Effects of laser procedure for female urodynamic stress incontinence on pad weight, urodynamics, and sexual function

Yi-Wen Tien; Sheng-Mou Hsiao; Chien-Nan Lee; Ho-Hsiung Lin

doi:10.1007/s00192-016-3129-y

Effects of laser procedure for female urodynamic stress incontinence on pad weight, urodynamics, and sexual function

Int Urogynecol J. 2017 Mar;28(3):469-476. doi: 10.1007/s00192-016-3129-y. Epub 2016 Sep 8.

Authors

Yi-Wen Tien^{1

2}, Sheng-Mou Hsiao³, Chien-Nan Lee², Ho-Hsiung Lin⁴

Affiliations

¹ Department of Obstetrics and Gynecology, Chang-Hua Hospital, Ministry of Health and Welfare, Chang-Hua, Taiwan.
² Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, No. 8 Chung-Shan South Road, Taipei, 100, Taiwan.
³ Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei, Taiwan.
⁴ Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, No. 8 Chung-Shan South Road, Taipei, 100, Taiwan. hhlin@ntuh.gov.tw.

PMID: 27631824
DOI: 10.1007/s00192-016-3129-y

Abstract

Introduction and hypothesis: The impact of the IncontiLase^TM procedure on lower urinary tract symptoms (LUTS) remains unclear. Our aim was to evaluate the effects of the IncontiLase^TM procedure for urodynamic stress incontinence (USI).

Methods: All consecutive women with USI prospectively underwent the IncontiLase^TM procedure. Urodynamic studies, pad testing, LUTS, and sexual function questionnaires were assessed before and after treatment.

Results: Thirty-five women underwent the IncontiLase^TM procedure. Among the 28 women with baseline pad weights >1 g, 11 (39.3 %) were objectively cured and 11 (39.3 %) improved. Among the 18 women with mild USI (i.e., baseline pad weight 1-10 g), nine (50 %) were cured and five (27.8 %) improved. Among ten women with baseline pad weight >10 g, two (20 %) were cured and six (60 %) improved. Among the 32 women with complete questionnaire data at 6 months, seven (21.9 %) were subjectively cured, and four (12.5 %) improved. Regarding LUTS, the majority of domains on the King's Health Questionnaire and female sexual desire and function exhibited significant improvements. Forty percent (12/30) of the partners of these patients felt their sexual function had improved at 6 months. Nonetheless, urodynamic values did not differ across the timeline.

Conclusions: The effect of the IncontiLase^TM procedure for mild USI was moderate at 6-month follow-up but was not effective for pad weight >10 g. Moreover, it improved LUTS, quality of life, QoL, and sexual function of both partners. Further studies should be performed to assess long-term sustained efficacy.

Keywords: Laser therapy; Physiological; Sexual dysfunction; Stress; Urinary incontinence; Urodynamics.

MeSH terms

Adult
Female
Humans
Incontinence Pads*
Lasers, Solid-State / therapeutic use
Middle Aged
Prospective Studies
Quality of Life
Sexual Dysfunction, Physiological / etiology*
Surveys and Questionnaires
Treatment Outcome
Urinary Incontinence, Stress / therapy*
Urodynamics