engleski

Laser treatment for early stages of static urinary incontinence in women

Static urinary incontinence (SUI) is predominant in women who experienced childbirth and obstetric operations as well, due to irreversible collagen damage. Facial ptosis, uvular and soft- palate relaxation in snoring disorder are only some of the entities where the application of laser-generated thermal impulses has been scientifically confirmed as highly successful. The hypothesis that laser therapy can be effectively used in the gynecological practice for the treatment of genitourinary disorders was researched to prove the efficacy of laser photo thermal effect in the treatment of static urinary incontinence and pelvic diaphragm distension of the 1st and 2nd grade in women. Still runing, this prospective pilot study enroled 37 woman patients with history of static incontinence ; vaginal delivery ; Q-tip test over 30o ; low score achieved by specific questionnaire ; low perineometry values and residual bladder volume >5 ccs. Procedure was preformed with Er-Yag laser XS Dynamis® (Fotona, Slovenia). Follow up was scheduled for 1, 2 and 6 months, measuring all the parameters. Preliminary results of post treatment evaluation shown significant improvement (p<0.05) in all the domains tested: reduction of ICIQ-UI score (−57%), Q-tip angle (−28%) and residual bladder volume (−65%) with increased perineometriy results (+1.5-2 times of basal values). By employing the new method based on the photo-thermal effect of laser waves, it is possible, for women with early- stage prolapse or static incontinence, to avoid minor (sling) or major surgical interventions (vaginal hysterectomy with colporrhaphy).

laser treatment ; urinary incontinence ; women

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