Non-ablative Er:YAG laser therapy effect on stress urinary incontinence related to quality of life and sexual function: A randomized controlled trial

Blaganje, Mija; Šćepanović, Darija; Žgur, Lidija; Verdenik, Ivan; Pajk, Franja; Lukanović, Adolf

doi:10.1016/j.ejogrb.2018.03.038

Cited by 96 publications

(107 citation statements)

References 29 publications

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“…In women with urinary incontinence, observational data suggest a possible improvement in symptoms; however, the quality of the studies is poor and they were insufficiently powered to provide evidence of benefit. More recently, an RCT comparing Erbium YAG with placebo demonstrated initial improvement of stress urinary incontinence (SUI) and quality of life in the treatment group; however, longer term follow‐up demonstrated deterioration in symptoms with time.…”

Section: Indications and Evidence For Usementioning

confidence: 99%

Energy devices in vaginal therapy

Hillard

2019

The Obstetric & Gynaecologis

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Section: Indications and Evidence For Usementioning

confidence: 99%

Energy devices in vaginal therapy

Hillard

2019

The Obstetric & Gynaecologis

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“…Non-ablative Er:YAG laser therapy effect on stress urinary incontinence related to quality of life and sexual function: A randomized controlled trial (14) European Journal of Obstetrics, Gynecology and Reproductive Biology Slovenia, 2018 Randomized clinical trial 114 participants Inclusion criteria: -Sexually active female patients, with at least one vaginal birth, with a diagnosis of stress urinary incontinence Exclusion criteria: -Pelvic organ prolapse above grade 1 (POP-Q classification), inability to contract pelvic muscles, mixed urinary incontinence, urge urinary incontinence, prior gynecological surgeries -The women were divided into two groups, one receiving laser intervention and the other placebo group.…”

Section: Archives Of Italian Urology and Andrologymentioning

confidence: 99%

Incontinência urinária e função sexual feminina: revisão integrativa de questionários validados

Brasil

Nicolau

Bilhar³

et al. 2018

Acta paul. enferm.

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Objective: To analyze the national and international scientifi c production regarding the relationship between the ICIQ-UI-SF (International Consultation on Incontinence Questionnaire -Urinary Incontinence/Short Form (ICIQ-UI/SF) and FSFI (Female Sexual Function Index) in the female population. Methods: Integrative literature review, carried out from December 2017 to May 2018, in the Scielo, Lilacs, Scopus and Pubmed databases. Searches were conducted through the association of the names of the questionnaires as descriptors, without delimitations regarding the year of publication, language, and availability of full text. Findings with a level of evidence of at least 3A for observational studies were prioritized. There was a total of fi ve scientifi c papers. Results: The evidence found about the direct relationship of the instruments had as predominant objective their application to validate the effectiveness of surgical techniques to correct urinary incontinence. Even with the improvement of incontinence, the fi ndings were different regarding the improvement of sexual function, showing changes only in some FSFI domains, or no change. Only one study sought to investigate the direct relationship of the instruments, indicating a poor connection. On the other hand, the isolated search of the instruments, associated with specifi c descriptors, indicated that urinary incontinence is a determining factor for the deterioration of both quality of life and sexual function. Conclusion: The low number of productions and results found have shown that a deeper understanding of the subject is necessary for a justifi cation and qualifi cation of care for patients with urinary incontinence. ResumoObjetivo: Analisar a produção científi ca nacional e internacional quanto à relação escores dos instrumentos ICIQ-UI-SF (Internacional Consultation on Incontinence Questionnaire -Urinary Incontinence/Short Form (ICIQ-UI/SF) e FSFI (Female Sexual Function Index) na população feminina. Métodos: Revisão integrativa da literatura, realizada durante os meses de Dezembro de 2017 a Maio de 2018, nas bases de dados Scielo, Lilacs, Scopus e Pubmed. As buscas foram conduzidas através da associação dos nomes dos questionários como descritores, sem delimitações quanto ao ano de publicação, idioma e disponibilidade em texto completo. Priorizados achados com nível de evidência de no mínimo 3A para estudos observacionais. Totalizaram 5 artigos científi cos. Resultados: As evidências encontradas sobre a relação direta dos instrumentos apresentaram como objetivo predominante a sua aplicação para validar a efetividade de técnicas cirúrgicas para a correção da incontinência urinária. Mesmo diante da melhora da incontinência, os achados divergiram quanto a melhora da função sexual, apresentando modifi cações apenas em alguns domínios do FSFI ou nenhuma mudança. Apenas um estudo buscou investigar a relação direta dos instrumentos, indicando fraca ligação. Já a busca isolada dos instrumentos, associada com descritores específi cos apontara que a incontinênc...

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“…Since the use of laser in urogynaecology has been increasing in recent years, there is a great need for quality systematic reviews to provide evidence-based guidance to health care providers. Unfortunately, Bhide et al failed to include several relevant studies [2, 3] in their review and we fear this may have affected their conclusions. The “Methods” section of the review has insufficient detail on the database search and inclusion and exclusion criteria for the selected literature [1], which weakens the scientific rigour of the review.…”

mentioning

confidence: 99%

“…Bhide et al conclude that there is a lack of randomised placebo-controlled trials concerning the effect of vaginal laser treatment for SUI but they missed the first one published in May 2018 [3]. In this randomised controlled trial including 114 women with SUI the improvement in ICIQ-UI SF, PISQ-12 and FSFI scores 3 months after single treatment was significantly better in the vaginal erbium laser group than in the sham control group [3].…”

mentioning

confidence: 99%