摘要： The role of intravaginal laser therapy for the treatment of women with a clinical and urodynamic diagnosis of stress urinary incontinence (SUI) or mixed urinary incontinence was the focus of the recent study by Kuszka and colleagues. To evaluate subjective and objective outcomes of Er:YAG therapy with SMOOTH mode technology, the authors enrolled 59 women, of whom 32 had grade I (54%), 16 had grade II (27%), and 11 had grade III SUI (19%). Using validated questionnaires (ICIQ-UI SF, PISQ 12) and 1-h pad weight at baseline, after two, four, and five laser sessions, and at 6-mo and 2-yr follow-up, the authors found that intravaginal laser therapy led to cure/improvement for grades I and II but not for severe SUI. At least three laser sessions at intervals of 1 mo are required to obtain better results from laser therapy. Outcomes at the 6-mo and 2-yr follow-up visits were similar, indicating that laser treatment is suitable and does not need to be repeated within 2 yr.