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BioMed Research International
Volume 2019, Article ID 1576359, 9 pages
https://doi.org/10.1155/2019/1576359
Review Article

Laser Therapy in the Treatment of Female Urinary Incontinence and Genitourinary Syndrome of Menopause: An Update

1Outpatient Clinic Ob&Gyn, Rogaška Slatina, Slovenia
2School of Medicine, University of Maribor, Slovenia
3Ob&Gyn and Menopause Clinic, Zagreb, Croatia
4Institute for Women's Health, Zagreb, Croatia

Correspondence should be addressed to Damir Franić; is.senra.tseug@cinarf.rimad

Received 30 December 2018; Revised 5 April 2019; Accepted 10 May 2019; Published 4 June 2019

Academic Editor: Guiming Liu

Copyright © 2019 Damir Franić and Ivan Fistonić. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Vaginal birth trauma is the leading cause of stress urinary incontinence (SUI) in women. Also, the process of ageing and hormonal deprivation in postmenopause alters the metabolism of connective tissues and decreases collagen production leading to pelvic floor dysfunction. Noninvasive treatment is recommended as first-line management of urinary incontinence (UI) in women. Surgical procedures are more likely to be implemented to cure UI but are associated with more adverse events. Sex hormone deficiency affects changes also in the lower urinary tract where estrogens are the main regulators of physiological functions of the vagina. In the last decade, laser treatment of SUI and of the genitourinary syndrome of menopause (GSM) has been shown a promising treatment method in peer-reviewed literature. This review’s aim is to present the evidence-based medical data and laser treatment of SUI and GSM in an outpatient setting to be a good treatment option, regarding short-term as well as long-term follow-ups. Long-term follow-up studies are needed to confirm that laser treatment is a good, painless outpatient procedure with no side effects in postmenopausal women.