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Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review

Background and Objectives: 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 a...

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Autores principales: Ruffolo, Alessandro Ferdinando, Braga, Andrea, Torella, Marco, Frigerio, Matteo, Cimmino, Chiara, De Rosa, Andrea, Sorice, Paola, Castronovo, Fabiana, Salvatore, Stefano, Serati, Maurizio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9028572/
https://www.ncbi.nlm.nih.gov/pubmed/35454351
http://dx.doi.org/10.3390/medicina58040512
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author Ruffolo, Alessandro Ferdinando
Braga, Andrea
Torella, Marco
Frigerio, Matteo
Cimmino, Chiara
De Rosa, Andrea
Sorice, Paola
Castronovo, Fabiana
Salvatore, Stefano
Serati, Maurizio
author_facet Ruffolo, Alessandro Ferdinando
Braga, Andrea
Torella, Marco
Frigerio, Matteo
Cimmino, Chiara
De Rosa, Andrea
Sorice, Paola
Castronovo, Fabiana
Salvatore, Stefano
Serati, Maurizio
author_sort Ruffolo, Alessandro Ferdinando
collection PubMed
description Background and Objectives: 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. Materials and Methods: 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. Results: 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. Conclusions: 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.
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spelling pubmed-90285722022-04-23 Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review Ruffolo, Alessandro Ferdinando Braga, Andrea Torella, Marco Frigerio, Matteo Cimmino, Chiara De Rosa, Andrea Sorice, Paola Castronovo, Fabiana Salvatore, Stefano Serati, Maurizio Medicina (Kaunas) Review Background and Objectives: 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. Materials and Methods: 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. Results: 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. Conclusions: 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. MDPI 2022-04-04 /pmc/articles/PMC9028572/ /pubmed/35454351 http://dx.doi.org/10.3390/medicina58040512 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Ruffolo, Alessandro Ferdinando
Braga, Andrea
Torella, Marco
Frigerio, Matteo
Cimmino, Chiara
De Rosa, Andrea
Sorice, Paola
Castronovo, Fabiana
Salvatore, Stefano
Serati, Maurizio
Vaginal Laser Therapy for Female Stress Urinary Incontinence: New Solutions for a Well-Known Issue—A Concise Review
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 Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9028572/
https://www.ncbi.nlm.nih.gov/pubmed/35454351
http://dx.doi.org/10.3390/medicina58040512
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