{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T07:19:07Z","timestamp":1771658347634,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:00:00Z","timestamp":1626739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>A study to compare the effect of two different radio frequency energy models (mono polar and bipolar) for the treatment of urinary stress incontinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart review, which was conducted at 2 sites, 69 patients received treatment with a bipolar radiofrequency device. Out of those 69 patients, 13 patients received bipolar in conjugation with CO<jats:sub>2<\/jats:sub> laser treatment, while 32 patients received monopolar frequency. The study protocol normally consists of three sessions of treatment. Each session was four weeks apart with a whole 6\u2010month duration follow\u2010up. Results were evaluated by urogenital distress inventory (UDI)\u20106 questionnaire before and after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The bipolar group improved UDI\u20106 scores across time more so than did the monopolar group with some evidence suggesting that the bipolar radiofrequency treatment was more effective compared to the monopolar radiofrequency. Three months after treatment, the bipolar group UDI\u20106 values were lower than those of the monopolar group. Six months after treatment, the UDI\u20106 scores increased in both groups, suggesting decrease efficacy with time however, the bipolar group's UDI\u20106 scores were consistently lower than the monopolar group's scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study shows benefit of both monopolar and bipolar radiofrequency device in patients with stress urinary incontinence and mixed UI, with bipolar RF more efficacious than monopolar RF. More randomized prospective studies are needed to confirm these findings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24748","type":"journal-article","created":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T12:57:47Z","timestamp":1626785867000},"page":"1804-1810","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Transvaginal radiofrequency energy for the treatment of urinary stress incontinence: A comparison of monopolar and bipolar technologies in both pre\u2010 and post\u2010menopausal patients"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1632-5868","authenticated-orcid":false,"given":"Ahmed","family":"Abdelaziz","sequence":"first","affiliation":[{"name":"Division of Urogynecology, OBGYN Department The Christ Hospital, University of Cincinnati Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Dell","sequence":"additional","affiliation":[{"name":"OBGYN Department Institute for Female Pelvic Medicine Knoxville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mickey","family":"Karram","sequence":"additional","affiliation":[{"name":"Division of Urogynecology, OBGYN Department The Christ Hospital, University of Cincinnati Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.5173\/ceju.2011.03.art1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000051895.28240.12"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.107327"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1576\/toag.13.3.143.27665"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2003.11.023"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S152616"},{"key":"e_1_2_9_8_1","article-title":"Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women","volume":"2018","author":"Dumoulin C","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22888"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1761-8"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23877"},{"key":"e_1_2_9_12_1","article-title":"Mid\u2010urethral sling operations for stress urinary incontinence in women","volume":"2015","author":"Ford AA","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.07.011"},{"key":"e_1_2_9_14_1","unstructured":"The Independent Medicines and Medical Devices Safety Review. 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