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[阴道激光治疗尿失禁和绝经后泌尿生殖综合征:综述]

[Vaginal laser therapy for urinary incontinence and genitourinary syndrome of menopause : A review].

作者信息

Ratz C

机构信息

Urologie Groß-Gerau, Am Sandböhl 2, 64521, Groß-Gerau, Deutschland.

出版信息

Urologe A. 2019 Mar;58(3):284-290. doi: 10.1007/s00120-019-0861-1.

DOI:10.1007/s00120-019-0861-1
PMID:30721329
Abstract

BACKGROUND

Use of vaginal laser therapy in the treatment of grade I stress urinary incontinence and genitourinary syndrome of menopause is gaining in importance across the globe.

MATERIALS AND METHODS

On the basis of the research that is currently available, an analysis is carried out regarding whether laser therapy is already suitable for use in the field of urology.

RESULTS

The research available is still limited: randomized controlled studies in particular are lacking. All the data published to date demonstrate a response to laser therapy with minimal side effects, high patient compliance and satisfaction, and a long-term response for a minimum of 12 months.

CONCLUSIONS

Vaginal laser therapy has shown potential and demonstrated its safety for use in urology as either a complementary or alternative treatment to existing treatment options, such as topical hormonal therapies, pelvic floor exercises or surgical procedures. It is necessary to define it as separate from aesthetic procedures.

摘要

背景

阴道激光疗法在治疗I度压力性尿失禁和绝经后泌尿生殖综合征方面,在全球范围内的重要性日益增加。

材料与方法

基于目前可得的研究,对激光疗法是否已适用于泌尿外科领域进行分析。

结果

现有研究仍然有限:尤其缺乏随机对照研究。迄今发表的所有数据均表明,激光疗法有疗效,副作用极小,患者依从性和满意度高,且有至少12个月的长期疗效。

结论

阴道激光疗法已显示出潜力,并证明了其在泌尿外科作为现有治疗选择(如局部激素疗法、盆底肌锻炼或外科手术)的补充或替代治疗的安全性。有必要将其与美容手术区分开来。

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本文引用的文献

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Comparison between erbium-doped yttrium aluminum garnet laser therapy and sling procedures in the treatment of stress and mixed urinary incontinence.铒激光与吊带手术治疗压力性及混合性尿失禁的比较。
World J Urol. 2019 May;37(5):885-889. doi: 10.1007/s00345-018-2445-x. Epub 2018 Aug 16.
2
Non-ablative Er:YAG laser therapy effect on stress urinary incontinence related to quality of life and sexual function: A randomized controlled trial.非剥脱性铒激光治疗对压力性尿失禁患者生活质量及性功能的影响:一项随机对照试验
Eur J Obstet Gynecol Reprod Biol. 2018 May;224:153-158. doi: 10.1016/j.ejogrb.2018.03.038. Epub 2018 Mar 22.
3
经阴道激光治疗压力性尿失禁患者后,经会阴超声检查评估性功能和阴道形态学的变化。
Sci Rep. 2022 Mar 2;12(1):3435. doi: 10.1038/s41598-022-06601-0.
Ablative dual-phase Erbium:YAG laser treatment of atrophy-related vaginal symptoms in post-menopausal breast cancer survivors omitting hormonal treatment.
绝经期乳腺癌幸存者中激素治疗回避的萎缩相关阴道症状的双相铒激光消融治疗
J Cancer Res Clin Oncol. 2018 May;144(5):955-960. doi: 10.1007/s00432-018-2614-8. Epub 2018 Feb 27.
4
Long-term effects of vaginal erbium laser in the treatment of genitourinary syndrome of menopause.阴道铒激光治疗绝经后泌尿生殖综合征的长期效果
Climacteric. 2018 Apr;21(2):148-152. doi: 10.1080/13697137.2018.1436538. Epub 2018 Feb 13.
5
Laser procedure for female urinary stress incontinence: A review of the literature.女性压力性尿失禁的激光治疗:文献综述
Prog Urol. 2017 Dec;27(17):1076-1083. doi: 10.1016/j.purol.2017.09.003. Epub 2017 Oct 21.
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Int Urogynecol J. 2017 Mar;28(3):469-476. doi: 10.1007/s00192-016-3129-y. Epub 2016 Sep 8.
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Lasers Surg Med. 2017 Feb;49(2):160-168. doi: 10.1002/lsm.22569. Epub 2016 Aug 22.