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. 2021 Mar;32(3):553-572.
doi: 10.1007/s00192-020-04548-2. Epub 2020 Nov 11.

The use of vaginal lasers in the treatment of urinary incontinence and overactive bladder, systematic review

Ali Alsulihem  1   2 , Jacques Corcos  3
Affiliations

The use of vaginal lasers in the treatment of urinary incontinence and overactive bladder, systematic review

Ali Alsulihem et al. Int Urogynecol J. 2021 Mar.

Abstract

Objectives: To evaluate the available literature to assess the safety, efficacy, and outcomes of lasers in the treatment of female stress urinary incontinence (SUI) and overactive bladder (OAB).

Methods: Pubmed search was conducted up to May 2020, including observational and investigational human studies that documented the effects on laser treatment in SUI and OAB.

Results: A total of 27 studies, recording subjective or objective measures in SUI or OAB were included. Lasers used included Er:YAG and Fractional CO2 lasers. The overall quality of studies was poor, and 23/27 studies were case series (LOE:4). Er:YAG laser showed a modest reduction in mild SUI cases, with benefits lasting a maximum of 13-16 months. Er:YAG laser for OAB showed conflicting results, with a trend to improve OAB symptoms for up to 12 months. Fractional CO2 laser showed an improvement of mild SUI in few studies; however, no long-term data are available. For OAB symptoms, studies showed minimal improvement that was evaluated in short term studies. When reported, adverse events were insignificant, however, they were not reported systematically. Several limitations have been noticed in the current literature of vaginal lasers, including large variation in laser settings and protocols, short term follow up, lack of urodynamic evaluation, and appropriate objective measures.

Conclusion: Based on the available literature, lasers cannot be recommended as a treatment option at this time. Future better-quality studies are needed to document the exact mechanism of action, longevity, safety and its eventual place into the current treatment algorithms of SUI and OAB.

Keywords: CO2 laser; Er:YAG laser; Overactive bladder; Urinary incontinence.

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References

    1. Holmquist ND, Bellina JH, Danos ML. Vaginal and cervical cytologic changes following laser treatment. Acta Cytol. 1976;20:290–4. - PubMed
    1. Roy M, Meisels A, Fortier M, et al. Vaginal condylomata: a human papillomavirus infection. Clin Obstet Gynecol. 1981;24:461–48. - PubMed
    1. Ostrzenski A. Vaginal rugation rejuvenation (restoration): a new surgical technique for an acquired sensation of wide/smooth vagina. Gynecol Obstet Investig. 2012;73:48–52.
    1. Salvatore S, Nappi RE, Zerbinati N, et al. A 12-week treatment with fractional CO2 laser for vulvovaginal atrophy: a pilot study. Climacteric. 2014;17:363–36. - PubMed
    1. American college of Obstetricians and Gynecologists (2016) Fractional laser treatment of vulvovaginal atrophy and US Food and Drug Administration clearance: position statement https://www.acog.org/clinical-information/policy-and-position-statements... Accessed 24 July 2020 .

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