研究目的
To determine the efficacy and predictive factors for the success of Er:YAG laser treatment in patients with urinary incontinence (UI).
研究成果
Er:YAG laser treatment of the symptoms of UI, especially SUI, is more efficacious and of longer duration for younger, premenopausal or early postmenopausal women with normal BMI. Patient selection criteria are important for the success of the treatment.
研究不足
The study's limitations include the relatively small sample size, which may affect the statistical significance of some findings, and the lack of a specific questionnaire to measure the severity of urgency complaints in MUI patients.
1:Experimental Design and Method Selection:
A cohort study of 82 women with urinary incontinence (42 SUI and 40 MUI) treated by Er:YAG laser and evaluated by ICIQ-SF and KHQ-UI before and after the procedure. Improvement was categorized as none (0-25%), mild (26-50%), moderate (51-75%), or high (76-100%). The duration of the treatment effect was evaluated at follow-up in relation to maximum improvement time (MIT) and total improvement time (TIT).
2:Sample Selection and Data Sources:
Patients with UI evaluated, treated by Er:YAG laser, and followed up between 2014 and 2018. Patients with neurological disease, insulin-dependent diabetes mellitus, active urinary tract infection, hematuria, or undiagnosed vaginal bleeding were excluded.
3:Patients with neurological disease, insulin-dependent diabetes mellitus, active urinary tract infection, hematuria, or undiagnosed vaginal bleeding were excluded.
List of Experimental Equipment and Materials:
3. List of Experimental Equipment and Materials: A 2940 nm Er:YAG laser (SP Dynamis, Fotona, Slovenia) was used in the treatment procedure for SUI.
4:Experimental Procedures and Operational Workflow:
The Er:YAG laser treatment was performed by placing a glass speculum into the vagina, through which a specially designed laser adaptor was inserted. The treatment comprised three steps with specific passes and pulses.
5:Data Analysis Methods:
SPSS version 18.0 was used for statistical analysis. Descriptive statistics, paired T test, One-way Anova test, Fisher Least Significant Difference (LSD) Test, and Pearson Chi-square test were used.
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