The short-term outcome of laser in the management of female pelvic floor disorders: Focus on stress urine incontinence and sexual dysfunction

被引：21

作者：

Lin, Hsin-Yin ^{[1
,2
,3
]}

Tsai, Hsiao-Wen ^{[1
,2
,3
]}

Tsui, Kuan-Hao ^{[1
,2
,3
,4
,5
,6
]}

An, Ya-Fen ^{[1
,7
]}

Lo, Ching-Chuan ^{[1
,7
]}

Lin, Zi-Han ^{[1
,7
]}

Liou, Wen-Shiung ^{[1
,2
,3
,8
]}

Wang, Peng-Hui ^{[2
,9
,10
]}

机构：

[1] Kaohsiung Vet Gen Hosp, Dept Obstet & Gynecol, Kaohsiung, Taiwan

[2] Natl Yang Ming Univ, Sch Med, 201,Sect 2,Shi Pai Rd, Taipei 112, Taiwan

[3] Kaohsiung Med Univ, Sch Med, Coll Med, Kaohsiung, Taiwan

[4] Natl Sun Yat Sen Univ, Dept Biol Sci, Kaohsiung, Taiwan

[5] Tajen Univ, Coll Pharm & Hlth Care, Dept Pharm, Yanpu Township, Pingtung County, Taiwan

[6] Tajen Univ, Coll Pharm & Hlth Care, Master Program, Yanpu Township, Pingtung County, Taiwan

[7] Kaohsiung Vet Gen Hosp, Dept Nursing, Kaohsiung, Taiwan

[8] Natl Def Med Ctr, Dept Obstet & Gynecol, Taipei, Taiwan

[9] Taipei Vet Gen Hosp, Dept Obstet & Gynecol, 201,Sect 2,Shi Pai Rd, Taipei 112, Taiwan

[10] China Med Univ Hosp, Dept Med Res, Taichung, Taiwan

来源：

TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY | 2018年 / 57卷 / 06期

关键词：

CO2; laser; Erbium: YAG laser; Female pelvic floor disorders; Sexual dysfunction; Stress urinary incontinence; FRACTIONAL MICROABLATIVE CO2-LASER; CARBON-DIOXIDE LASERS; VULVO-VAGINAL ATROPHY; BLADDER OVERSENSITIVITY; TRANSOBTURATOR; SURGERY; WOMEN; EFFICACY; DELIVERY; IMPACT;

D O I：

10.1016/j.tjog.2018.10.010

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: Female pelvic floor disorders, including female stress urinary incontinence (SUI) or sexual dysfunction are notorious for affecting the quality of women's life. It is reported that laser therapy might result in collagen remodeling and improvement in tissue firmness. The study was conducted to evaluate the short-term outcome of female pelvic floor disorders treated by laser therapy. Materials and methods: Women with self-reported symptoms of female pelvic floor disorders (limited to SUI and sexual dysfunction) were included in the study. The participants were treated with the Er:YAG laser or the fractional microablative carbon dioxide (CO2) laser system. The therapeutic effect was focused on SUI symptoms and sexual dysfunction. Results: There were 31 women underwent laser treatment, including 21 patients treated with Erbium:YAG laser and 10 treated with CO2 laser. In the Erbium:YAG laser group, International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-SF) scores were dropped from 8.25 +/- 5.66 to 5.00 +/- 3.99 (P = 0.007); and in the CO2 laser group, scores were dropped from 11.11 +/- 6.85 to 6.44 +/- 4.25 (P = 0.035), contributing to the drop of ICI-Q-SF scores from 9.14 +/- 6.08 to 5.45 +/- 4.05 for all enrolled patients (P = 0.001). However, objective measure using pad test did not show a statistically significant difference between before and after treatment (from 3.20 +/- 5.84 g to 1.54 +/- 3.18 g, P = 0.224). Sexual dysfunction was improved in 13 patients (44.83%), but Female Sexual Function Index (FSFI) scores were not different before and after laser treatment (44.22 +/- 23.36 vs. 44.09 +/- 24.51, P = 0.389). Conclusion: Laser therapy either by Erbium:YAG laser or CO2 laser seemed to be useful for female pelvic floor disorders, especially on improvement of SUI symptoms; however, the effectiveness needs further confirmation. (C) 2018 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V.

引用

页码：825 / 829

页数：5

共 42 条

[1] Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor [J].