Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review
<i>Background and Objectives</i>: Insufficient connective urethra and bladder support related to childbirth and menopausal estrogen decrease leads to stress urinary incontinence (SUI). The aim of this review is to narratively report the efficacy and safety of new mini-invasive solutions...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/4/512 |
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| author | Alessandro Ferdinando Ruffolo Andrea Braga Marco Torella Matteo Frigerio Chiara Cimmino Andrea De Rosa Paola Sorice Fabiana Castronovo Stefano Salvatore Maurizio Serati |
| author_facet | Alessandro Ferdinando Ruffolo Andrea Braga Marco Torella Matteo Frigerio Chiara Cimmino Andrea De Rosa Paola Sorice Fabiana Castronovo Stefano Salvatore Maurizio Serati |
| author_sort | Alessandro Ferdinando Ruffolo |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Insufficient connective urethra and bladder support related to childbirth and menopausal estrogen decrease leads to stress urinary incontinence (SUI). The aim of this review is to narratively report the efficacy and safety of new mini-invasive solutions for SUI treatment as laser energy devices, in particular, the microablative fractional carbon dioxide laser and the non-ablative Erbium-YAG laser. <i>Materials and Methods:</i> For this narrative review, a search of literature from PubMed and EMBASE was performed to evaluate the relevant studies and was limited to English language articles, published from January 2015 to February 2022. <i>Results</i>: A significant subjective improvement, assessed by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI-SF) was reported at the 6-month follow up, with a cure rate ranged from 21% to 38%. A reduction of effect was evidenced between 6 and 24–36 months. Additionally, the 1-h pad weight test evidence a significant objective improvement at the 2–6-month follow up. <i>Conclusions</i>: SUI after vaginal laser therapy resulted statistically improved in almost all studies at short-term follow up, resulting a safe and feasible option in mild SUI. However, cure rates were low, longer-term data actually lacks and the high heterogeneity of methods limits the general recommendations. Larger RCTs evaluating long-term effects are required. |
| first_indexed | 2024-03-09T04:26:07Z |
| format | Article |
| id | doaj.art-b8555eb7d487497aa77ca409bd81ed8b |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T04:26:07Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-b8555eb7d487497aa77ca409bd81ed8b2023-12-03T13:41:15ZengMDPI AGMedicina1010-660X1648-91442022-04-0158451210.3390/medicina58040512Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise ReviewAlessandro Ferdinando Ruffolo0Andrea Braga1Marco Torella2Matteo Frigerio3Chiara Cimmino4Andrea De Rosa5Paola Sorice6Fabiana Castronovo7Stefano Salvatore8Maurizio Serati9Obstetrics and Gynecology Unit, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, ItalyDepartment of Obstetrics and Gynecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, SwitzerlandDepartment of Obstetrics and Gynecology, Second Faculty, 80100 Naples, ItalyASST Monza, Ospedale San Gerardo, 20900 Monza, ItalyDepartment of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, 21100 Varese, ItalyDepartment of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, 21100 Varese, ItalyDepartment of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, 21100 Varese, ItalyDepartment of Obstetrics and Gynecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, SwitzerlandObstetrics and Gynecology Unit, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, ItalyDepartment of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, 21100 Varese, Italy<i>Background and Objectives</i>: Insufficient connective urethra and bladder support related to childbirth and menopausal estrogen decrease leads to stress urinary incontinence (SUI). The aim of this review is to narratively report the efficacy and safety of new mini-invasive solutions for SUI treatment as laser energy devices, in particular, the microablative fractional carbon dioxide laser and the non-ablative Erbium-YAG laser. <i>Materials and Methods:</i> For this narrative review, a search of literature from PubMed and EMBASE was performed to evaluate the relevant studies and was limited to English language articles, published from January 2015 to February 2022. <i>Results</i>: A significant subjective improvement, assessed by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-UI-SF) was reported at the 6-month follow up, with a cure rate ranged from 21% to 38%. A reduction of effect was evidenced between 6 and 24–36 months. Additionally, the 1-h pad weight test evidence a significant objective improvement at the 2–6-month follow up. <i>Conclusions</i>: SUI after vaginal laser therapy resulted statistically improved in almost all studies at short-term follow up, resulting a safe and feasible option in mild SUI. However, cure rates were low, longer-term data actually lacks and the high heterogeneity of methods limits the general recommendations. Larger RCTs evaluating long-term effects are required.https://www.mdpi.com/1648-9144/58/4/512stress urinary incontinenceurinary incontinenceSUIvaginal laserCO<sub>2</sub> laserCO<sub>2</sub> vaginal laser erbium YAG laser |
| spellingShingle | Alessandro Ferdinando Ruffolo Andrea Braga Marco Torella Matteo Frigerio Chiara Cimmino Andrea De Rosa Paola Sorice Fabiana Castronovo Stefano Salvatore Maurizio Serati Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review Medicina stress urinary incontinence urinary incontinence SUI vaginal laser CO<sub>2</sub> laser CO<sub>2</sub> vaginal laser erbium YAG laser |
| title | Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review |
| title_full | Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review |
| title_fullStr | Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review |
| title_full_unstemmed | Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review |
| title_short | Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review |
| title_sort | vaginal laser therapy for female stress urinary incontinence new solutions for a well known issue a concise review |
| topic | stress urinary incontinence urinary incontinence SUI vaginal laser CO<sub>2</sub> laser CO<sub>2</sub> vaginal laser erbium YAG laser |
| url | https://www.mdpi.com/1648-9144/58/4/512 |
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