IncontiLase®
Tratamiento de incontinencia urinaria de esfuerzo
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IncontiLase® es un tratamiento con láser Er:YAG no invasivo, pendiente de patente, para el tratamiento de la incontinencia urinaria de esfuerzo leve y moderada, basado en la estimulación fototérmica no ablativa de la neogénesis del colágeno, el encogimiento y estrechamiento del tejido de la mucosa vaginal y la fascia endopélvica rica en colágeno, aportando así un mayor soporte a la vejiga.
La terapia con IncontiLase se recomienda en casos de incontinencia urinaria de esfuerzo leve y moderada y la incontinencia urinaria mixta (IUE). Los estudios clínicos realizados demuestran que se trata de un procedimiento eficaz, fácil de realizar y seguro.
En el siguiente Compendio de Estudios Clínicos se encuentran los resúmenes de los estudios científicos publicados que evalúan la efectividad y seguridad de la terapia con láser de Fotona SMOOTH® en ginecología.
Resultados clínicos
Clinical Results
Stress Urinary Incontinence Treatment
Courtesy of: Urska B. Ogrinc, MD & Sabina Sencar, MD & Helena Lenasi,
MD
Laser source: Non-Ablative Er:YAG
¿Qué es VSP?
El sistema VSP (pulso cuadrado variable) es una solución patentada para generar pulsos láser cuadrados para una absorción de energía más controlada. La duración de los pulsos puede ajustarse entre 50 y 1500 us, en función de las necesidades del profesional. El sistema de pulsos VSP minimiza la absorción innecesaria de energía láser en los tejidos corporales y ayuda a garantizar el máximo rendimiento y la máxima comodidad del paciente durante los tratamientos con láser.
Investigación científica y clínica
Bibliografía de investigación científica y clínica:
Vaginal erbium laser treatment for stress urinary incontinence: A multicenter randomized sham-controlled clinical trial - Read Full Text.
O'Reilly BA, Viereck V, Phillips C, Toozs-Hobson P, Kuhn A, Athanasiou S, Lukanović A, Palmer B, Dahly D, Daykan Y, Cardozo L. Int J Gynaecol Obstet. 2023 Nov 5. doi: 10.1002/ijgo.15222
Efficacy and safety of intraurethral Erbium:YAG laser treatment in women with stress urinary incontinence following failed intravaginal laser therapy: a retrospective study - Read Full Text.
Tseng YL, Su CF. Lasers Med Sci. 2023 Sep 9;38(1):207. doi: 10.1007/s10103-023-03872-5
Comparison of Er:YAG and CO(2) laser therapy for women with stress urinary incontinence - Read Full Text.
Li, P.-C. & Ding, D.-C. Lasers Surg Med. 2023; 1– 9. https://doi.org/10.1002/lsm.23694
Long-Term Improvement in Urinary Incontinence in an Elite Female Athlete Through the Laser Treatment: A Case Report - Read Full Text.
Okui, N., Ikegami, T., Mikic, A.N., Okui, M. & Gaspar, A., Cureus. 2023 Mar 27;15(3):e36730. doi: 10.7759/cureus.36730.
SUI in postmenopausal women: advantages of an intraurethral + intravaginal Er:YAG laser - Read Full Text.
Erel, C.T., Gambacciani, M., Ozcivit Erkan, I.B., Gokmen Inan, N., Hamzaoglu Canbolat, K. & Fidecicchi, T., 2023. Climacteric : the journal of the International Menopause Society, pp.1–7
Erbium Laser Thermo-Therapy for Female Stress Urinary Incontinence – 18 months Follow-up - Read Full Text.
Mikić Novakov, A., Bingold, B. L., Korošec, B., & Vi, Z. (2022). LA&HA - Journal of the Laser and Health Academy, 201–5
First assessment of short-term efficacy of Er:YAG laser treatment on stress urinary incontinence in women: prospective cohort study - Read Full Text.
Fistonić N, Fistonić I, Lukanovič A, Guštek ŠF, Turina IS, Franić D. Climacteric. 2015 Oct;18 Suppl 1:37-42.
Novel minimally invasive laser treatment of urinary incontinence in women - Read Full Text.
Ogrinc UB, Senčar S, Lenasi H. Lasers Surg Med., 2015: 47(9): 689-97.
Effects of laser procedure for female urodynamic stress incontinence on pad weight, urodynamics, and sexual function - Read Full Text.
Tien YV, et al. Tien YW, Hsiao SM, Lee CN, Lin HH. International Urogynecology Journal, 2017, Mar 1;28(3):469-76.
Minimally invasive, non-ablative Er:YAG laser treatment of stress urinary incontinence in women – a pilot study - Read Full Text.
Fistonic N, Fistonic I, Findri Gustek S, Sorta Bilajac Turina I, Franic D, Vizintin Z, Kazic M, Hreljac I, Perhavec T, Lukac M. Lasers in Medical Science, 2016: vol. 31 (4) pp 635-43.
