Department of Nutrition and Dietetics, Faculty of Health Sciences, Dicle University, Diyarbakır, Turkey.
Department of Nutrition and Dietetics, Faculty of Health Sciences, Firat University, Elazig, Turkey.
Int Urogynecol J. 2023 Dec;34(12):2901-2908. doi: 10.1007/s00192-023-05625-y. Epub 2023 Aug 9.
Stress urinary incontinence (SUI) is treated with transobturator tape (TOT) sling procedures, but problems arise with artificial mesh in certain instances. Hence, non-invasive laser therapy may be useful under such circumstances. The current study was aimed at comparing the effects of these two treatments and at checking their applicability in various body mass index (BMI) groups.
Seventy-nine patients, who were clinically diagnosed with SUI, were divided into two groups, those who preferred TOT and those who preferred the transvaginal fractional micro-ablative CO laser system. The SUI symptoms and International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) scores of the patients were determined before and at the 12th month after the treatment. General linear model, Stuart-Maxwell, and Bonferroni correction for pairwise comparison analyses were performed to compare the efficacy of the treatment type.
The ICIQ-SF score decreased by 56.8% for laser therapy and 43.5% for TOT therapy (mean ± SE = 5.97 ± 0.16 and 5.09 ± 0.14 respectively). Laser therapy had a better effect on ICIQ-SF than TOT therapy (η2p: 0.176, p < 0.001). Regardless of the types of treatment, the ICIQ-SF scores of healthy-weight participants decreased more than those of overweight participants (η2p:0.050, p = 0.045). In the TOT group, healthy-weight participants were more than twice as likely to recover fully from SUI symptoms as overweight participants, 1 year after the treatment. In the laser group, the majority of healthy-weight participants (88.8%) did not report any SUI symptoms after the treatment.
The efficacy of laser therapy for urinary incontinence was confirmed. Furthermore, it was observed that being overweight may be a risk factor for the failure of laser therapy.
压力性尿失禁（SUI）采用经闭孔吊带（TOT）手术治疗，但在某些情况下，人造网会出现问题。因此，在这种情况下，非侵入性激光治疗可能是有用的。本研究旨在比较这两种治疗方法的效果，并检查它们在不同身体质量指数（BMI）组中的适用性。
79 名临床诊断为 SUI 的患者被分为两组，一组倾向于 TOT，另一组倾向于经阴道分数微磨蚀 CO2 激光系统。在治疗前和治疗后 12 个月，对患者的 SUI 症状和国际尿失禁咨询问卷简表（ICIQ-SF）评分进行了测定。采用一般线性模型、斯图尔特-马克斯韦尔和 Bonferroni 校正进行配对比较分析，以比较治疗类型的疗效。
激光治疗组 ICIQ-SF 评分下降 56.8%，TOT 治疗组下降 43.5%（平均值±标准误差分别为 5.97±0.16 和 5.09±0.14）。激光治疗组的 ICIQ-SF 评分优于 TOT 治疗组（η2p：0.176，p<0.001）。无论治疗类型如何，健康体重参与者的 ICIQ-SF 评分下降幅度均大于超重参与者（η2p：0.050，p=0.045）。在 TOT 组中，治疗 1 年后，健康体重参与者完全恢复 SUI 症状的可能性是超重参与者的两倍多。在激光组中，大多数健康体重参与者（88.8%）在治疗后没有报告任何 SUI 症状。
证实了激光治疗尿失禁的疗效。此外，还观察到超重可能是激光治疗失败的一个风险因素。
