Background:Female stress urinary incontinence (SUI) is common lower urinary tract symptom. It affect many
women especially middle and elderlywomen and about 40% of them have mixed Urinary incontinence
(MUI).There are surgical and non-surgical options for treatment of stress urinary incontinence. Laser
therapy is seemed to be a promising minimally invasive option for treatment of female SUI.
Objective:To determine the effect of the type of urinary incontinence in laser therapy outcomes.
Patients and method(s): A prospective non-randomized study for female patients with SUI who were referred
to the Urology Department, Sohag University Hospital from March 2017 to June 2018. The study was
approved from Sohag University ethics committee. Patients were treated by the clinical protocol for SUI
with non-ablative 2940 nm Er: YAG laser. Patients were evaluated at the baseline and every 3 months for 1
year by Validated International Consultation on Incontinence Questionnaire – Urinary Incontinence Short
Form (ICIQ-UI SF) Arabic version and the number of daily pads usage .The patients were classified
according to their type into a pure SUI group and MUI group.
Result(s):Our results included 32female patients. 20 patients (63 %) had pure SUI while 12 patients (37%) had
mixed incontinence. the median duration of symptoms 3 years. There was a significant reduction in daily
pads usage and ICIQ-UISF score (p value<0001) for both groups with more significant for pure SUI group.
No serious side effects were reported.
Conclusion:There was a statistically significant effect of the type of UI on laser therapy outcomes with better
results related to pure SUI.On the other hand, No effect of type ofurinary incontinence on number of laser
sessions needed by patients to achieve improvement of their incontinence.