Evidence map›Paper›PMID 39971728›Full record

ArticleLasers in surgery and medicine2025

The Effect of Vaginal Er:YAG Laser Therapy on Pelvic Floor Symptoms in Women With Stress Urinary Incontinence: A Single-Center Cohort Study.

Massimiliano Lia, Pavel Pilát, Laura Weydandt, Kaven Baessler, Tom Kempe, Bahriye Aktas

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Article in Lasers in surgery and medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Massimiliano LiaDepartment of Gynecology, University Hospital of Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0001-8285-3792
Pavel PilátDepartment of Gynecology, University Hospital of Leipzig, Leipzig, Germany.
Laura WeydandtDepartment of Gynecology, University Hospital of Leipzig, Leipzig, Germany.
Kaven BaesslerPelvic Floor Center Franziskus and St. Joseph Hospital, Berlin, Germany.
Tom KempeDepartment of Gynecology, University Hospital of Leipzig, Leipzig, Germany.
Bahriye AktasDepartment of Gynecology, University Hospital of Leipzig, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the effect of vaginal erbium:yttrium-aluminum-garnet (Er:YAG) laser therapy on pelvic floor symptoms in women with stress urinary incontinence (SUI).

methodsThis was a prospective, single-arm interventional study applying three Er:YAG laser treatments to patients with SUI. The German version of the validated Australian Pelvic Floor Questionnaire was used to quantify pelvic floor symptoms (bladder function, bowel function, sexual function, pelvic organ prolapse) over different time points (baseline, posttreatment, 3 months, and 6 months after treatment). Subgroups were compared to examine which factors influenced symptom development after the treatment.

resultsA total of 50 women received three Er:YAG laser treatments and had their symptoms evaluated at all time points of the study. All symptom complex scores, especially bladder function and sexual function, showed statistically significant improvements lasting for the whole study period. However, score improvements of bowel function and prolapse symptoms were likely not clinically meaningful, as they were below the minimal important difference (MID) of this questionnaire. Moreover, sexual function scores improved less when women additionally had urgency symptoms (i.e., mixed urinary incontinence [MUI]; p = 0.036).

conclusionVaginal Er:YAG laser therapy has the potential to improve pelvic floor symptoms linked to bladder function and sexual function in women with SUI. However, the positive effect on sexual function was lower if the women had MUI.

Indexed as

Lasers, Solid-StateUrinary Incontinence, StressAdultAgedFemaleHumansMiddle AgedProspective StudiesSurveys and QuestionnairesTreatment OutcomeVaginaEr:YAG lasermixed urinary incontinencestress urinary incontinencevaginal laser

Identifiers

PMID39971728
PMCPMC11950665

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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.