Non-ablative erbium YAG laser for the treatment of type III stress urinary incontinence (intrinsic sphincter deficiency) - Read Full Text.
Gaspar A, Brandi H. Lasers in medical science. 2017 Apr 1;32(3): 685-91.
Baseline ICIQ-UI score, body mass index, age, average birth weight, and perineometry duration as promising predictors of the short-term efficacy of Er:YAG laser treatment in stress urinary incontinent women: A prospective cohort study - Read Full Text.
Fistonić I, Fistonić N. Lasers Surg Med. 2018 Jan 23. doi: 10.1002/lsm.22789
Non-ablative Er:YAG Laser Therapy Effect on Stress Urinary Incontinence Related to Quality of Life and Sexual Function: A Randomized Controlled Trial - Read Full Text.
Blaganje, M., Šćepanović, D., Žgur, L., Verdenik, I., Pajk, F., Lukanović, A. European Journal of Obstetrics & Gynecology and Reproductive Biology 224 (2018):153–158
Comparison between erbium ‑ doped yttrium aluminum garnet laser therapy and sling procedures in the treatment of stress and mixed urinary incontinence - Read Full Text.
Okui N. World J Urol. 2019 May;37(5):885-889. doi: 10.1007/s00345-018-2445-x
The short-term outcome of laser in the management of female pelvic floor disorders: Focus on stress urine incontinence and sexual dysfunction - Read Full Text.
Lin HY, Tsai HW, Tsui KH, An YF, Lo CC, Lin ZH, Liou WS, Wang PH. Taiwan J Obstet Gynecol. 2018 Dec;57(6):825-829. doi: 10.1016/j.tjog.2018.10.010
Predictive factors for the efficacy of Er:YAG laser treatment of urinary incontinence - Read Full Text.
Erel CT, Inan D, Mut A. Maturitas. 2020 Feb;132:1-6. doi: 10.1016/j.maturitas.2019.11.003
Erbium:YAG laser treatment of female stress urinary incontinence: midterm data - Read Full Text.
Kuszka, A., Gamper, M., Walser, C. et al. Int Urogynecol J 31, 1859–1866 (2020). https://doi.org/10.1007/s00192-019-04148-9
Er:YAG laser treatment of urinary incontinence after failed TOT/TVT procedures - Read Full Text.
Erel, C.T. et al. European journal of obstetrics, gynecology, and reproductive biology (2020), 252, pp.399–403.
Safety of vaginal erbium laser: A review of 113,000 patients treated in the past 8 years - Read Full Text.
Gambacciani M, Cervigni M, Gaspar A, Novakov Mikić A, Gaviria J, Koron N, Vizintin Z. Climacteric. 2020;23(sup1):S28-S32. doi: 10.1080/13697137.2020.1813098
Er:YAG laser in hysterectomized women with stress urinary incontinence: a VELA retrospective cohort, non-inferiority study - Read Full Text.
C. T. Erel, I. Fistonić, M. Gambacciani, Y. Oner & N. Fistonić. Climacteric (2020), 23:sup1, S18-S23
Comparison of urethral sling surgery and non-ablative vaginal Erbium:YAG laser treatment in 327 patients with stress urinary incontinence: a case-matching analysis - Read Full Text.
Okui N, Miyazaki H, Takahashi W, Miyauchi T, Ito C, Okui M, Shigemori K, Miyazaki Y, Vizintin Z, Lukac M. Lasers Med Sci. 2022 Feb;37(1):655-663. doi: 10.1007/s10103-021-03317-x
Vaginal erbium laser for treatment of stress urinary incontinence: optimization of treatment regimen for a sustained long-term effect - Read Full Text.
Gaspar A, Koron N, Silva J, Brandi H. Lasers Med Sci. 2022 Jun;37(4):2157-2164. doi: 10.1007/s10103-021-03474-z
Changes in sexual function and vaginal topography using transperineal ultrasound after vaginal laser treatment for women with stress urinary incontinence - Read Full Text.
Long CY, Wu PC, Chen HS, Lin KL, Loo Z, Liu Y, Wu CH. Sci Rep. 2022 Mar 2;12(1):3435. doi: 10.1038/s41598-022-06601-0
Study of Proliferative Activity of Vaginal Epithelium in Women with Stress Urinary Incontinence Treated by Er:YAG Laser - Read Full Text.
Lapii GA, Yakovleva AY, Neimark AI, Lushnikova EL. Bull Exp Biol Med. 2017 Jun;163(2):280-283. doi: 10.1007/s10517-017-3784-0
Structural Reorganization of the Vaginal Mucosa in Stress Urinary Incontinence under Conditions of Er:YAG Laser Treatment - Read Full Text.
Lapii GA, Yakovleva AY, Neimark AI. Bulletin of Experimental Biology and Medicine, 2017, 162(4):510–514.
* Certain applications discussed in this scientific literature may not yet be cleared by the FDA.
Additional Resources: visit the Laser and Health Academy* website for additional information about medical laser treatments that can be performed with Fotona laser systems.
