Abstract
Objectives:To investigate the efficacy and postoperative complications of lattice carbon dioxide laser in the treatment of postmenopausal patients with mild to moderate stress urinary incontinence.Methods:A total of 30 postmenopausal female patients with mild to moderate stress urinary incontinence, recruited from the Affiliated Hospital of Hebei University from September to November 2019, were selected as the study subjects and treated with lattice carbon dioxide laser therapy. Treatment was given at intervals of one month. The degree of urinary incontinence, the urinary incontinence questionnaire (ICI-Q-SF) score, and the urinary incontinence quality of life scale (I-QOL)) Score, surgical satisfaction, one hour pad test and postoperative complications before treatment and after each treatment of all patients were respectively recorded and compared.Results:Compared with those before treatment, the grade of urinary incontinence and ICI-Q-SF scores of these 30 patients after each treatment were lower, and their I-QOL scores were higher. The difference of one hour urine pad test was statistically significant (P<0.05), but the follow-up data of three months after the third treatment was close to that of one month after the first treatment. The satisfaction rate of these 30 patients was 76.67% (23/30). After treatment, only one patient presented vaginal itching discomfort on the first day after surgery and the symptoms disappeared three days later. No obvious complications occurred in the other 29 patients.Conclusion:The treatment of mild and moderate postmenopausal patients with stress urinary incontinence with lattice carbon dioxide laser can effectively reduce the incidence of incontinence and improve the quality of life.
Highlights
Stress urinary incontinence (SUI) is defined as the sudden increase in abdominal pressure and the involuntary leakage of urine from the urethral opening.[1]
The decline of pelvic floor support function caused by pelvic floor muscle relaxation or injury, the injury of surrounding tissues supporting urethra, and the pathological changes of urethral sphincter itself are the main causes of SUI
Ethical approval: The study was approved by the Institutional Ethics Committee of Affiliated Hospital of Hebei University (No.: HDFY-LL-2020-021) on November 1, 2019, and written informed consent was obtained from all participants Treatment Procedures: patients were treated with lattice carbon dioxide laser therapy, and the method was as follows: (1) Patients were placed in the lithotomy position
Summary
Stress urinary incontinence (SUI) is defined as the sudden increase in abdominal pressure and the involuntary leakage of urine from the urethral opening.[1]. The decline of pelvic floor support function caused by pelvic floor muscle relaxation or injury, the injury of surrounding tissues supporting urethra, and the pathological changes of urethral sphincter itself are the main causes of SUI. Based on this principle, the pelvic floor muscles of middle-aged and elderly women become more relaxed and damaged as they grow older and pregnant, resulting in the inevitable outcome of SUI. Lattice carbon dioxide laser is a new type of treatment method, which is characterized by short treatment time and quick effect.[5] In this study, the therapeutic effect of lattice carbon dioxide laser on patients with mild to moderate SUI was mainly explored, and the specific details are reported as follows
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