title: Effects of laser procedure for female urodynamic stress incontinence on pad weight, urodynamics, and sexual function.
abstract: OBJECTIVE
  The impact of the IncontiLaseTMprocedure on lower urinary tract symptoms (LUTS) remains unclear. Our aim was to evaluate the effects of the IncontiLaseTMprocedure for urodynamic stress incontinence (USI).
  
  
  METHODS
  All consecutive women with USI prospectively underwent the IncontiLaseTMprocedure. Urodynamic studies, pad testing, LUTS, and sexual function questionnaires were assessed before and after treatment.
  
  
  RESULTS
  Thirty-five women underwent the IncontiLaseTMprocedure. Among the 28 women with baseline pad weights >1 g, 11 (39.3 %) were objectively cured and 11 (39.3 %) improved. Among the 18 women with mild USI (i.e., baseline pad weight 1-10 g), nine (50 %) were cured and five (27.8 %) improved. Among ten women with baseline pad weight >10 g, two (20 %) were cured and six (60 %) improved. Among the 32 women with complete questionnaire data at 6 months, seven (21.9 %) were subjectively cured, and four (12.5 %) improved. Regarding LUTS, the majority of domains on the King's Health Questionnaire and female sexual desire and function exhibited significant improvements. Forty percent (12/30) of the partners of these patients felt their sexual function had improved at 6 months. Nonetheless, urodynamic values did not differ across the timeline.
  
  
  CONCLUSIONS
  The effect of the IncontiLaseTMprocedure for mild USI was moderate at 6-month follow-up but was not effective for pad weight >10 g. Moreover, it improved LUTS, quality of life, QoL, and sexual function of both partners. Further studies should be performed to assess long-term sustained efficacy.
authors.affiliation: Department of Obstetrics and Gynecology, Chang-Hua Hospital, Ministry of Health and Welfare, Chang-Hua, Taiwan.|Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, No. 8 Chung-Shan South Road, Taipei, 100, Taiwan.
authors.forename: Yi-Wen
authors.initials: YW
authors.lastname: Tien
authors.affiliation: Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei, Taiwan.
authors.forename: Sheng-Mou
authors.initials: SM
authors.lastname: Hsiao
authors.affiliation: Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, No. 8 Chung-Shan South Road, Taipei, 100, Taiwan.
authors.forename: Chien-Nan
authors.initials: CN
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, No. 8 Chung-Shan South Road, Taipei, 100, Taiwan. hhlin@ntuh.gov.tw.
authors.forename: Ho-Hsiung
authors.initials: HH
authors.lastname: Lin
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016496:Incontinence Pads; D053844:Lasers, Solid-State / Q000627:therapeutic use; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000628:therapy*; D014563:Urodynamics
keywords: Laser therapy; Physiological; Sexual dysfunction; Stress; Urinary incontinence; Urodynamics