Evidence map›Paper›PMID 41221700›Full record

Trial reportBJOG : an international journal of obstetrics and gynaecology2026

Vaginal Erbium Laser for the Treatment of Mild-to-Moderate Stress Urinary Incontinence: A Multicentre Randomised Sham-Controlled Trial.

Christian Phillips, Geetika Shah, Marianne Gamper, Andrzej Kuszka, Kandiah Chandrakumaran, Volker Viereck

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BJOG : an international journal of obstetrics and gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03996070 (Randomised, Sham Controlled Trial of Fotona Smooth Erbium Yag Laser In the Treatment of Stress Urinary Incontinence), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03996070 nacompletednot on this map

Randomised, Sham Controlled Trial of Fotona Smooth Erbium Yag Laser In the Treatment of Stress Urinary Incontinence

TypeinterventionalSponsorHampshire Hospitals NHS Foundation TrustRan2022 to 2025Enrolled30ConditionsFemale Stress IncontinenceArmsLaser therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Christian PhillipsHampshire Hospitals Foundation Trust, Urogynaecology, Basingstoke, UK.ORCID https://orcid.org/0000-0002-7238-6200
Geetika ShahHampshire Hospitals Foundation Trust, Urogynaecology, Basingstoke, UK.
Marianne GamperKantonsspital, Urogynaecology, Frauenfeld, Switzerland.ORCID https://orcid.org/0000-0002-8235-1239
Andrzej KuszkaHochtaunus Kliniken, Bad Homburg, Germany.
Kandiah ChandrakumaranHampshire Hospitals Foundation Trust, Urogynaecology, Basingstoke, UK.
Volker ViereckKantonsspital, Urogynaecology, Frauenfeld, Switzerland.

Funding

British Society of Urogynaecology
6 · The paper itself

Abstract

objectiveTo assess whether Er:YAG laser is superior to sham in treating women with mild/moderate stress urinary incontinence (SUI).

designA single blinded, multi-centre RCT comparing Er:YAG laser to sham in women with mild/moderate SUI with patients blinded to allocated treatment.

settingThree urogynaecology departments in United Kingdom, Switzerland and Germany. POPULATION OR SAMPLE: 79 participants were recruited with mild/moderate SUI.

methodsParticipants were randomised (2 active: 1 sham) receiving 3 treatment sessions. Participants were assessed at baseline and 6 months post final treatment.

main outcome measuresPrimary outcome measure: cure defined as at least 50% reduction in 1 h pad weigh test (PWT) at 6 months compared to baseline (as per FDA guidelines). SECONDARY OUTCOMES: Change in PWT, (ICIQ-UI SF), (PISQ-12), cough test standing and supine and visual analogue score for pain.

results32/51 patients (62.7%) of patients were defined as cured (per FDA guidelines) in the laser group compared with 4/23 (18.2%) cure in the sham group, p < 0.001, (OR 7.6, 2.2-25.8 95% CI). There was a statistically and clinically significant improvement in patients treated with laser in PWT, ICIQ-UI SF and PISQ-12 at 6 months (3 g, p = 0.002, 5 points, p < 0.001 and 6 points, p < 0.001, respectively). There was no evidence of statistically significant differences in the sham group.

conclusionsThis RCT demonstrates a beneficial effect of Er:YAG laser in women with mild/moderate SUI compared with sham.

trial registrationwww. CLINICALTRIALS: gov (NCT03996070).

Indexed as

Lasers, Solid-StateUrinary Incontinence, StressAdultAgedFemaleHumansMiddle AgedSingle-Blind MethodTreatment OutcomeVaginaerbium:lasernon‐ablativestress urinary incontinencevaginalYAG

Identifiers

PMID41221700
PMCPMC12884245

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.