed. Re-treatment builds upon the initial foundational tone making repeat Genityte treatment series very effective with less number of overall treatments needed.
Do women ever experience abrupt loss of Genityte toning?
Rarely, post-menopausal women have reported a relatively quick loss in Genityte tone but only under traumatic conditions. Trauma to the urethra (from medical catheterization) and accidental trauma to the pelvic floor (from impact injury) has resulted in sudden worsening of urinary control. Rapid loss of Genityte tone has also been reported following prolonged, deep coughing that continued for weeks (severe bronchitis or pneumonia). In these cases, Genityte tone decreased over a time span of 1–3 months.
Is it safe to repeat a series of Genityte treatments when tone decreases?
Having additional Genityte treatments when toning diminishes is both safe and effective. The number of treatments needed for re-toning is less than the number needed in the original treatment series. Comparing menopausal women using estrogen vaginal cream vs no estrogen cream, use of a small amount of estrogen vaginal cream topically over the urethra and external area just a few nights a week appears to improve the duration of Genityte toning over time.
Are Kegel exercises recommended after completing Genityte treatments?
Pelvic floor exercises called “Beyond Kegels” are taught starting four weeks after final treatment. Beyond Kegels is ideal for patients with Vaginal Wall Prolapse and Rectal Incontinence, and Stress Incontinence.
Kegel exercises are NEVER recommended during the series of Genityte treatments because contracting pelvic floor muscles while the urethra is re-toning and re-positioning has made urinary urges worsen in some patients and in a few patients new urge symptoms emerged (de novo urge) temporarily.
Kegel exercises and Beyond Kegel exercises are NOT recommended for patients with predominant urinary urgency.
Is Genityte covered by medical insurance?
Not yet. Medical doctors are working diligently to complete the AMA requirements for Genityte to have its own unique procedure code which then qualifies the procedure to be covered by medical insurance. The average cost for a series of Genityte treatments is $3000. Patients can request that their Genityte out of pocket costs be applied to their insurance annual deductible.