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85% of patients asymptomatic after the treatment


Pelvic organ prolapse treatment

Strengthening of the vaginal tissue and improvement of prolapse

  • laser treatment for pelvic organ prolapse
  • incisionless, minimally invasive
  • no anesthesia needed
  • walk-in/walk-out procedure
What is ProlapLase®?

The gentle Fotona SMOOTH® technology can also be used to treat pelvic organ prolapse. Special patented laser pulses are delivered through the vagina to the problematic prolapsed areas and to the whole surface of the vagina. The results of the ProlapLase® procedure are a strengthening of the tissue and a decrease in prolapse stage. Regular ProlapLase® treatments can help to delay or even avoid more invasive procedures for pelvic organ prolapse treatment and significantly improve the quality of life in patients that choose not to have surgery. It has proven to be a safe and non-invasive alternative to traditional methods. Although it works best for lower prolapse grades, good results have been shown also for higher grade prolapse.

How does ProlapLase® work?

  • photothermal tightening of the tissue and contraction of the vaginal canal, stimulating collagen remodeling and the synthesis of new collagen fibers
  •  a safe and non-invasive alternative to traditional methods
  • incisionless and virtually painless, with no cutting, bleeding or sutures
  • suitable also for higher grade prolapse

Unique advantages of ProlapLase® for your patients

Depending on the severity of the prolapse, between 3 to 5 sessions of ProlapLase® with a one-month interval were sufficient to achieve significant improvement. No special pre-op preparations or post-op precautions are necessary. Patients can immediately return to their normal everyday activities. Additional advantages of ProlapLase® are that the procedure is incisionless and virtually painless, with no ablation, cutting, bleeding, or sutures. Recovery is extremely quick without need for the use of analgesics or antibiotics.

Excellent results from clinical studies

The effect of ProlapLase® therapy on the improvement of the POP grade of cystocele.

95% of the patients showed a reduction of at least one grade, 85% of which had achieved grade 0 or I, and 15% achieved grade II. 90% of the patients were very satisfied or satisfied with the treatment. Bizjak Ogrinc U, Sencar S; Non-ablative laser treatment of cystocele It. J. Gynaecol. Obstet. 2017;29(1):19-25.

More from the Knowledge Base

Scientific Evidence Behind Fotona SMOOTH® Treatments in Gynecology

Also see:

*This content is exclusively for users who have registered their Fotona laser system. To register your system, please click here.

Selected Abstracts

Pelvic Organ Prolapse

Non-ablative Vaginal Erbium YAG Laser for the Treatment of Cystocele


Doctors for Ladies

Prof. Marco Gambacciani, Director of the Menopause Center

Pisa University Hospital

Pisa, Italy

»The effects of ProlapLase® on the initial steps of POP are really encouraging, mainly when we are dealing with a defect of the anterior vaginal wall, the cystoceles. However, when a woman is presenting with a severe grade of... hysterocele, a prolapse of the uterus with minimal if any prolapse of the vaginal walls, the laser procedure cannot be effective. Patient selection is by far the most important and limiting factor for ProlapLase® effectiveness. The gynecologist must select the proper patient: ProlapLase® is a great option in young women with anterior wall prolapses or in women of all ages with cases of vaginal laxity, particularly those who have delivered large babies, and it’s more common with ageing. The treatment can restore a woman’s self-confidence and sexual gratification.«



Doctors Video Testimonials

Tamas Major, MD, PhD

Debrecen Gynecology Laser Center

Debrecen, Hungary


Top Doctors FAQ

Can the ProlapLase® treatment be performed in cases of severe pelvic organ prolapse?

Yes, we can expect some degree of improvement in most cases, which may postpone the need for a surgical procedure. In many severe cases, surgery is the only option.

How do the Fotona SMOOTH® procedures differ from other, similar laser procedures in gynecology?

All Fotona SMOOTH® treatments are based on a patented mode of Er:YAG laser pulses that are delivered to the vaginal wall mucosa, generating controlled and optimal distribution of heat within the tissue and enabling collagen remodeling and neocollagenesis.

The 2.94 μm wavelength, in conjunction with the patented Fotona SMOOTH® mode delivery, allows for a highly controlled, safe procedure with no impact to any critical structures, including any penetration or disruption of the mucosal surface. That makes the procedures gentle and safe, without compromising effectiveness.

Who can perform the treatments?

GenerGenerally, treatments are performed by OB/GYN specialists, although in some countries other specialists can also perform the treatment. We recommend that in such cases, the treatments should be done in close collaboration with a patient gynecologist, in order to obtain the required pre-treatment information.

Do doctors require any specific qualifications apart from the training to perform the treatment?

No, although the question of who can perform the treatment depends on the regulations of the country.

Where can I learn more about the procedures and try them hands’ on?

Fotona holds regular training workshops on Fotona SMOOTH® treatments at the LA&HA Institute in Ljubljana, Slovenia. There are also several other certified LA&HA centers in the world, where you can get acquainted with the system and the treatment. To find out more, click here.

Want to know more about ProlapLase®?

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See ProlapLase® in action

FotonaSmooth® Lasers

ProlapLase® can be performed using following lasers:

FotonaSmooth® SP

  • Two complementary laser wavelengths in one system: 2940 nm Er:YAG and 1064 nm Nd:YAG
  • Fotona SMOOTH® mode technology for non-invasive treatments
  • Er:YAG VSP technology for cold to warm ablation
  • Non-surgical treatments of lesions of the vagina and uterine neck
  • Nd:YAG for additional clinical and aesthetic applications


FotonaSmooth® XS

    • 2940 nm Er:YAG laser
    • Fotona SMOOTH® mode technology for non-invasive treatments
    • VSP technology for cold to warm ablation
    • Non-surgical treatments of lesions of the vagina and uterine neck