ER:YAG laser treatment for stress urinary incontinence (SUI) in women

Fistonić, Nikola; Fistonić, Ivan; Guštek, Štefica Findri; Turina, Iva Sorta Bilajac; Franić, Damir; Lukanović, Adolf

doi:10.1016/j.maturitas.2015.02.102

Cited by 5 publications

(8 citation statements)

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“…Disappointingly, the assessed muscle tone did not show a significant increase after treatment, but other improvement trends found in our study were corroborated by a previous study [31]. We took into consideration that the wave emitted by the Er:YAG vaginal laser could only penetrate around 1-2 mm, so the laser's effectiveness on increasing pelvic muscle tone would be decreased [32]. On the other hand, a synergistic benefit may be achieved with a combined treatment regimen using the Er:YAG laser in combination with pelvic muscle exercises, thereby allowing for a different mechanism for SUI improvement.…”

Section: Discussionsupporting

confidence: 87%

Effect of Er:YAG Laser for Women with Stress Urinary Incontinence

Lin

Chou

Long

2019

BioMed Research International

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Purpose The aim of our study is to assess efficacy of noninvasive erbium-doped yttrium aluminium garnet laser (Er:YAG laser) for female stress urinary incontinence (SUI). Materials and Methods Forty-one women with SUI were included in the study and scheduled for vaginal Er:YAG laser treatment. The procedure was performed with a 2940 nm, Er:YAG laser (Fotona Smooth ™ XS, Fotona, Ljubljana, Slovenia), designed to heat up the vaginal mucosa to around 60°C. All subjects had a baseline and 6 months' posttreatment assessment that included perineal sonography and lower urinary tract symptoms. Results Significant improvements in both urinary frequency and incontinence were found 6 months after Er:YAG laser treatment when compared to the baseline results (p<0.001). The battery of questionnaires administered to patients, including the UDI-6, IIQ-7, OABSS, and POPDI-6, all showed significant improvement posttreatment (P < 0.001). The treatment efficacy for the vaginal Er:YAG laser for SUI at 6 months posttreatment was 75.5% (31/41). Bladder neck mobility by perineal ultrasonography decreased significantly (16.1 ± 6.4 mm to 10.5 ± 4.6 mm) after treatment (p=0.039). No permanent adverse events were found. Conclusions The Er:YAG vaginal laser seems to be a safe and efficacious treatment for women with mild to moderate SUI, this being partly related to the decrease of bladder neck mobility following laser treatment.

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Section: Discussionsupporting

confidence: 87%

Effect of Er:YAG Laser for Women with Stress Urinary Incontinence

Lin

Chou

Long

2019

BioMed Research International

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“…A growing body of evidence world-wide has accumulated on the application of a non-invasive vaginal erbium laser (VEL) using the non-ablative 2940-nm Er : YAG laser [11][12][13][14][15][16][17] . In addition, the effects of laser thermotherapy on collagen remodeling and synthesis have been proposed as a treatment for stress urinary incontinence (SUI) [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] . Previous papers have reported that VEL might induce a clinical improvement in SUI patients [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] .…”

Section: Introductionmentioning

confidence: 99%

Long-term effects of vaginal erbium laser in the treatment of genitourinary syndrome of menopause

et al. 2018

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“…Los tratamientos no quirúrgicos para la IUE constituyen un importante desafío en la actualidad y el manejo no farmacológico de la IUE, mediante los ejercicios de fortalecimiento del suelo pélvico, puede mejorar los síntomas pero desafortunadamente muchas mujeres abandonan dicha terapia. Los datos publicados respecto a la IUE indican que el tratamiento con VEL podría ser de utilidad como una alternativa no invasiva para estos casos de IUE (38,(121)(122)(123).…”

Section: Discussionunclassified

Tratamiento del síndrome genitourinario de la menopausia mediante láser fraccionado CO2: una opción terapéutica emergente

T¹,

G²,

J³

et al. 2016

Rev. chil. obstet. ginecol.

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RESUMENEstudios recientes han demostrado que el láser fraccionado es una opción terapéutica no hormonal efectiva, sencilla, bien tolerada y sin efectos adversos, para el tratamiento del Síndrome Genitourinario de la Menopausia. La reacción térmica originada produce la restauración del epitelio vaginal, un proceso de neocolagénesis y una mayor vascularización que favorece la llegada de nutrientes, reestableciéndose la estructura de la mucosa, su grosor y trofismo funcional, mejorando por tanto la sintomatología. No obstante, se precisan estudios a largo plazo, controlados, frente a estrógenos locales y otros tratamientos no hormonales para validar la duración de los efectos y la seguridad de las sucesivas aplicaciones. El objetivo de este trabajo es revisar la evidencia relacionada con esta terapia emergente. PALABRAS CLAVE: Láser, atrofia vaginal, síndrome genitourinario, menopausia SUMMARYRecent reported studies have demonstrated that non-invasive fractional laser is a valid, safe, effective and well tolerated therapeutic option, without adverse events to treat the Menopause Genitourinary Syndrome. The heat shock effect induces the increase of vaginal epithelium thickness, the new glycogen content and the vascular changes, improving the vaginal epithelium structure, functionality and menopausal symptoms. Nevertheless, duration of treatment effects and safety of repeated session are not clear enough. Further controlled long-term follow-up research on laser versus local estrogens and other non-hormonal therapies are needed. The objective of this paper is to review the scientific evidence related to this emergent treatment.

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ER:YAG laser treatment for stress urinary incontinence (SUI) in women

Cited by 5 publications

References 0 publications

Effect of Er:YAG Laser for Women with Stress Urinary Incontinence

Effect of Er:YAG Laser for Women with Stress Urinary Incontinence

Long-term effects of vaginal erbium laser in the treatment of genitourinary syndrome of menopause

Tratamiento del síndrome genitourinario de la menopausia mediante láser fraccionado CO2: una opción terapéutica emergente

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