再び発症する閉経後の女性の治療の選択肢として,陰道レーザー療法:単一の施設からの初期経験
Hirokazu Abe1,2, Fumihiko Urabe3, Minoru Nakazono2
1Nihonbashi Pelvic Floor Clinic, Tokyo, Japan.
Lasers in surgery and medicine
|September 3, 2025
まとめ
陰道レーザー療法は,陰道の健康を改善することで,閉経後の女性における再発性囊炎のエピソードを有意に減少させた. この非ホルモン治療は 頻発性尿路感染症の治療に 抗生物質の有望な代替手段です
科学分野:
- 婦人科
- 泌尿器科
背景:
- 閉経後の多くの女性に再発性膀炎が起こり,生活の質に影響します.
- 抗菌剤耐性は,再発性尿路感染症の代替治療を必要とします.
- ヴァギナ・レーザー療法は ヴァギナ・ヘルスを改善する 新しい非侵襲的なアプローチです
研究 の 目的:
- 膀炎のエピソードを軽減する陰道レーザー療法の有効性を評価する.
- 陰道レーザー療法の陰道環境への影響を評価する.
- 再発性膀炎に対する陰道レーザー療法の安全性と有効性を決定する.
主な方法:
- 閉経後の再発性膀炎を患った51人の女性を遡及的に調査した.
- エストリオルの卵子による予備治療,その後は陰道レーザー療法.
- 陰道健康指数 (VHI),陰道pH,シストスコピー,膀炎フリー間隔 (CFI) の評価
主要な成果:
- 治療後6ヶ月で,膀炎のエピソードが4から0に大幅に減少した (p < 0. 001).
- 膀炎フリー間隔 (CFI) の中位値は9. 2ヶ月でした.
- 改善したVHIスコア (10〜18),陰道pH値の低下 (8. 0〜5. 5),陰道組織の健康改善.
- グレード1の有害事象の発生率は低かった (7. 8%).
結論:
- 陰道レーザー療法は,閉経後の女性の膀炎のエピソードを効果的に軽減します.
- この治療はの健康指標と組織縮を改善します
- 選択された患者の再発性膀炎の管理には,陰道レーザー療法が有望な代替手段である.
関連する概念動画
Urologic Endoscopic Procedure: Cystoscopic Examination
336
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
336
Urinary Tract Calculi VI: Surgical Management
26
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
26
Urinary Tract Calculi III: Medical Management
23
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
23
Imaging Studies VI: Voiding Cystourethrography and Cystography
108
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
108
Urinary Tract Infection IV: Nursing Management
87
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
87
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
35
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
35


