Fractional CO2 laser treatment for women with stress predominant urinary incontinence: a randomized controlled trial

Temtanakitpaisan, Teerayut; Chongsomchai, Chompilas; Buppasiri, Pranom

doi:10.1007/s00192-023-05655-6

Cited by 1 publication

(2 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subjective study outcome analysis was often based on the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) score, and objective outcomes were often analyzed by the one-hour pad weight test. In most studies, the subjective ICIQ-UI SF score significantly improved after laser therapy [ 75 , 84 , 87 , 88 , 89 ], and the objective pad weight significantly decreased after laser therapy ( Table 2 ) [ 85 , 86 , 87 , 88 ]. Laser was significantly better than sham treatment in 50% (3/6) of the studies regarding the ICIQ-UI SF score [ 84 , 87 , 88 ], and in 75% (3/4) of the studies regarding the pad weight [ 85 , 87 , 88 ].…”

Section: Laser Therapy To Treat Suimentioning

confidence: 99%

See 1 more Smart Citation

Current Treatment of Stress Urinary Incontinence by Bulking Agents and Laser Therapy—An Update

Sikora,

Gamper,

Zivanovic

et al. 2024

JCM

View full text Add to dashboard Cite

Stress urinary incontinence (SUI) affects around 20% of women. In addition to the established suburethral sling insertion, two less invasive approaches are of interest today: urethral bulking agents and vaginal laser therapy. This review discusses articles through December 2023 identified by a PubMed literature search using the keywords “incontinence” and “bulking” or “laser”. Although the two approaches are less effective than sling insertions, there are specific conditions in which one or the other technique is more advantageous. Injecting bulking agents into the urethra only takes some minutes and works without general anesthesia. The method is particularly suited for elderly, frail, or obese patients with multiple comorbidities, but is also applicable for all patients and in combination with other therapies. Generally, the safety profile is good but differs between bulking materials. Two laser types—the Erbium:YAG laser with SMOOTH-mode and the fractional ablative CO2 laser—deliver heat into the tissue to induce tissue tightening and regeneration. Intravaginal laser therapy improves mild to moderate SUI, while studies describe how intraurethral laser therapy is also beneficial for severe SUI. Young women between childbirths, as well as postmenopausal women, may benefit from laser therapy. The method is safe, can be performed on an outpatient basis, and does not require any artificial material.

show abstract

Section: Laser Therapy To Treat Suimentioning

confidence: 99%

“…In three RCTs, the ICIQ-UI SF score was not significantly different after laser than after sham treatment [ 85 , 89 , 90 ]. This could be due to a placebo effect of the sham treatment.…”

Section: Laser Therapy To Treat Suimentioning

confidence: 99%