Title: Micro hyperthermia by laser as non-invasive treatment for SUI - two year follow up

Biography:

Andrzej Kuszka MD. Chefarzt Gynäkologie/ Head of Gynecology and Obsterics bei Die Klinik in Preetz. Die Klinik in PreetzRuprecht-Karls-Universität Heidelberg

Abstract

Regarding the etiology of female stress urine incontinence (SUI) one important parameter is a lack of support function for bladder and urethra by pelvic floor, caused by the structure of connective tissue in endopelvic fascia.(1) Despite the benefit of mesh or sling, some patients will not accept (fear of surgery, lighter cases f SUI ). The non-invasive micro hyperthermia by laser is a promising new therapeutic option. (2,3) Being conducted between 2016 and 2019 , our prospective study (4) aimed the mid-term results (24 month) of laser treatment according to the severity of  SUI.  Fifty-nine women, 32 mild (SUI I), 16 moderate (SUI II) and 11 severe  (SUI III) cases were included. Laser therapy was performed with  Erbium:YAG laser (Fotona) following the IncontiLase^® protocol (5). Patients received 5 laser treatments, one at baseline, and one at 1, 2, 3 and 4 months. Objective (pad test) and subjective data (ICIQ-UI SF and PISQ-12 questionnaires) were assessed at baseline, 1 month after the 2nd session, 6 months and 2 years after the 5th session.