Efficacy of intravaginal fractional superpulse CO<inf>2</inf> laser in the treatment of mild to moderate female stress urinary incontinence

Yuanli Wang; Erle Dang; Wei Wen; Lei YU; Yunyan Duan; Lin Gao

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Efficacy of intravaginal fractional superpulse CO2 laser in the treatment of mild to moderate female stress urinary incontinence

VernacularTitle:阴道内点阵式超脉冲CO2激光治疗女性轻中度压力性尿失禁的疗效观察
Author: Yuanli WANG ¹ ; Erle DANG ¹ ; Wei WEN ² ; Lei YU ³ ; Yunyan DUAN ⁴ ; Lin GAO ¹
Author Information

1. Department of Dermatology, The First Affiliated Hospital, Air Force Medical University, Xi’an 710032
2. Department of Urology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200080
3. Department of Urology, The First Affiliated Hospital, Air Force Medical University, Xi’an 710032
4. Department of Medical Technology, Xi’an Medical University, Xi’an 710021, China
Publication Type:Journal Article
Keywords: fractional superpulse CO2 laser; stress urinary incontinence; ICI-Q-SF score; pelvic ultrasound
From: Journal of Modern Urology 2024;29(4):317-319
CountryChina
Language:Chinese
Abstract: 【Objective】 To evaluate the efficacy and safety of intravaginal fractional superpulse CO2 laser in the treatment of mild to moderate female stress urinary incontinence (SUI), so as to provide reference for the treatment options for female SUI. 【Methods】 A total of 41 female mild-to-moderate SUI patients confirmed at the Department of Urology, The First Affiliated Hospital, Air Force Medical University, during Aug.2019 and Nov.2020 were involved.All patients received 3 intravaginal fractional superpulse CO2 laser treatments (1/month).The improvement of urinary incontinence symptoms after treatment was evaluated with International Consultation on Incontinent Questionnaire Short Form (ICI-Q-SF).The motion of bladder neck and rotation angle of bladder and urethra were measured with pelvic ultrasound before and after treatment.The therapeutic effects, pain and patients’ satisfaction were evaluated, and adverse reactions such as bleeding, infection and scar were observed. 【Results】 Three months after treatment, urinary incontinence symptoms improved to varying degrees, the ICI-Q-SF score decreased, the motion of bladder neck [ (28.70±3.11) mm vs.(19.10±4.54) mm] and the vesicourethral rotation angle [(52.78°±15.79°) vs.(41.56°±13.24°)] significantly decreased (P<0.05).The total effective rate was 100.0%.No patients complained severe pain during treatment.All patients were satisfied with the treatment.No adverse reactions such as bleeding, infection or scar occurred. 【Conclusion】 Intravaginal fractional superpulse CO2 laser is effective and safe in the treatment of mild to moderate female SUI, but the long-term efficacy still needs further observation.