Gómez de Vicente José Miguel, Trelles Guzmán Carlos
Servicio de Urología. Hospital Universitario La Paz. Madrid. España.
Arch Esp Urol. 2020 Oct;73(8):709-723.
LASER (Light Amplification by Stimulated Emission of Radiation) technology consists of the emission of a high-energy light beam. In medicine, it is used to cut, coagulate, fragment and evaporate biological or synthetic tissues. In the field of Functional Urology and Urogynecology its use has been widely explored. This article tries to give an overview of its applications in this subspecialty. MATERIAL AND METHOD: A non-systematic free search was performed in Pubmed, Embase and Google Scholar,combining the terms "laser", "laser technology", "interstitial cystitis", "trigonitis", "urinary tract infections","mesh", "mesh complications", "microbiome", "menopause genitourinary syndrome", "vulvovaginal atrophy", "urinary incontinence", "pelvic organ prolapse", "lichensclerosus", "complications" and "vaginal laxity". All relevant studies were retrieved in full text, in order to prepare a summary of each of the pathologies in which laser therapy has been used in Functional Urology and Urogynecology over time.
There are different types of lasers and different application modalities to treat a wide variety of functional pathologies, including interstitial cystitis, trigonitis, mesh complications, urinary incontinence or pelvic organ prolapse. In some of them its use has been abandoned, despite the fact that, theoretically, they offer advantages over other therapies, such as in the case of interstitial cystitis. In others there is still not enough evidence in terms of safety and efficacy to be an alternativeto other conventional treatments.
Although laser therapy offers certain advantages over other treatments, its use has not been generalized in the subspecialty of Functional Urology and Urogynecology. More evidence is needed to demonstrate its efficacy and safety.
激光（受激辐射光放大）技术包括发射高能光束。在医学上，它用于切割、凝固、破碎和蒸发生物或合成组织。在功能性泌尿外科学和妇科泌尿学领域，其应用已得到广泛探索。本文试图概述其在该亚专业中的应用。
在PubMed、Embase和谷歌学术上进行了非系统性的自由检索，结合了“激光”“激光技术”“间质性膀胱炎”“膀胱三角炎”“尿路感染”“网片”“网片并发症”“微生物群”“绝经后泌尿生殖综合征”“外阴阴道萎缩”“尿失禁”“盆腔器官脱垂”“硬化性苔藓”“并发症”和“阴道松弛”等术语。检索了所有相关研究的全文，以便总结随着时间推移激光疗法在功能性泌尿外科学和妇科泌尿学中用于治疗的每种疾病。
有不同类型的激光和不同的应用方式来治疗多种功能性疾病，包括间质性膀胱炎、膀胱三角炎、网片并发症、尿失禁或盆腔器官脱垂。在其中一些疾病中，尽管从理论上讲，激光疗法比其他疗法有优势，但它的使用已被放弃，比如间质性膀胱炎的情况。在其他疾病中，在安全性和有效性方面仍没有足够的证据使其成为其他传统治疗方法的替代方案。
尽管激光疗法相对于其他治疗方法有一定优势，但其在功能性泌尿外科学和妇科泌尿学亚专业中的应用尚未普及。需要更多证据来证明其有效性和安全性。
