Evidence map›Paper›PMID 31828400›Full record

ArticleInternational urogynecology journal2020

Erbium:YAG laser treatment of female stress urinary incontinence: midterm data.

Andrzej Kuszka, Marianne Gamper, Claudia Walser, Jacek Kociszewski, Volker Viereck

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05344716 narecruitingnot on this mapstarted 2022, after this paper: background citation

Monocentric, Prospective Pilot Study to Test the Efficacy and Safety of the FotonaSmooth Erbium:YAG Laser for the Treatment of Urethral Pain Syndrome in Women

TypeinterventionalSponsorProf. Dr. Volker ViereckRan2022 to 2027Enrolled30ConditionsPelvic Pain SyndromeArmsLaser
NCT05670392 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Advantage of Combined Non-ablative Erbium Yttrium Aluminum Garnet Laser and High Intensity Tesla Magnetic Stimulation for Treatment of Female Stress Urinary Incontinence

TypeinterventionalSponsorCork University Maternity HospitalRan2023 to 2025Enrolled50ConditionsStress Urinary IncontinenceArmslaser and High intensity Tesla magnetic stimulation, laser (without HITS treatment)
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  10. The Long-Term Effectiveness of Fractional COInternational urogynecology journal · 2026
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  16. Urinary Incontinence and Pelvic Organ Prolapse in Women.Deutsches Arzteblatt international · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Andrzej KuszkaDepartment of Gynecology and Obstetrics, Lutheran Hospital, Hagen-Haspe, Germany.
Marianne GamperDepartment of Gynecology and Obstetrics, Cantonal Hospital Frauenfeld, 8501 Frauenfeld, Switzerland.
Claudia WalserDepartment of Gynecology and Obstetrics, Cantonal Hospital Frauenfeld, 8501 Frauenfeld, Switzerland.
Jacek KociszewskiDepartment of Gynecology and Obstetrics, Lutheran Hospital, Hagen-Haspe, Germany.
Volker ViereckDepartment of Gynecology and Obstetrics, Cantonal Hospital Frauenfeld, 8501 Frauenfeld, Switzerland. volker.viereck@stgag.ch.ORCID 0000-0002-1116-8912
Kantonsspital Frauenfeld · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisStress urinary incontinence (SUI) is treated using intravaginal laser therapy. We wanted to find out how incontinence severity at baseline and the number of laser interventions affect success rate, and whether the effect of laser therapy was obvious 6 months and 2 years after the last laser intervention.

methodsFifty-nine women, 32 with SUI I, 16 with SUI II, and 11 with SUI III were treated using an erbium-doped yttrium aluminium garnet (Er:YAG) laser following the IncontiLase® protocol. Therapy included five laser sessions with a 1-month interval between sessions. Objective (1-h pad test) and subjective data (International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form [ICIQ-UI SF], Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire [PISQ-12]) were assessed at baseline, after two and four laser sessions and 6 months and 2 years after the fifth laser session.

resultsObjective cure/improve rates for mild SUI I were 69%, 78%, 91%, and 78% after two, four, and five laser sessions at the 6-month and 2-year follow-ups. Subjective cure rates (ICIQ-UI SF) were 53%, 69%, 72%, and 66%, and sexual function (PISQ-12) also improved. For SUI II, objective cure/improve rates were 31%, 63%, 69%, and 50%. Subjective cure rate was 13% at the 2-year follow-up. For SUI III, only one patient had an objective improvement after two and four laser sessions.

conclusionsIntravaginal laser therapy led to cure/improvement for SUI I and SUI II, but not for severe SUI III. Outcome was better after four to five laser sessions than after two laser sessions. Follow-up data 6 months and 2 years after laser intervention showed sustainability of the treatment.

Indexed as

Lasers, Solid-StateLaser TherapyUrinary Incontinence, StressErbiumFemaleHumansSurveys and QuestionnairesTreatment OutcomeErbium1-h pad testErbium:YAG laserICIQ-UI SFIntravaginal laser therapyNon-ablative SMOOTH modeStress urinary incontinence

Identifiers

PMID31828400
OpenAlexW2995685302

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.