engleski

Minimally invasive laser procedure for early stages of stress urinary incontinence

The objective of this labeled, prospective, single center pilot study study was to assess the efficacy and safety of a novel minimally invasive, nonablative laser treatment in the early stages of SUI. A total of 39 patients suffering from mildtomoderate stress urinary incontinence underwent treatment with an Er:YAG (2940 nm) laser in nonablative fractional mode. Assessment tools included the ICIQUI SF questionnaire for assessing the degree of incontinence and its impact on the quality of life, the Qtip test for evaluating the mobility of the urethra and bladder neck, PISQ12 for assessing quality of life in the area of sexuality, and perineometry for the measurement of muscle strength. Followups were scheduled after 1 month for 39 patients, after 3 months for 22 patients and after 6 months for 6 patients. Preliminary results of posttreatment evaluation showed significant improvement (p< 0.05) in all the domains tested: ICIQUI scores decreased by more than 3 points at all followups. A mean duration of muscle contraction measured with perineometry at 1 month increased by 4.7 s, at 3 months by 11.8 s and at 6 months by 22.8 s. Qtip angle decreased by 14.7˚ at 1 month followup, by 15.9˚ at 3 months and by 22.5˚ at 6 months. PISQ12 scores increased after 1 month by 5.4 points, after 3 months by 5.9 points and after 6 months by 6.6 points. The preliminary results confirm that a minimally invasive, nonablative fractional laser treatment (IncontiLaseTM) is an effective, safe and comfortable treatment option for symptom relief in patients with mild and moderate SUI.

Er:YAG laser; stress urinary incontinence (SUI); Smooth mode; nonablative laser treatment; collagen remodeling; collagen synthesis

nije evidentirano