The first major complication due to laser treatment for stress urinary incontinence: a short report

Abstract

Aim

Stress urinary incontinence (SUI) is a common benign disease causing a markedly negative impact on quality of life. Vaginal laser is a minimally invasive treatment and no major complications of this technique have been published to date. The purpose of the article is to present the first major adverse event related to this treatment.

Materials and methods

We present the case of a 48-year-old woman with an important complication after vaginal laser for SUI.

Results

The patient presented a transverse vaginal septum and shortening of vaginal length after two sessions of vaginal erbium:yttrium aluminum garnet laser treatment. She required two surgical interventions, local injections, and pelvic floor physiotherapy, although currently the patient has not experienced complete resolution of symptoms.

Discussion and conclusions

Vaginal laser use can lead to serious adverse events. Selection of patients and treatment must be carried out with caution.

摘要

目的：压力性尿失禁（SUI）是一种常见的良性疾病, 严重影响患者的生活质量。阴道激光是一种微创治疗方法, 到目前为止还没有发表过这种技术的主要并发症。本文的目的是介绍与该治疗相关的第一个主要不良事件。

材料与方法：我们报告一位48岁女性在经阴道激光治疗SUI后出现严重并发症的病例。

结果：患者在两次阴道铒：钇铝石榴石激光治疗后出现阴道横隔和阴道长度缩短。她经历两次手术干预、局部注射和盆底理疗, 尽管如此, 目前患者的症状还没有完全消失。

讨论与结论：阴道激光可能会导致严重的不良反应。患者的选择和治疗必须谨慎进行。

Keywords:

• Stress urinary incontinence
• laser treatment
• erbium:yttrium aluminum garnet
• complications
• vaginal stenosis

Potential conflict of interest

No potential conflict of interest was reported by the author(s).

Source of funding

Nil.