Long Cheng-Yu, Chang Chieh-Yu, Sung I-Chieh, Loo Zi-Xi, Lin Kun-Ling
Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Department of Obstetrics and Gynecology, Kaohsiung Municipal Siao-Gang Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Biomedicines. 2024 Oct 9;12(10):2288. doi: 10.3390/biomedicines12102288.
Stress urinary incontinence (SUI) negatively affects the quality of life and sexual function in women. This study aimed to evaluate the efficacy of radiofrequency (RF) therapy in reducing SUI symptoms and its impact on sexual function. Thirty-four women with SUI were enrolled and underwent a single RF treatment session using the Viveve System (Viveve Medical Inc., USA) with parameters of 90 J/cm and 220 pulses per hour. Assessments at baseline and 6 months post treatment included perineal ultrasound and personal interviews to evaluate lower urinary tract symptoms and sexual function. Urodynamic studies, voiding diaries, and questionnaires such as the Female Sexual Function Index (FSFI), Overactive Bladder Symptom Score (OABSS), Urogenital Distress Inventory-6 (UDI-6), Incontinence Impact Questionnaire-7 (IIQ-7), and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) measured outcomes. RF therapy significantly improved sexual function, with higher FSFI scores in all domains except pain at 6 months. SUI symptoms were significantly reduced, as indicated by improved scores on OABSS, UDI-6, IIQ-7, and ICIQ-SF, alongside better voiding diary results. Anatomical changes included reduced bladder neck mobility, decreased vaginal width, and a reduced rotation angle of the proximal urethra. RF therapy is effective and safe for treating mild to moderate SUI and enhances sexual function, potentially due to changes in vaginal topography. These results suggest RF therapy as a viable non-surgical option for managing SUI and improving sexual health.
压力性尿失禁（SUI）对女性的生活质量和性功能有负面影响。本研究旨在评估射频（RF）治疗在减轻SUI症状及其对性功能影响方面的疗效。34例SUI女性患者入组，使用Viveve系统（美国Viveve Medical公司）进行单次RF治疗，参数为90 J/cm和每小时220脉冲。治疗前基线和治疗后6个月的评估包括会阴部超声检查和个人访谈，以评估下尿路症状和性功能。通过尿动力学研究、排尿日记以及诸如女性性功能指数（FSFI）、膀胱过度活动症症状评分（OABSS）、泌尿生殖系统困扰量表-6（UDI-6）、尿失禁影响问卷-7（IIQ-7）和国际尿失禁咨询问卷简表（ICIQ-SF）等问卷来衡量结果。RF治疗显著改善了性功能，在6个月时除疼痛外所有领域的FSFI评分均更高。OABSS、UDI-6、IIQ-7和ICIQ-SF评分的改善表明SUI症状显著减轻，同时排尿日记结果也更好。解剖学变化包括膀胱颈活动度降低、阴道宽度减小以及近端尿道旋转角度减小。RF治疗对于治疗轻至中度SUI有效且安全，并可增强性功能，这可能归因于阴道形态的改变。这些结果表明RF治疗是一种可行的非手术选择，可用于管理SUI和改善性健康。
