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