Mahin Najafian - متخصص زنان وزایمان .دپارتمان زنان وزایمان دانشگاه جندی شاپور اهواز.بیمارستان امام خمینی (ره)خوزستان.ایران
یلدا نجیفان - متخصص زنان وزایمان .دپارتمان زنان وزایمان دانشگاه جندی شاپور اهواز.بیمارستان امام خمینی (ره)خوزستان.ایران
یلدا جفریده - متخصص زنان وزایمان .دپارتمان زنان وزایمان دانشگاه جندی شاپور اهواز.بیمارستان امام خمینی (ره)خوزستان.ایران
سعیده قاضی سعیدی - متخصص زنان وزایمان .دپارتمان زنان وزایمان دانشگاه جندی شاپور اهواز.بیمارستان امام خمینی (ره)خوزستان.ایران
پریوش جلداریان - متخصص زنان وزایمان .دپارتمان زنان وزایمان دانشگاه جندی شاپور اهواز.بیمارستان امام خمینی (ره)خوزستان.ایران

Background and Aim : : Stress urinary incontinence (SUI) is a relatively common disorder thatsignificantly affects the quality of life. Many conservative and surgical treatment methods have beenrecommended for SUI, but they have major limitations. Aims To assess the use of the CO2 fractional laserin the treatment of SUI.Methods : This clinical trial included 55 patients with confirmed SUI. Patients underwent fractional CO2laser treatment 3 times at 30-day intervals. Data on age, smoking history, sexual activity, menopause, andhistory of hormone replacement therapy (HRT) were collected. Response to treatment was assessed by SUIseverity and the level of sexual satisfaction was assessed using the visual analog scale (VAS). Patients wereevaluated at 3 different time points: before treatment, and 45 days and 6 months after the last laser treatment.Results : The mean patient age was 44.4±11.4 years (range: 28 to 68 years). Smoking history was positivein 6 patients (9.1%); 19 (54.3%) were menopausal on HRT. The SUI severity score at baseline (beforetreatment) was 8.56±0.62 and decreased to 2.28 6 months after treatment (p<0.0001). The sexualsatisfaction score was 3±0.94 at baseline and increased to 7.87±0.93 6 months after treatment (day 180)(p<0.0001, slope = + 2.2)Conclusion : Our findings are in line with a previous study that showed the value of transvaginal CO2fractional laser treatment for alleviation of SUI symptoms and its potential as an alternative treatment. Wealso observed improved sexual satisfaction in SUI patients.

stress incontinence.fractional co2 laser