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探索激光疗法在压力性尿失禁治疗中的作用:一项文献综述。

Exploring the role of laser therapy for stress urinary incontinence: a literature review.

作者信息

Li Pei-Chen, Ding Dah-Ching

机构信息

Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan.

Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan.

出版信息

Lasers Med Sci. 2025 Mar 5;40(1):125. doi: 10.1007/s10103-025-04385-z.

Abstract

Stress urinary incontinence (SUI) significantly impacts the quality of life, necessitating innovative treatment options beyond conventional approaches. This comprehensive review aimed to evaluate laser therapy as a promising intervention for SUI management. A systematic search was conducted using the keywords "laser" and "stress urinary incontinence" in the PubMed, Scopus, Web of Science, and Embase databases. The search covers studies from January 1, 2014, to November 30, 2024. A comparative analysis with traditional treatments, such as pelvic floor exercises and medications, underscores the potential advantages and limitations of laser therapy. Clinical studies and research findings are examined to evaluate the efficacy and safety profile of laser therapy, including its short-term success rates and potential complications. Patient experiences and perspectives provide a qualitative dimension, offering insights into the real-world impact and challenges associated with laser therapy for SUI. This review also explores the cost-effectiveness of laser therapy and compares its long-term and short-term effects, positioning it within the broader landscape of SUI management. Future trends and ongoing research are outlined, highlighting the potential integration of laser therapy with multimodal approaches. Recommendations for clinical practice emphasize patient selection criteria and address concerns and expectations, ensuring laser therapy is adopted as a valuable and evidence-based addition to SUI management.

摘要

压力性尿失禁(SUI)对生活质量有显著影响,因此需要有超越传统方法的创新治疗方案。本综述旨在评估激光治疗作为一种有前景的SUI治疗干预手段。在PubMed、Scopus、Web of Science和Embase数据库中使用关键词“激光”和“压力性尿失禁”进行了系统检索。检索涵盖了2014年1月1日至2024年11月30日的研究。与传统治疗方法(如盆底肌锻炼和药物治疗)的对比分析突出了激光治疗的潜在优势和局限性。对临床研究和研究结果进行了审查,以评估激光治疗的疗效和安全性,包括其短期成功率和潜在并发症。患者的经历和观点提供了一个定性维度,深入了解了激光治疗SUI在现实世界中的影响和挑战。本综述还探讨了激光治疗的成本效益,并比较了其长期和短期效果,将其置于SUI治疗的更广泛背景中。概述了未来趋势和正在进行的研究,强调了激光治疗与多模式方法潜在的整合。临床实践建议强调患者选择标准,并解决相关问题和期望,确保激光治疗作为SUI治疗中有价值的循证补充手段被采用。

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