The Clinical Effects of Pixel CO<sub>2</sub> Laser on Bladder Neck and Stress Urinary Incontinence

Background: Our study aims to assess Pixel CO<sub>2</sub> laser efficacy for female stress urinary incontinence (SUI). Methods: In the study, 25 women with SUI were included and scheduled for vaginal Pixel CO<sub>2</sub> Laser (FemiLift™, Alma Lasers, Israel) treatment. All s...

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Main Authors: Cheng-Yu Long, Jennifer Po-Ning Lee, Zi-Xi Loo, Yi-Yin Liu, Chang-Lin Yeh, Chien-Wei Feng, Kun-Ling Lin
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/17/4971
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author Cheng-Yu Long
Jennifer Po-Ning Lee
Zi-Xi Loo
Yi-Yin Liu
Chang-Lin Yeh
Chien-Wei Feng
Kun-Ling Lin
author_facet Cheng-Yu Long
Jennifer Po-Ning Lee
Zi-Xi Loo
Yi-Yin Liu
Chang-Lin Yeh
Chien-Wei Feng
Kun-Ling Lin
author_sort Cheng-Yu Long
collection DOAJ
description Background: Our study aims to assess Pixel CO<sub>2</sub> laser efficacy for female stress urinary incontinence (SUI). Methods: In the study, 25 women with SUI were included and scheduled for vaginal Pixel CO<sub>2</sub> Laser (FemiLift™, Alma Lasers, Israel) treatment. All subjects had a baseline and 6-month post-treatment assessment that included three-dimensional perineal ultrasound and validated questionnaires. Results: Data showed that monthly three-session vaginal Pixel CO<sub>2</sub> Laser treatment significantly improved SUI symptoms, as evidenced by validated questionnaires, including UDI-6, IIQ-7, ICIQ, and vaginal laxity questionnaire (<i>p</i> < 0.05). The Pixel CO<sub>2</sub> Laser efficacy in vaginal treatment was 20/25 (80%), and the perineal sonography showed that laser treatment significantly decreased bladder neck mobility and middle urethral area (during resting and straining). Permanent adverse events were not found. Conclusions: The results of our study suggested that for the treatment of mild to moderate SUI symptoms, Pixel CO<sub>2</sub> Laser is effective and safe; however, more studies and a longer follow-up should be conducted to confirm its efficacy and durability.
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spelling doaj.art-f3607776c00c422895a89b20cb43726c2023-11-23T13:25:24ZengMDPI AGJournal of Clinical Medicine2077-03832022-08-011117497110.3390/jcm11174971The Clinical Effects of Pixel CO<sub>2</sub> Laser on Bladder Neck and Stress Urinary IncontinenceCheng-Yu Long0Jennifer Po-Ning Lee1Zi-Xi Loo2Yi-Yin Liu3Chang-Lin Yeh4Chien-Wei Feng5Kun-Ling Lin6Department of Obstetrics and Gynecology, Kaohsiung Medical Hospital, Kaohsiung Medical University, Kaohsiung 80708, TaiwanVaginal Rejuvenation & Regenerative Center, Vigor Aesthetic Medical Group, Kaohsiung 81358, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung 80145, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Municipal Siao-Gang Hospital, Kaohsiung Medical University, Kaohsiung 80708, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Medical Hospital, Kaohsiung Medical University, Kaohsiung 80708, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Medical Hospital, Kaohsiung Medical University, Kaohsiung 80708, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Medical Hospital, Kaohsiung Medical University, Kaohsiung 80708, TaiwanBackground: Our study aims to assess Pixel CO<sub>2</sub> laser efficacy for female stress urinary incontinence (SUI). Methods: In the study, 25 women with SUI were included and scheduled for vaginal Pixel CO<sub>2</sub> Laser (FemiLift™, Alma Lasers, Israel) treatment. All subjects had a baseline and 6-month post-treatment assessment that included three-dimensional perineal ultrasound and validated questionnaires. Results: Data showed that monthly three-session vaginal Pixel CO<sub>2</sub> Laser treatment significantly improved SUI symptoms, as evidenced by validated questionnaires, including UDI-6, IIQ-7, ICIQ, and vaginal laxity questionnaire (<i>p</i> < 0.05). The Pixel CO<sub>2</sub> Laser efficacy in vaginal treatment was 20/25 (80%), and the perineal sonography showed that laser treatment significantly decreased bladder neck mobility and middle urethral area (during resting and straining). Permanent adverse events were not found. Conclusions: The results of our study suggested that for the treatment of mild to moderate SUI symptoms, Pixel CO<sub>2</sub> Laser is effective and safe; however, more studies and a longer follow-up should be conducted to confirm its efficacy and durability.https://www.mdpi.com/2077-0383/11/17/4971Pixel CO<sub>2</sub> laserbladder neckstress urinary incontinenceperineal sonography
spellingShingle Cheng-Yu Long
Jennifer Po-Ning Lee
Zi-Xi Loo
Yi-Yin Liu
Chang-Lin Yeh
Chien-Wei Feng
Kun-Ling Lin
The Clinical Effects of Pixel CO<sub>2</sub> Laser on Bladder Neck and Stress Urinary Incontinence
Journal of Clinical Medicine
Pixel CO<sub>2</sub> laser
bladder neck
stress urinary incontinence
perineal sonography
title The Clinical Effects of Pixel CO<sub>2</sub> Laser on Bladder Neck and Stress Urinary Incontinence
title_full The Clinical Effects of Pixel CO<sub>2</sub> Laser on Bladder Neck and Stress Urinary Incontinence
title_fullStr The Clinical Effects of Pixel CO<sub>2</sub> Laser on Bladder Neck and Stress Urinary Incontinence
title_full_unstemmed The Clinical Effects of Pixel CO<sub>2</sub> Laser on Bladder Neck and Stress Urinary Incontinence
title_short The Clinical Effects of Pixel CO<sub>2</sub> Laser on Bladder Neck and Stress Urinary Incontinence
title_sort clinical effects of pixel co sub 2 sub laser on bladder neck and stress urinary incontinence
topic Pixel CO<sub>2</sub> laser
bladder neck
stress urinary incontinence
perineal sonography
url https://www.mdpi.com/2077-0383/11/17/4971
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