Predictive factors for the efficacy of Er:YAG laser treatment of urinary incontinence

Erel, C. Tamer; İnan, Deniz; Mut, Ayşegül

doi:10.1016/j.maturitas.2019.11.003

Cited by 26 publications

(29 citation statements)

References 23 publications

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“…Several studies proposed that age, menopause, and BMI can be used as predictors of laser treatment efficacy for SUIs (15,18,22,28). Despite the suggestion that patients with a lower age or BMI displayed better improvement in UI symptom relief, with less retreatment and longer improvement duration, statistically significant effects of BMI were not observed in our subgroup analysis (28).…”

Section: Discussioncontrasting

confidence: 60%

“…As evidenced in this investigation, most of the studies were conducted with the Erbium YAG Laser using SMOOTH® Technology. This parameter setting was selected to avoid laser penetration into underlying tissues and organs, while only producing thermal and non-ablation effects, to achieve the safest and most efficacious therapeutic regimen (15). ICIQ-SF and 1-hour pad tests demonstrated a statistically significant treatment effect in SUI improvement.…”

Section: Discussionmentioning

confidence: 99%

“…This may be related to a lower baseline ICIQ-SF and 1-hour pad test in milder SUI cases, limiting the scope for improvement. SUI patients also evidently benefited more from laser treatment than MUI or patients with other UI types (9,15,16,18,21,24,27). Statistical analyses of SUI and patients with other UI types or symptoms could not be separately performed, due to the limited amount of clinical information.…”

Section: Discussionmentioning

confidence: 99%

“…Fistonic et al suggested that only a small improvement in the ICIQ-SF score was achieved after a 1-month follow-up (26). Therefore, some articles indicated a necessity for annual maintenance treatments for the effects of laser treatment to be sustained at a satisfactory level (15)(16)(17)19,(21)(22)(23)(24)(25)(26)(27). Further modification of the treatment plan is needed to optimise and sustain the efficacy of laser therapy.…”

Section: Discussionmentioning

confidence: 99%

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Safety and efficacy of vaginal laser therapy for stress urinary incontinence: a meta-analysis

Wang¹,

Wang²,

Song³

et al. 2021

Ann Palliat Med

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Background: Laser therapy has recently been proposed as a novel treatment for stress urinary incontinence (SUI) due to offering several advantages. This study aimed to evaluate the safety and efficacy of laser treatment of SUI by a meta-analysis. Methods:The systematic review registration number is INPLASY202080001. A comprehensive search to identify relevant studies was conducted using the PubMed, Embase, Cochrane Library, CNKI, VIP and Wanfang databases with a cutoff date of 1 November, 2020. Outcome measures were extracted based on subjective and objective indexes, including International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI-SF), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), and objective measurements "1-hour pad test" (1-hour test under standardized conditions). Score changes before and after treatment were evaluated through meta-analysis. Subgroup analysis was performed according to geographic region, type of urinary incontinence (UI), severity of UI, age, and body mass index (BMI).Results: Sixteen published clinical research studies, involving 899 patients with SUI, were included in this study. After laser treatment, the change in the ICIQ-SF score at 1, 2, and 6 months was −5.49 (95%

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Safety and efficacy of vaginal laser therapy for stress urinary incontinence: a meta-analysis

Wang¹,

Wang²,

Song³

et al. 2021

Ann Palliat Med

View full text Add to dashboard Cite

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“…The critical age for the successful effect of Er:YAG was 47.5 years [24]. Another study analyzed the factors that can predict the efficacy of Er:YAG laser in the treatment of urinary incontinence [25]. The authors analyzed 82 patients, 42 with SUI and 40 with MUI.…”

