[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-433754-105":59,"doc-detail-433754-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","laser-for-lower-urinary-tract-symptoms","Laser for lower-urinary tract symptoms","","Lower-urinary tract symptoms (LUTS), including urinary frequency, urgency, nocturia, incontinence, weak urine stream, and incomplete emptying, significantly impair women’s quality of life and social functioning across reproductive and postmenopausal periods. LUTS are multifactorial pelvic floor disorders with complex pathophysiology, and stress urinary incontinence (SUI) is a common subtype. The editorial introduces a February 2025 study using single-session vaginal CO2 laser therapy in women with SUI, highlighting predictors of subjective treatment failure and improvements over follow-up.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/laser-for-lower-urinary-tract-symptoms/433754/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/laser-for-lower-urinary-tract-symptoms/433754.png","ImageObject",300,407,{"name":92,"@type":93},"Aria","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are lower-urinary tract symptoms (LUTS) and why do they matter for women?","Question",{"text":112,"@type":113},"LUTS include urinary frequency, urgency, nocturia, incontinence, weak urine stream, and incomplete emptying. They negatively affect women’s quality of life and social functioning during reproductive and postmenopausal periods.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why is stress urinary incontinence (SUI) a key LUTS-related condition discussed in the document?",{"text":117,"@type":113},"SUI is described as one of the most frequent LUTS problems, affecting about one-fifth of Taiwanese women, and it has multiple treatment options ranging from traditional therapies to newer technologies.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the introduced study find regarding vaginal CO2 laser therapy effectiveness?",{"text":121,"@type":113},"In a prospective cohort of 75 women with SUI, low voided volume, high postvoid residual volume, and low functional profile length were predictors of subjective failure. The study also reported improvements in symptom scores at 3 and 6 months, with no change in the Female Sexual Function Index.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},433754,1791158511,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},2336464648322,"https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488","J Chin MedAssoc  \nEditorial  \nLaser for lower-urinary tract symptoms  \nPeng-Hui Wanga,b,c,*, Szu-Ting Yanga,b  \naDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; bInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; cFemale Cancer Foundation, Taipei, Taiwan, ROC  \nLower-urinary tract symptoms (LUTS), including urinary frequency, urgency, nocturia, incontinence, weak urine stream, anda sensation of incomplete emptying—commonly affect women during their reproductive and postmenopausal periods, resulting in a debilitating condition negatively affecting women, secondary to LUTS-related troublesome and bothersome clinical presentations, significantly compromising quality of life (QoL) and social functioning.1–4 LUTS represent a broad spectrum of disorders, are classified as a type of pelvic floor disorders (PFD) .4,5 The underlying pathophysiology of LUTS is complex and mixed, which may result from functional disorders, psychosomatic problems, and true organic and anatomical structural disorders, or previous trauma (obstetric or gynecologic surgery) and/or other etiologies.6–9 Among LUTS, stress urinary incontinence (SUI) may be one of the most frequent problems, affecting one-fifth of Taiwanese women.6–9 The strategies to treat SUI vary greatly, ranging from the traditional pelvic floor physical therapy, topical estrogen creams, vaginal inserts or pessaries (aremovable device inserted into the vagina to support the pelvic organs), and surgeries, including urethral injections or urethral slings to modern technology, such as vaginal lasers, extracorporeal shock wave therapy, and application of platelet-rich plasma, among others.10–12 We are very happy to introduce Dr. Hsiao’s study published in the February 2025 issue of the Journal of Chinese Medical Association (JCMA) to discuss the value of using modern technology-vaginal lasers, in the management of women with SUI.13  \nDr. Hsiao prospectively enrolled 75 women with SUI treated with single-session vaginal CO2 laser therapy to determine the predictors of treatment effectiveness.13 The results showed that low voided volume (dL, hazard ratio [HR]: 0.71), high postvoid residual volume (dL, HR: 2.174), and low functional profile length (HR: 0.956) were predictors for subjective failure (ie, global response assessment [GRA] ≤0 at the last follow-up survey) .13 Additionally, the authors identified voided volume (coefficient = −0.5, p = 0.005) and postvoid residual volume (coefficient = 0.9, p = 0.04) as predictors of subjective failure with a intercept of 1.0 (95% CI, −0.3 to 2.3, p = 0.12) .13 Furthermore, there was a significant improvement in the  \n*Address correspondence. Dr. Peng-Hui Wang, Department of Obstetricsand Gynecology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei 112, Taiwan, [ROC. E-mail addresses: phwang@vghtpe.gov.tw](ROC. E-mail addresses: phwang@vghtpe.gov.tw); [pongpongwang@gmail.com](pongpongwang@gmail.com) (P.-H. Wang).  \nConflicts of interest: Dr. Peng-Hui Wang, an editorial board member at the Journal of the Chinese Medical Association, had no role in the peer review process of or decision to publish this article. The other authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.  \nJournal of Chinese Medical Association. (2025) 88: 902-903.  \nReceived October 4, 2025; accepted October 7, 2025. doi: 10. 1097/JCMA.0000000000001309  \nCopyright © 2025, the Chinese Medical Association. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/))  \nInternational Consultation on Incontinence Questionnaire (ICIQ), Incontinence Impact Questionnaire (IIQ7), Overactive Bladder Symptom Scores (OABSS), Urogenital Distress Inventory (UDI-6), and Ur","cbCaivXSkKoRXMGO","https://ap.wps.com/l/cbCaivXSkKoRXMGO","pdf",306284,"English","# Editorial\n## Background: LUTS and SUI in women\n## Treatment strategies and role of modern technology\n## Study summary: predictors of laser effectiveness","[{\"question\":\"What are lower-urinary tract symptoms (LUTS) and why do they matter for women?\",\"answer\":\"LUTS include urinary frequency, urgency, nocturia, incontinence, weak urine stream, and incomplete emptying. They negatively affect women’s quality of life and social functioning during reproductive and postmenopausal periods.\"},{\"question\":\"Why is stress urinary incontinence (SUI) a key LUTS-related condition discussed in the document?\",\"answer\":\"SUI is described as one of the most frequent LUTS problems, affecting about one-fifth of Taiwanese women, and it has multiple treatment options ranging from traditional therapies to newer technologies.\"},{\"question\":\"What did the introduced study find regarding vaginal CO2 laser therapy effectiveness?\",\"answer\":\"In a prospective cohort of 75 women with SUI, low voided volume, high postvoid residual volume, and low functional profile length were predictors of subjective failure. The study also reported improvements in symptom scores at 3 and 6 months, with no change in the Female Sexual Function Index.\"}]","Laser for lower-urinary tract symptoms | PDF",1790665371]