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Laser Treatments in Female Urinary Incontinence

  • Ivan FistonićEmail author
  • Nikola Fistonić
Chapter

Abstract

Noninvasive treatment is recommended as first line for female urinary incontinence (UI). However, surgical procedures are more likely to be implemented to cure UI but are associated with more adverse events. Less invasive operative mesh techniques are relatively effective, but not devoid of complications such as bleeding, bladder perforation, urethral injury, infection, and retention that may require mesh resection. In patients for whom the risks of anesthesia and surgery are too high, a minimally invasive approach is recommended, and further research is needed in terms of more compliant, less invasive, and low-cost methods for the treatment of stress UI and pelvic floor dysfunction.

Contemporary scientific and technological breakthroughs have led to better clinical outcomes with minimally invasive procedures with shorter recovery times and lower implicated costs. In this sense, recent evidence supports laser treatment as an effective and compliant intervention for stress UI. In spite of promising initial results, there is still a need for long-term consistent evidence analyzing laser efficacy and safety in the treatment of female UI.

Keywords

Urinary incontinence Minimally invasive treatment Erbium YAG laser CO2 laser 

Abbreviations

BMI

Body mass index

CRC

Collagen Remodeling Capacity

Er:YAG

Erbium:yttrium-aluminum-garnet

FSFI

Female sexual function index

GSM

Genitourinary syndrome of menopause

ICIQ-UI SF

International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form

ISD

Intrinsic sphincter deficiency

ISI

Incontinence Severity Index

LUTS

Lower urinary tract symptoms

MUS

Mid-urethral sling

OAB

Overactive bladder

OABSS

Overactive Bladder Symptoms Score Questionnaire

PISQ12

Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire

POP

Pelvic organ prolapse

QoL

Quality of life

RTD

Residual thermal damage

SUI

Stress urinary incontinence

UCP

Urethral closure pressure

UI

Urinary incontinence

VEL

Vaginal erbium laser

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Institute for Women’s HealthZagrebCroatia
  2. 2.Ob/Gyn DepartmentUniversity Hospital MerkurZagrebCroatia

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