Outpatient Clinic Ob&Gyn, Rogaška Slatina, Slovenia.
School of Medicine, University of Maribor, Slovenia.
Biomed Res Int. 2019 Jun 4;2019:1576359. doi: 10.1155/2019/1576359. eCollection 2019.
Vaginal birth trauma is the leading cause of stress urinary incontinence (SUI) in women. Also, the process of ageing and hormonal deprivation in postmenopause alters the metabolism of connective tissues and decreases collagen production leading to pelvic floor dysfunction. Noninvasive treatment is recommended as first-line management of urinary incontinence (UI) in women. Surgical procedures are more likely to be implemented to cure UI but are associated with more adverse events. Sex hormone deficiency affects changes also in the lower urinary tract where estrogens are the main regulators of physiological functions of the vagina. In the last decade, laser treatment of SUI and of the genitourinary syndrome of menopause (GSM) has been shown a promising treatment method in peer-reviewed literature. This review's aim is to present the evidence-based medical data and laser treatment of SUI and GSM in an outpatient setting to be a good treatment option, regarding short-term as well as long-term follow-ups. Long-term follow-up studies are needed to confirm that laser treatment is a good, painless outpatient procedure with no side effects in postmenopausal women.
阴道分娩创伤是女性压力性尿失禁（SUI）的主要原因。此外，绝经后衰老和激素缺乏会改变结缔组织的新陈代谢，减少胶原蛋白的产生，导致盆底功能障碍。非侵入性治疗被推荐为女性尿失禁（UI）的一线治疗方法。手术程序更有可能被用于治疗 UI，但与更多的不良事件相关。性激素缺乏也会影响下尿路的变化，雌激素是阴道生理功能的主要调节剂。在过去的十年中，激光治疗 SUI 和女性生殖泌尿系统综合征（GSM）在同行评议的文献中已被证明是一种有前途的治疗方法。本综述的目的是介绍基于循证医学的数据和激光治疗 SUI 和 GSM 在门诊环境中的治疗效果，这是一种很好的治疗选择，无论是短期还是长期随访。需要进行长期随访研究来证实激光治疗对绝经后妇女来说是一种安全、无痛的门诊治疗方法，没有副作用。
