Petca Aida, Fotă Andreea, Petca Răzvan-Cosmin, Rotar Ioana Cristina
Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, 8 Eroii Sanitari Blvd., 050474 Bucharest, Romania.
Department of Obstetrics and Gynecology, Elias University Emergency Hospital, 17 Mărăști Blvd., 050474 Bucharest, Romania.
J Clin Med. 2025 May 8;14(10):3268. doi: 10.3390/jcm14103268.
Stress urinary incontinence (SUI) is characterized by the involuntary leakage of urine during activities that increase intra-abdominal pressure. The management of SUI encompasses surgical treatments, such as colposuspension and sling procedures, and nonsurgical ones that involve pelvic floor muscle treatment, behavioral therapies, as well as pharmacological interventions. By exploring nonsurgical options initially, individuals have the opportunity to address the root causes of stress urinary incontinence and strengthen pelvic floor muscles. : This article delves into the conservative measures in managing SUI among women and the options of minimally invasive strategies for SUI, such as the injection of platelet-rich plasma, stem cells, bulking agents, and laser and radiofrequency therapy. : A search of the literature from 2010 until January 2024 was carried out on PubMed, Cochrane Library, and Web of Science research databases. : A total of 34 studies on human females assessing the roles of platelet-rich plasma, laser and radiofrequency therapy, bulking agents, and stem cell therapy were included. : The shortcoming of most conservative techniques seems to be represented by the temporary effects and the necessity of repeated treatments. To establish effective medical techniques, adopting more standardized procedures and conducting comprehensive randomized controlled trials is imperative.
压力性尿失禁(SUI)的特征是在增加腹内压的活动期间出现尿液不自主漏出。SUI的治疗包括手术治疗,如阴道前壁修补术和吊带手术,以及非手术治疗,包括盆底肌肉治疗、行为疗法和药物干预。通过首先探索非手术选择,个体有机会解决压力性尿失禁的根本原因并加强盆底肌肉。本文深入探讨了女性压力性尿失禁管理中的保守措施以及压力性尿失禁的微创策略选择,如注射富血小板血浆、干细胞、填充剂以及激光和射频治疗。在PubMed、Cochrane图书馆和科学网研究数据库上对2010年至2024年1月的文献进行了检索。总共纳入了34项评估富血小板血浆、激光和射频治疗、填充剂以及干细胞治疗作用的针对人类女性的研究。大多数保守技术的缺点似乎表现为效果短暂以及需要重复治疗。为建立有效的医学技术,采用更标准化的程序并进行全面的随机对照试验势在必行。