The Luksenburg System for SUI and Tissue Laxity: Replacing TVT/TOT?
Now cleared in the USA for mild to severe SUI and Labia Majora Laxity. The goal to create a new and firmer mid urethral floor using PCL Threads and PRP. In-office, awake, local anesthesia.
Ariel Luksenburg, M.D., a gynecologist from Uruguay, introduced his system for the treatment of severe stress incontinence to the U.S. in 2021 at Marco Pelosi’s International Society for Cosmetogynecology Pre-Congress workshop in Fort Lauderdale, FL. Dr. Marco Pelosi’s (II and III) cadaver lab centered on female genital aesthetic surgery. Dr. Luksenburg demonstrated his technique to dozens of surgeons from around the world. The course was repeated in 2022 and most recently in March of 2023. This time with FDA clearance to use his threads and patented delivery system. Each year my fascination grew regarding the Luksenburg System but I was unsure if it was ready for Prime Time use in the USA. After hearing the system patent was granted, the PCL threads becoming CE and FDA compliant, and seeing the 3 year data presented, I became a believer. I was flabbergasted and honored when Ariel Luksenburg and Jorge Gaviria invited me to become the first surgeon in the U.S. to be trained, perform, and to teach The Luksenburg System. They committed to also train my California colleague Judy Wei, MD. I would join several hundred doctors in Latin America who were already trained, certified, and proficient. So we planned, prayed, and got trained on July 24 and 25, 2023, in Irvine, California, at Dr. Judy Wei’s beautiful office.
The video is a primer on the Luksenburg System explaining how it is done. I added the section on labia majora tightening using PCL threads and Dr. Luksenburg’s special PRP potion to tighten and regenerate tissues. I will present Dr. Luksenburg’s presentation and data in more detail on another upcoming newsletter.
Enjoy my travel log below highlighting the fun we had. If you want to add the Luksenburg System to your practice let me know. Dr. Jorge Gaviria and Dr. Ariel Luksenburg teach worldwide, and I will be teaching in the USA in the near future. Watch out for more detailed videos on this procedure on www.gynflix.com.
Marina Medical, in Fort Lauderdale, FL, was the sight of the Pelosi Cadaver Lab training probram for female genital surgery and the Luksenburg System.
Marco Pelosi II and Marco Pelosi III taught the courses on female genital anatomy and surgery. This picture of Marco II was in 2020.
I first met Dr. Ariel Luksenburg in 2021 at the ISCG Congress.
Luksenburg System and Fotona Laser trainer Jorge Gaviria, M.D., has been influential in teaching worldwide.
Surgeons from around the world trained with Drs. Pelosi, Luksenburg and Gaviria.
It was a HUGE success!
Dr. Luksenburg presented his grounbreaking research and clinical work to the general audience at ISCG after the cadaver lab. It was a hit.
Dr. Ariel Luksenburg received the coveted ISCG Award for Teaching Excellence.
Very very few get one of these. Charles Runels of O-Shot fame was the other recipient for his Outstanding Contribution to Cosmetic Surgery.
Ariel landed on a Friday and I met up with him on Saturday and started our Southern California adventure. First we visited my original Laguna Beach office where I had done the bulk of my inventing such as Lone Star Retractor, ThermiVa, Barbie Look Labiaplasty, Curvilinear Majoraplasty, In-Office Vaginoplasty. I had left this office 8 months ago and moved to Irvine.
Lots of friends and famous surgeons have stood at this spot for a picture. Laguna Beach is where my Cosmetic Gynecology career started.
Next we went to where tumescent liposuction got its start in San Juan Capistrano, California. I lived just one mile up the road before my move to Dallas. Jeffrey Klein is a Giant among Giants.
We took a hike to Helicopter Hill in San Juan Capistrano and I showed Ariel where Richard Nixon’s helicopter used to land when he traveled to his Western White House in San Clemente one city south. There is a clearing behind Ariel with a faded yellow or white sign buried in mud with a letter “H” I believe.
We then went to Glendale Forrest Lawn where dozens of Hollywood’s Stars and Who’s Who are buried. Ariel was impressed of the size, serenity, and grandeur. We visited my dear mom and I gave her some beautiful flowers.
