Okui Nobuo
Urogynecology, Yokosuka Urogynecology and Urology Clinic, Ootaki 2-6, Yokosuka, 238-0008, Kanagawa, Japan.
Mathematics, Kanagawa Dental University, Inaoka-cyou 82, Yokosuka, 238-0008, Kanagawa, Japan.
Sci Rep. 2025 May 2;15(1):15450. doi: 10.1038/s41598-025-00363-1.
Efficient treatment strategies for stress urinary incontinence (SUI) in elite female athletes (EFAs) are crucial for their timely return to sports. This study evaluates the effectiveness and potential drawbacks of non-ablative Er: YAG laser therapy combined with pelvic floor muscle training (PFMT) in treating SUI among EFAs. We employ a discrete mathematics analytical approach using network graphs to identify key factors influencing treatment outcomes and to address the challenges of small sample sizes and unknown variables in this population. Our results demonstrate significant improvements in urinary incontinence symptoms and increased return rates to elite sports activities in the laser treatment group compared to the PFMT-only group. The discrete mathematics approach effectively visualizes the complex relationships between variables and supports the development of personalized treatment plans. This study highlights the potential of laser therapy as an effective treatment option for SUI in EFAs while emphasizing the importance of tailored treatment strategies.
有效的压力性尿失禁（SUI）治疗策略对于精英女性运动员（EFA）及时重返运动至关重要。本研究评估非消融性铒激光治疗联合盆底肌训练（PFMT）在治疗精英女性运动员压力性尿失禁中的有效性和潜在缺点。我们采用离散数学分析方法，利用网络图识别影响治疗结果的关键因素，并解决该人群样本量小和变量未知的挑战。我们的结果表明，与仅进行盆底肌训练的组相比，激光治疗组的尿失禁症状有显著改善，精英体育活动的回归率提高。离散数学方法有效地可视化了变量之间的复杂关系，并支持制定个性化治疗方案。本研究强调了激光治疗作为精英女性运动员压力性尿失禁有效治疗选择的潜力，同时强调了量身定制治疗策略的重要性。
