Razzaghi Mohammadreza, Asghari-Azghan Afsar, Montazeri Saeed, Razzaghi Zahra, Mazloomfard Mohammad Mohsen, Vafaee Reza
Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urology Department, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Lasers Med Sci. 2021 Oct 9;12:e56. doi: 10.34172/jlms.2021.56. eCollection 2021.
Radiofrequency (RF)-based stress urinary incontinence (SUI) treatment, which has quickly attracted attention, is administered in an office setting. This pilot-safety study assessed the efficacy of transvaginal RF treatment in the quality of life (QOL) and frequency of incontinence episodes in women with SUI. Twenty-eight women suffering from SUI were treated with an intravaginal quadric applicator while a grounding pad was attached in front of their pubes. The first phase is thermic, which will heat up the vaginal wall up to 40°C for 10 minutes. The second step is contraction to stimulate an aerobic exercise of pelvic floor muscles for 20 minutes (pulsed contractile RF at 20-40 watts and 1000-300 kHz with a modulation of 1 to 300 Hz for muscle exercise). It was scheduled for one session per week for 3 sessions. Patients had follow-up visits before and 1, 6 and 12 months following the treatment for one-day voiding diary, Persian version of urinary incontinence QOL questionnaire (I-QOL), Q-tip test, 24 hours-pad test and daily incontinence episodes' number. The patients' mean age, duration of incontinence and median vesical leak point pressure were 41.6±9.6 years, 5.48±6.84 years and 140 cm H O respectively. Significant changes were observed in the mean I-QOL total score and the pad test. Also, a notable reduction was observed in the number of daily leakage episodes and the Q-tip test at any follow-up visit (=0.001). Preliminary results suggest that transvaginal RF is a convenient method of SUI treatment. Significant changes were observed in the mean I-QOL total score and the pad test. Also, a notable reduction was observed in the number of daily leakage episodes.
基于射频（RF）的压力性尿失禁（SUI）治疗已迅速引起关注，该治疗在门诊环境中进行。这项先导性安全性研究评估了经阴道射频治疗对SUI女性生活质量（QOL）和尿失禁发作频率的疗效。28名患有SUI的女性接受了阴道内四边形施药器治疗，同时在她们耻骨前方附着了一个接地垫。第一阶段是热疗，将阴道壁加热至40°C并持续10分钟。第二步是收缩，以刺激盆底肌肉进行20分钟的有氧运动（以20 - 40瓦和1000 - 300千赫兹的脉冲收缩性射频，调制频率为1至300赫兹以进行肌肉锻炼）。计划每周进行一次治疗，共3次。患者在治疗前以及治疗后1个月、6个月和12个月进行随访，进行为期一天的排尿日记、波斯语版尿失禁生活质量问卷（I - QOL）、棉签试验、24小时护垫试验以及每日尿失禁发作次数的记录。患者的平均年龄、尿失禁持续时间和膀胱漏点压力中位数分别为41.6±9.6岁、5.48±6.84岁和140 cm H₂O。在平均I - QOL总分和护垫试验中观察到显著变化。此外，在任何随访时，每日漏尿发作次数和棉签试验也有显著减少（P = 0.001）。初步结果表明，经阴道射频是一种方便的SUI治疗方法。在平均I - QOL总分和护垫试验中观察到显著变化。每日漏尿发作次数也有显著减少。
