APPLICATION OF LASER TECHNOLOGIES FOR TREATMENT OF URINARY STRESS INCONTINENCE IN WOMEN OF REPRODUCTIVE AGE


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Abstract

Urinary incontinence is a significant health problem with considerable social impact. Prospective study was carried out to assess the efficacy and safety of erbium laser (Er:Yag 2940 nm) for treatment urinary stress incontinence in women of reproductive age and its influence on quality of life in the area of sexuality. 37 women (mean age 36,2 years) with mild and moderate urinary stress incontinence were enrolled in the study. The control group consisted of 20 women of similar age. Treatment was delivered in outpatient settings without anesthesia and sedation. Laser system Dermablate MCL 31 (Asclepion Laser Technologies, Germany) with a set of vaginal heads V-Asclepion was employed. All patients underwent examination including Q-tip test and Valsalva maneuver and completed ICIQ-SF and FSFI forms. Within 1 month postoperatively all 37 patients noted significant reduction of urinary stress incontinence symptoms and favorable changes in quality of sexual life. Positive trend was found in urethrovesical junction angle changes. No postoperative complications were registered. The findings from this prospective study confirmed high efficacy and an acceptable safety profile of the new treatment of urinary stress incontinence.

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About the authors

E. V. Leshunov

IAS FMBI of Russia; COT № 57

Email: Leshunov@bk.ru
Resident of Department of Urology

A. G. Martov

IAS FMBI of Russia; COT № 57

Department of Urology

References

  1. Spilker B. Quality of life assessments in clinical trials. R.d. Hays, Fayers Oxford University Press: Oxford, New York, Tokyo, 1998. 360 p.
  2. Александров В.П., Куренков А.В., Николаева Е.В. Стрессовое недержание мочи у женщин. СПб.: СПбМАПО, 2006. 92 с.
  3. Аполихина И.А., Ромих В.В. Акушерско-гинекологические факторы риска недержания мочи. Акушерство и гинекология. 2003;5:7-10.
  4. Кулаков В.И., Аполихина И.А., Деев А.Д. Акушерскогинекологические факторы риска недержания мочи у женщин. Акушерство и гинекология. 2005;3:32-36.
  5. Danforth K.N., Townsend M.K., Lifford K. et al. Risk factors for urinary incontinence among middle-aged women. Am. J. Obstet. Gynecol. 2006;194(2):339-345.
  6. Parazzini F., Colli E., Origgi G. et al. Risk factors for urinary incontinencein women. Eur. Urol. 2000;37(6):637-643.
  7. Лоран О.Б. Эпидемиология, этиология, патогенез, диагностика недержания мочи. Пленум Правления Российского общества урологов: материалы. М., 2001. С. 21-41.
  8. Закрытная О.С. Прогнозирование недержания мочи у женщин во время беременности и после родов с обоснованием профилактики. Автореф. канд. мед. наук. М., 2008.
  9. Hannestad Y.S., Rortveit G., Hunskaar S. Help-seeking and associated factors in female urinary incontinence: the Norwegian EPINCONT study. Scand. J. Prim. Health Care. 2002;20:102-107.
  10. Аляев Ю.Г., Григорян В.А., Гаджиева З.К. Расстройства мочеиспускания. М.: Литтерра, 2006. 208 с.
  11. Аполихина И.А., Константинов В.В., Деев А.Д. Распространенность и социальные аспекты недержания мочи у женщин. Акушерство и гинекология. 2005;5:32-36.
  12. Akari L, Beppu M, Kajiwara M, Mikami Y. Prevalence and impact on quality of life of urinary incontinence: in Japanese working women. Urology. 2005;66(1):88-93.
  13. Diokno A.C., Brook B.M., Brown M.B. et al. Prevalence of urinary incontinence and other urological symptoms in the non- institutionalized elderly. J. Urol. 1986;136:1022-1025.
  14. Monz В., Pons M.E., Hampel C. et al. Patient-reported impact of urinary incontinence - results from- treatment seeking women in 14 European countries. Maturitas. 2005;52(Suppl. 2):S24-34.
  15. Soligo M, Salvatore S, Emmanuel A.V. et al. Patterns of constipation in urogynecology: clinical importance and pathophysiologic insights. Am. J. Obstet. Gynecol. 2006;195(1):50-55.
  16. Papanicolaou S., Hunskaar S., Lose G., Sykes D. Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and the UK. BJU Int. 2005;96(6):831-838.

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