Comparison between erbium-doped yttrium aluminum garnet laser therapy and sling procedures in the treatment of stress and mixed urinary incontinence.
Comparison between erbium-doped yttrium aluminum garnet laser therapy and sling procedures in the treatment of stress and mixed urinary incontinence.
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在治疗压力和混合尿失禁的治疗中，掺杂的氧化铝铝铝铝铝铝业铝业疗法与吊带手术之间的比较。
DOI：
10.1007/s00345-018-2445-x
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发表时间：
2019-05
影响因子：
3.4
通讯作者：
Okui N
中科院分区：
文献类型：
--
作者：
Okui N
压力性尿失禁（SUI）和混合性尿失禁（MUI）导致生活质量差。在日本，尿失禁的治疗采用无张力阴道吊带（TVT）或经闭孔尿道吊带（TOT）悬吊术，其中包括插入合成材料;然而，在某些情况下，人工网状物会出现问题，需要新的治疗方法。因此，激光治疗，其中掺铒钇铝石榴石激光被引导到阴道和尿道，可能是有用的。该研究旨在比较这三种治疗方法的效果。受试者包括接受TVT、TOT或激光治疗的患者（各n = 50）。分别于治疗前及治疗后12个月采用1小时尿垫试验、国际膀胱过度活动症问卷简表（ICIQ-SF）、膀胱过度活动症症状评分进行评估。对于激光治疗，在将局部麻醉剂施加到阴道壁之后将探针插入阴道中，并且以2940 nm的波长进行照射20分钟。这种治疗每隔一个月进行三次。根据1小时垫试验和ICIQ-SF，TVT、TOT和激光治疗组的SUI改善相当。对于MUI患者，TVT和TOT组中的一些患者显示恶化;然而，激光治疗组中的所有患者均趋于改善。证实了激光治疗尿失禁的有效性。这是第一个研究报告的影响，激光治疗尿失禁的日本妇女。
Stress urinary incontinence (SUI) and mixed urinary incontinence (MUI) lead to poor quality of life. In Japan, urinary incontinence is treated with tension-free vaginal tape (TVT) or transobturator tape (TOT) sling procedures, which involves inserting a synthetic material; however, problems arise with artificial mesh in some instances, requiring new treatment methods. Hence, laser therapy, whereby an erbium-doped yttrium aluminum garnet laser is directed into the vagina and urethra, may be useful. The study aimed to compare the effects of these three treatments. Subjects included patients who received TVT, TOT, or laser therapy (n = 50 each). The 1-h pad test, International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and overactive bladder symptom score were used to assess the patients before and 12 months after treatment. For laser therapy, a probe was inserted into the vagina after applying a local anesthetic to the vaginal wall, and irradiation was performed for 20 min at a wavelength of 2940 nm. This treatment was performed three times every alternate month. As per the 1-h pad test and ICIQ-SF, the TVT, TOT, and laser therapy groups showed comparable improvements in SUI. For patients with MUI, some in the TVT and TOT groups showed exacerbation; however, all patients in the laser therapy group tended to improve. The efficacy of laser therapy for urinary incontinence was confirmed. This is the first study to report on the effect of laser therapy on urinary incontinence in Japanese women.
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影响因子：
23.4
作者：
Abdel-Fattah, A;Barrington, JW;Youssef, M
通讯作者：
Youssef, M
影响因子：
6.6
作者：
Choe, JM;Ogan, K;Battino, BS
通讯作者：
Battino, BS
影响因子：
1.8
作者：
Collinet, Pierre;Ciofu, Calin;Haab, Francois
通讯作者：
Haab, Francois
影响因子：
2.1
作者：
Gaspar, Adrian;Brandi, Hugo
通讯作者：
Brandi, Hugo
影响因子：
2
作者：
Deng, Donna Y.;Rutman, Matthew;Rodriguez, Larissa V.
通讯作者：
Rodriguez, Larissa V.