engleski

Laser treatment of early stages of stress urinary incontinence significantly improves sexual life

Vaginal deliveries distend pelvic musculature irreversibly, often induce stress urinary incontinence (SUI) and reduce vaginal contraction level during the intercourse as well. This effect could diminish sexual arousal and satisfaction. The use of laser in the treatment for vaginal tightening (LVT) is a novel, non-invasive method based on photo thermal effect that produce tightening and shrinking of endopelvic fascia and pelvic floor tissue. The intense thermal stimuli will produce the collagen neogenesis enhancing sexual gratification in women with previous SUI. This prospective case control study was conducted in 83 woman patients who were scheduled for LVT after completing inclusion criteria: history of vaginal delivery ; pelvic organ prolapse of the 1st or 2nd grade ; Q-tip test over 30 degrees ; low score of PISQ12 and positive score of ICIQ-UI questionnaires ; low perineometry values assessing pelvic floor muscle strength and endurance. Procedure was performed with Er-Yag laser XS Dynamis® (Fotona, Slovenia). Preliminary results 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. This is the first study that objectivizes the effect of exclusively laser photo treatment on vaginal tightening without using any kind of surgical adjuvant techniques. The results after LVT treatment show significant improvement in reducing SUI episodes empowering vaginal and pelvic wall strength, simultaneously enhancing better sexual response.

laser treatment ; urinary incontinence

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