A novel treatment for female sexual dysfunction and urinary incontinence.

Female sexual dysfunction can be any one or combination of the following:
–       Suboptimal (or absence of) arousal or interest in sex
–       Suboptimal achievement of orgasm (or absence of)
–       Dyspareunia (pain with intercourse)
The inability to control the release of urine. This is actually quite common among women.
There are several types of incontinence: 
–       Urge (also known as overactive bladder)
–       Stress
–       Functional
–       Mixed
–       Overflow
With urge incontinence, patients will have the sudden urge to urinate and may not make it to the bathroom in time, thus, leading to urine leakage.
With stress incontinence, weakened pelvic floor muscles and/or atrophy of tissue surrounding the urethra allow for urine leakage with physical exertion such as exercise, laughing, or coughing. 
Functional incontinence refers to urine leakage due to other conditions that make it very difficult for a person to get to the bathroom, such as dementia, muscular weakness, acute illness, joint disorders, etc.
Overflow incontinence refers to urine leakage when the bladder has surpassed its capacity to hold urine.
Mixed incontinence is present when any combination of these subtypes coexist.  Women affected by this will commonly have stress and urge incontinence together. 
–       Vascular Diseases
–       Diabetes Mellitus
–       Neuropathic Diseases
–       Psychological Issues
–       Hormonal Abnormalities
–       Medication Side Effects
–       Poor Physical Conditioning (Metabolic Syndrome)
–       Post-pregnancy 
–       Tobacco Use, Illicit Drug Use, Excessive Alcohol Consumption
–       Post-pregnancy
–       Menopause
–       Neuropathic Diseases
–       Psychological issues
–       Hormonal abnormalities
–       Medication side effects
–       Poor physical conditioning
–       Excessive alcohol consumption
–       Tumors

Approximately 12% of women in the U.S. express DISTRESSING sexual concerns, but up to 40% report any type of sexual concern overall. (Shifren JL, et al. 2008)

–       Kegel exercises
–       Counseling services (cognitive behavioral therapy, couples counseling)
–       Hormone replacement therapy
–       Lubricants
–       Vibrators
–       Limited medication

– Scheduled voiding
– Reduced hydration (Dr. Ota does not recommend this)
– Pessaries
– Surgery
– Catheter placement
– Medication

What is the O-Shot®?

The O-Shot ® is a novel, non-surgical treatment option for FSD and/or urinary incontinence. Dr. Ota was trained by the inventor of the procedure, Dr. Charles Runels. The procedure involves the use of your own platelet-rich plasma (PRP) which is injected into two main anatomical sections of the vaginal area: 1) the exposed end of the anterior vaginal wall (the space between your urethra and the vaginal vault) and 2) the clitoral body. Although this may sound painful, the injections are well-tolerated as the exposed areas of the vagina and clitoris are anesthetized with topical numbing cream. Dr. Ota uses a very small needle to perform the series of injections. The entire procedure from set-up to completion takes no longer than 30 minutes. The actual injections take only seconds. 
Although the O-Shot ® procedure is not yet approved by the FDA, the PRP kit system that Dr. Ota uses for this procedure is FDA approved. Many physicians around the world perform the O-Shot ® and are seeing success with many of their patients with FSD and urinary incontinence. 
Side note: O-Shot® providers are also finding success in treating vaginal lichen sclerosus with the PRP injections. 

Who is a good candidate for the O-Shot®?

Typicaly, the best candidates for the O-Shot ® are women that are experiencing mild-to-moderate symptoms of FSD and/or urinary incontinence. 
To determine your FSD severity, print and complete the Female Sexual Function Index (FSFI).
To determine your urinary incontinence severity, print and complete the Revised Urinary Incontinence Scale (RUIS).
During your consultation, Dr. Ota will go over the results of these scales and your treatment options. 
Unfortunately, the O-Shot ® does not work for everyone. Candidates for this procedure need to be selected carefully. In some cases, one treatment will result in satisfactory results. In other cases, 2-3 treatments may be necessary. 

What are some of the possible clinical benefits of the O-Shot ®?

–       Improved vaginal sensitivity
–       Increased sexual arousal
–       Decreased vaginal pain
–       Improved natural vaginal lubrication
–       Heightened intensity of orgasm
–       Improved urine control
–       Improved lichen sclerosus

What are some possible complications with the O-Shot ®?

–       Temporary tenderness at injection sites
–       Temporary over-sensitivity of clitoris and vagina
–       Increased sexual arousal (some patients may not like the intensity of this)

What website can I visit for more information?

Where can I find more research and studies?

If you are interested in reading some studies on the use of PRP as a vaginal therapeutic, check out the following links:

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