CO2 Laser Therapy

LASER (light amplification by stimulated emission of radiation) is a form of therapy to remove abnormal tissue from the vulva or vagina. A laser is an intense beam of light that destroys abnormal tissue of the site where the beam is directed.

Are There Any Side Effects?

  • The laser destroys superficial nerve endings; therefore, you will not have much discomfort in the area until when nerve endings start to heal.
  • Three to four days after surgery: you may notice swelling of the treated area, a throbbing sensation (usually brought on by too much physical activity), and/or a watery or pinkish discharge from the treated area.
  • Five to seven days after surgery: the area may develop a whitish-yellowish scab.
  • Between four and ten days after surgery: pain may be moderate to severe during this period.
  • Infection is a rare side effect of laser treatment.

When Should I Call the Doctor?

  • fever of 100.5°F or chills
  • pain that is not controlled with your prescribed medication
  • heavy bleeding from the treated area that does not stop after you have applied firm, continuous pressure for five minutes
  • any difficulty urinating

Our office number is 716 845-5855. The office is open Monday to Friday from 8:00 am to 4:00  pm. After hours, weekends, and holidays, please call the operator at 716 845-2300 and ask for the gynecologist on call.

What Should I Do When I Get Home After Surgery?

  • You may eat when your return home. Start with clear liquids, such as tea, juice or soup. You may increase your food intake to include more solid foods and dairy products as tolerated.
  • Starting the day of surgery, sit in a tub of warm water (sitz bath) at least 3 times a day. Add ½ cup of Epsom salts to each bath. This is a salt solution that aids in tissue healing. DO NOT use regular table salt. Alternately, you may place ordinary tea bags in the bath water. Tea contains a chemical, tannic acid, which is soothing tissue after laser treatment. If you have stinging when you urinate, urinate while in your sitz bath. After you bathe or shower, pat dry – do not rub. You can dry the area with a blow dryer on a low or warm setting.
  • Rest for at least 8 hours after surgery.
  • DO NOT drive for 24 hours.
  • DO NOT use tampons, douche, or have intercourse after treatment until you have been examined at your post-operative visit, since this may cause bleeding and delay healing. • If you have pain, take the pain medication that was given to you the day of surgery. Don’t try to “tough it out”.
  • You may be given Silvadene cream to apply to the vulva. Note: it is important to apply the cream to all surfaces of the labia, especially the inside of the surfaces of the labia minora, perhaps part way into the vagina.
  • If the vulva is swollen, you may apply ice packs for 10 to 15 minutes, 2 to 3 times a day.
  • Wear only 100% cotton underpants and loose clothing – skirts, bathrobes or loose fitting warm up suits are ideal for 48 hours after surgery.
  • You will usually be seen for a check up in the office within 2-3 weeks after treatment.