Section: Discussionmentioning

confidence: 99%

Pixel CO₂ Laser for the Treatment of Stress Urinary Incontinence: A Prospective Observational Multicenter Study

et al. 2020

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Background and Objectives Energy‐based treatments have been found to be a promising treatment modality for improving stress urinary incontinence (SUI) symptoms. This prospective two‐center study was designed to evaluate the efficacy of fractional‐pixel CO2 laser for the treatment of SUI. Study Design/Materials and Methods Eighty‐five women with SUI symptoms as per the cough stress test and validated International Consultation on Incontinence Questionnaire—Urinary Incontinence Short Form (ICIQ‐UI‐SF), were treated intravaginally with Pixel‐CO2 laser. Two treatment sessions were performed with a 1‐month interval. Safety and treatment tolerance were assessed by the visual analog scale (VAS) immediately and at 1 week after each laser treatment. Associations of age and body mass index (BMI) with the ICIQ‐UI‐SF score were statistically assessed by the Jonckheere–Terpstra test. Results The ICIQ‐UI‐SF score was 12.0 at baseline, 7.0, after the first treatment, and 3.5 after the second treatment (P = 0.001). For women with BMI (25.0–29.9), the ICIQ‐UI‐SF score was 9.0 at the baseline, 6.0 after 1 month, and 5.0 at the 6 months follow‐up visit (P = 0.04). For women with BMI ≥ 30.0, the ICIQ‐UI‐SF score was reduced from 14.0 to 8.0 1 month after the baseline and 5.0 at the 6‐month follow‐up visit (P = 0.001). SUI severity evaluation at baseline showed that 27.1% of women had mild, 24.7% had moderate, 45.9% had severe, and 2.4% had very severe SUI symptoms. SUI severity scores were significantly reduced, with 45.8% of women with no SUI symptoms, 18.8% with mild, 20.8% with moderate, and 14.6% with severe SUI symptoms at the 6‐month follow‐up. The patient's evaluation of VAS after the first treatment was 1.0–1.5 (0–10) and 0.0 1 week after the second treatment. Conclusion Fractional‐pixel CO2 laser is safe and effective for treating SUI. No adverse event or significant pain was reported during or after the procedure. Its safety and efficacy are clearly demonstrated. Lasers Surg. Med. © 2020 Wiley Periodicals LLC

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Prostatectomy postoperative urinary incontinence: From origin to treatment

Jing,

Gu,

et al. 2023

Precision Medical Sciences

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Prostate cancer is a common malignant tumor at present, and there are still adverse reactions after radical prostatectomy. As many as 30% of patients complain of urinary incontinence (UI). This review begins with the pathophysiological basis of post‐prostatectomy urinary incontinence (PPUI) and describes the maintenance of normal urine control function, anatomical changes, and urodynamic maintenance of PPUI. Then, we talk about the various influencing factors of UI, for example, the differences caused by the basic condition of the patient, the length of the membranous urinary tract, the level of prostate‐specific antigen before operation, the method and technique of operation, and so on. Last, we introduce all kinds of treatments of PPUI in detail. It includes noninvasive conservative treatment, traditional surgical treatment, emerging stem cell therapy treatment, and postoperative psychotherapy of PPUI. The present situation of the treatment of UI after prostatectomy is summarized, and the prospect of the technology is put forward.

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Predictive factors for the efficacy of Er:YAG laser treatment of urinary incontinence

Cited by 26 publications

References 23 publications

Safety and efficacy of vaginal laser therapy for stress urinary incontinence: a meta-analysis

Safety and efficacy of vaginal laser therapy for stress urinary incontinence: a meta-analysis

Pixel CO₂ Laser for the Treatment of Stress Urinary Incontinence: A Prospective Observational Multicenter Study

Prostatectomy postoperative urinary incontinence: From origin to treatment

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Predictive factors for the efficacy of Er:YAG laser treatment of urinary incontinence

Cited by 26 publications

References 23 publications

Safety and efficacy of vaginal laser therapy for stress urinary incontinence: a meta-analysis

Safety and efficacy of vaginal laser therapy for stress urinary incontinence: a meta-analysis

Pixel CO2 Laser for the Treatment of Stress Urinary Incontinence: A Prospective Observational Multicenter Study

Prostatectomy postoperative urinary incontinence: From origin to treatment

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Product

Resources

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Pixel CO₂ Laser for the Treatment of Stress Urinary Incontinence: A Prospective Observational Multicenter Study