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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。

Changes in sexual function and vaginal topography using transperineal ultrasound after vaginal laser treatment for women with stress urinary incontinence.

机构信息

Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Ziyou 1st Rd., Sanmin Dist., Kaohsiung City, 807, Taiwan.

Department of Obstetrics and Gynecology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

Sci Rep. 2022 Mar 2;12(1):3435. doi: 10.1038/s41598-022-06601-0.

DOI:10.1038/s41598-022-06601-0
PMID:35236871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8891315/
Abstract

We aim to assess the changes in sexual function and vaginal topography using 3-D transperineal ultrasound in stress-incontinent women treated with Er:YAG vaginal laser. Two hundred and twenty women with stress urinary incontinence (SUI) treated with Er:YAG laser were recruited. Assessment before and 6 months after the treatment included vaginal topography using 3-D transperineal ultrasound and sexual function using female sexual function index questionnaire (FSFI). A total of 50 women with complete data showed that the symptomatic improvement was noted in 37 (74%) women. After Er:YAG vaginal laser treatment, significantly decreased width and cross-sectional area in proximal, middle, and distal vagina were found in women with SUI. Nearly all of the domains of FSFI improved significantly after the vaginal laser treatment, except sexual desire. In conclusion, 3-D transperineal ultrasound can be used to conduct vaginal topography. After Er:YAG vaginal laser treatment, the anatomical changes of vaginal shrinkage and the improvement of female sexual function were both noted. The favorable outcome of sexual function partly related to the tightening of vagina, as evidenced by the measurements of the 3-D transperineal ultrasound.

摘要

我们旨在通过三维经会阴超声评估接受铒：YAG 阴道激光治疗的压力性尿失禁女性的性功能和阴道形态变化。招募了 220 名接受 Er:YAG 激光治疗的压力性尿失禁（SUI）女性。治疗前后的评估包括使用三维经会阴超声评估阴道形态和使用女性性功能指数问卷（FSFI）评估性功能。共有 50 名数据完整的女性，其中 37 名（74%）女性症状得到改善。在患有 SUI 的女性中，阴道近端、中段和远端的宽度和横截面积明显减少。阴道激光治疗后，FSFI 的几乎所有领域都显著改善，除了性欲。总之，三维经会阴超声可用于阴道形态学检查。接受 Er:YAG 阴道激光治疗后，阴道收缩的解剖学变化和女性性功能的改善均得到证实。性功能的良好结果部分与阴道收紧有关，这可以通过三维经会阴超声测量得到证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/8891315/1f42a59008be/41598_2022_6601_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/8891315/8bc212d55880/41598_2022_6601_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/8891315/1f42a59008be/41598_2022_6601_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/8891315/8bc212d55880/41598_2022_6601_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ee/8891315/1f42a59008be/41598_2022_6601_Fig2_HTML.jpg

相似文献

[1]
Changes in sexual function and vaginal topography using transperineal ultrasound after vaginal laser treatment for women with stress urinary incontinence.

Sci Rep. 2022-3-2

[2]
Non-ablative Er:YAG laser therapy effect on stress urinary incontinence related to quality of life and sexual function: A randomized controlled trial.

Eur J Obstet Gynecol Reprod Biol. 2018-5

[3]
Effect of Er:YAG Laser for Women with Stress Urinary Incontinence.

Biomed Res Int. 2019-1-15

[4]
Preliminary outcome of non-ablative vaginal Erbium laser treatment for female stress and mixed urinary incontinence.

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[5]
The short-term outcome of laser in the management of female pelvic floor disorders: Focus on stress urine incontinence and sexual dysfunction.

Taiwan J Obstet Gynecol. 2018-12

[6]
[Outcomes of ER:YAG LASER treatment of stress urinary incontinence in women].

Urologiia. 2018-5

[7]
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Arch Gynecol Obstet. 2019-10-14

[8]
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J Womens Health (Larchmt). 2024-5

[9]
Vaginal erbium laser treatment for stress urinary incontinence: A multicenter randomized sham-controlled clinical trial.

Int J Gynaecol Obstet. 2024-3

[10]
Minimally invasive, non-ablative Er:YAG laser treatment of stress urinary incontinence in women--a pilot study.

Lasers Med Sci. 2016-5

引用本文的文献

[1]
The efficacy of low-level laser therapy in alleviating genitourinary syndrome of menopause and stress urinary incontinence: the pilot study.

Front Med (Lausanne). 2025-5-23

[2]
The Effect of Vaginal Er:YAG Laser Therapy on Pelvic Floor Symptoms in Women With Stress Urinary Incontinence: A Single-Center Cohort Study.

Lasers Surg Med. 2025-3

[3]
The Therapeutic Effect of Monopolar Radiofrequency Therapy on Urinary Symptoms and Sexual Function.

Biomedicines. 2024-10-9

[4]
The Importance of Psychological Assessment in the Management of Bladder Pain Syndrome/Interstitial Cystitis and Vulvodynia: A Case Report.

Cureus. 2024-7-1

[5]
Long-Term Improvement in Urinary Incontinence in an Elite Female Athlete Through the Laser Treatment: A Case Report.

Cureus. 2023-3-27

[6]
Sexual dysfunction therapeutic approaches in patients with multiple sclerosis: a systematic review.

Neurol Sci. 2023-3

[7]
The Clinical Effects of Pixel CO Laser on Bladder Neck and Stress Urinary Incontinence.

J Clin Med. 2022-8-24

本文引用的文献

[1]
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Eur J Obstet Gynecol Reprod Biol. 2020-8

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Biomed Res Int. 2019-6-4

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[4]
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Biomed Res Int. 2019-1-15

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