Next up was Art Center College of Design in the Pasadena Hills. Ariel loves cars so I took him to where the top Transportation Designer were educated.
We could have spent the whole day here but we miles to go for our LA adventure.
After going to the Apple Store in Glendale to buy an iPhone, we hit the Cheesecake Factory for a decadent breakfast. Hey, we were hungry!
The Warner Brothers studio lot in Burbank was next up.
We were pretty silly tourists. I egged Ariel on to do this so it is not his fault.
Headed up to the Griffith Park Observatory and ran into a throng of Italian high school kids filled with volume and vigor!
See the Hollywood sign behind Ariel?
We drove around Beverly Hills, Bel Air, UCLA, Brentwood, down Sunset to the Sea and could go no further than Will Rogers State Park. We took a break. Drove up PCH to Santa Monica, and headed back to the OC. What a day!
Monday, July 24 and 25, we trained here in Dr. Judy Wei’s Irvine Office. It is a beautiful place with its own surgery center and loving staff.
Boom, we started in earnest and got the didactics started.
Jorge had just flown in from IMCAS Americas in Columbia a few hours ago but was bright eyed and bushy tailed. Actually he was pretty beat up from all the travels and time changes! Thanks for helping out Jorge.
Where else can you get this personalized and intense training from the inventor himself and from his personally picked trainer for the world?!
Ariel showed us how his unique Urethral Lifter provided safety for the procedure.
Jorge showed how the specialized speculum would be rotated from side to side.
Perhaps the most significant info I learned was that the Luksenburg System is indicated for failed slings! Now I have something to try on patients who have had failed TVT/TOT.
Another thing I learned that the PRP system used by Dr. Luksenburg was different. It had the ability to rapidly shrink tissues upon contact and give immediate results. Life PRF. He would not share his secret sauce with me. I tried it on 3 cases and was definitely impressed.
A huge THANK YOU to Jorge and Ariel for training Judy Wei, MD, to join me as the primary surgeons doing and eventually teaching their procedure in California and beyond. Brilliant Team.
Here is the System. From the left to right: Long Introducer bayonets x2, Kelly clamp in the back, Urethral Lifter up front with the black handle, two smaller Introducers with black handles, the 3 different threads (Net Threads, Pluri Threads, Corkscrew Thread), and the Luksenburg Speculum. $2,500 for the kit.
Lots of hands-on training over two days. Ariel trains all over Latin America and beyond. I will help in the USA.
The PCL Net Threads
4 Net Threads, 4 Pluri Threads (Horsetail), 20 Screw Threads
Ariel’s GyCo PRP. Very very affodable test tubes that contain magic.
Impeccable Teamwork
You can’t see the results inside the vagina but you can surely see the majora tightening using the PCL Threads and GyCo PRP!
Thank you Marisol for the smooth flowing days. These training days don’t happen without you.
Thank you Brenda for the smiles and support.
Thank you Dr. Ariele Luksenburg for entrusting your legacy for America to us.
The Man of the Moment and the Team that made this happen.
So, will the Luksenburg System replace TVT and TOT? It may for many but perhaps not all. It is not covered by insurance so that wipes out alot of customers. Its results are pretty on par with reported success rates for TVT and TOT. It is definitely cheaper as a whole for society when you realize that hospital and anesthesiology costs are eliminated. It is done under local anesthesia in your office and the safety profile is definitely superior to the slings plus you do not use any polypropylene that can erode. The 99% cured/improved results are impressive at 29 months average and Dr. Luksenburg has patients many more years out with enduring results. It looks like it can help just about all stress urinary incontinence patients. Does it last as long? Not sure as we only have about 3 year data. Here are Pros and Cons and clinical results for the System:
The results at 29 months with 2042 patients is very promising! I am encouraged that at one week out all our patients are dry from our training sessions in Irvine.
I hope you have found this interesting and useful. I spend a great deal of time and effort to bring you, the practicing Cosmetic Gynecologist and Women’s Health Provider, updated/current and useful information to bring your practice to a new level and help your bottom line. Be a paying subscriber for only $10 a month and support my mission. Join Gynflix for $98 a month and access my career’s worth of surgical and non-surgical videos and truly become proficient and knowledgeable on Cosmetic Gynecology. Email me if you have any questions:
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