Vaginal laser for overactive bladder syndrome

Abstract

Overactive bladder syndrome (OAB) is defined as urinary urgency, usually with urinary frequency and nocturia, with or without urge urinary incontinence. The prevalence of OAB in adult women ranges between 11% and 42%, is particularly common in elderly people, and can overlap with the genitourinary syndrome of menopause (GSM). There is a wide approach to the treatment of symptoms, often in a stepwise fashion, including lifestyle changes, bladder retraining and pelvic floor muscle rehabilitation, drug therapy, intra-vesical botulinum toxin injections or neuromodulation. Recently, vaginal laser therapy has been proposed as an emerging minimal invasive effective treatment option for women with OAB. We explore this further.

Clinical Practice Guidelines for Managing Genitourinary Symptoms Associated With Menopause

“…There currently is not enough evidence to suggest treatment for urinary symptoms with laser therapy. 43…”

“…Like Ospemifene, some small clinical trials have shown some improvement in OAB symptoms with vaginal laser in postmenopausal women, but no large-scale randomized placebo-controlled trials have been done. There currently is not enough evidence to suggest treatment for urinary symptoms with laser therapy 43 …”

Traitement du syndrome clinique d’hyperactivité vésicale non neurologique réfractaire

“…Une étude s'est intéressée au traitement de l'hyperactivité vésicale par laser appliqué au niveau vaginal et périnéal. Elle montrait une amélioration de la symptomatologie chez les quelques patientes traitées [65].…”