Impact of low-power laser therapy on peristomal lesions of urinary stomas

case reports

Authors

Keywords:

Nursing Care, Low-Level Light Therapy, Ostomy, Enterostomal Therapy, Wound Healing

Abstract

Objective: To report on the experience of using low-power laser therapy for the treatment of peristomal lesions in patients with urinary ostomies.

Method: Report of two cases treated at a stoma therapy service in southern Brazil in 2025.

Result: Low-power laser therapy was applied weekly by a trained stoma therapist nurse, with individualized doses and complementary use of photodynamic therapy. The treatment was well accepted, non-invasive, painless, and associated with conventional care. A progressive reduction in lesions was observed, with improved skin integrity and satisfactory patient adherence.

Conclusion: Low-level laser therapy has proven to be an effective and safe approach to managing peristomal lesions, promoting healing, symptom relief, and improved quality of life. The importance of professional training and continuous monitoring is reinforced.

Author Biographies

Ana Lúcia Lima Rieth, School of Public Health of Rio Grande do Sul. Porto Alegre, RS, Brazil.

Nurse. Specialist in Primary Care. School of Public Health of Rio Grande do Sul. Porto Alegre, RS, Brazil.

Rosaura Soares Paczek, City Hall of Porto Alegre. Porto Alegre, RS, Brazil.

Nurse. Master's degree in Public Health. Porto Alegre City Hall. Porto Alegre, RS, Brazil.

Cristhiane de Souza Silveira, Public Health School of Rio Grande do Sul. Porto Alegre, RS, Brazil.

Nurse. Specialist in Nursing Audit. Public Health School of Rio Grande do Sul. Porto Alegre, RS, Brazil.

Pyetra Erthal Carreiro, School of Public Health of Rio Grande do Sul. Porto Alegre, RS, Brazil.

Nurse. Resident in the Multiprofessional Residency Program in Primary Care. School of Public Health of Rio Grande do Sul. Porto Alegre, RS, Brazil.

Laura Machado Martins, School of Public Health of Rio Grande do Sul. Porto Alegre, RS, Brazil.

Nurse. Resident in the Multiprofessional Residency Program in Primary Care. School of Public Health of Rio Grande do Sul. Porto Alegre, RS, Brazil.

Vania Celina Dezoti Micheletti, University of Vale do Rio dos Sinos – UNISINOS. Porto Alegre, RS, Brazil.

Nurse. PhD in Pulmonology. Professor at the University of Vale do Rio dos Sinos – UNISINOS. Porto Alegre, RS, Brazil.

References

1. Brasil. Ministério da Saúde. Secretaria de Atenção Especializada em Saúde. Departamento de Atenção Especializada e Temática. Guia de atenção à saúde da pessoa com estomia. Brasília: Ministério da Saúde; 2021 [cited 2025 May 16]. 64 p. Available from:

https://bvsms.saude.gov.br/bvs/publicacoes/guia_atencao_saude_pessoa_estomia.pdf

2. Feitosa MEE, Macedo LFR, Eufrasio VBS, Penha SEM, Blanes L. Risk factors for peristomal skin complications in elimination stomas: a systematic review and meta-synthesis protocol. Online Braz J Nurs [Internet]. 2024 [cited 2025 May 16];23(Suppl 1):e20246699. Available from: https://pesquisa.bvsalud.org/fiocruz/resource/pt/biblio-1554023#fulltext_urls_biblio-1554023

3. Dantas FG, de Souza AJG, Melo GSM, Freitas LS, Lucena SKP, Costa IKF. Prevalência de complicações em pessoas com estomias urinárias e intestinais. Rev Enferm Atual In Derme [Internet]. 2017 [cited 2025 Oct 21];82(20):55-61. Available from: https://www.revistaenfermagematual.com.br/index.php/revista/article/view/304

4. da Silva BWAC, Lima Neto AV, Medeiros LP, Rodrigues MIR, Araújo RO, Costa IKF. Vídeos de animación sobre educación en salud relacionada con estomías de eliminación. Enferm Glob [Internet]. 2023 [cited 2025 Oct 21];22(4):571-603. Available from: https://www.researchgate.net/publication/376215079_Videos_de_animacao_sobre_educacao_em_saude_relacionada_a_estomias_de_eliminacao

5. Silva EB, Iohan F, Cassão G, Capellari C. Low-intensity laser therapy in the treatment of wounds: an integrative literature review. Rev Enferm Atual In Derme [Internet]. 2023 [cited 2025 May 19];97(2):e023004. Available from: https://www.semanticscholar.org/paper/LOW-INTENSITY-LASER-THERAPY-IN-THE-TREATMENT-OF-an-Bueno-Silva-Iohan/b21bd9a6541f9b7c1a5260b92a16f90f2c3dd217#related-papers

6. Cunha JLS, de Carvalho FMA, Pereira Filho RN, Ribeiro MAG, Albuquerque-Júnior RLC. Effects of different protocols of low-level laser therapy on collagen deposition in wound healing. Braz Dent J [Internet]. 2019 [cited 2025 Jun 16];30(4):317-24. Available from: https://doi.org/10.1590/0103-6440201902400

7. Conselho Federal de Enfermagem (COFEN). Resolução COFEN nº 567/2018. Regulamenta a atuação da equipe de enfermagem no cuidado aos pacientes com feridas. Diário Oficial da União [Internet] 2018 [cited 2025 May 25];(26 Seção 1):112. Available from: https://pesquisa.in.gov.br/imprensa/jsp/visualiza/index.jsp?data=06/02/2018&jornal=515&pagina=112

8. Bressanin MS, Bressanin TRA. Efeitos da fotobiomodulação com laser de baixa intensidade em um caso de criança com dermatite atópica: retratado com imagens das lesões na pele. Revista FT [Internet]. 2024 [cited 2025 May 24];28(137):50-51. Available from: https://revistaft.com.br/efeitos-da-fotobiomodulacao-com-laser-de-baixa-intensidade-em-um-caso-de-crianca-com-dermatite-atopica-retratado-com-imagens-das-lesoes-na-pele/

9. Otsuka ACVG, Moreira CLV, Pasquarelle EW, Pavani KCP, Anjos PP, Hashimoto SY et al. Low-level laser therapy in the management of skin wound healing. Rev Bras Cir Plást [Internet]. 2022 [cited 2025 Jun 19];37(4):451-6. Available from: https://www.scielo.br/j/rbcp/a/5Yj9krXHNW94t3PSwfmXycC/?lang=pt

10. Lucena AF, Bavaresco T, Menegon DB, Schneider SMB, Medeiros RM, de Souza CMB. Laser in wounds: knowledge translation to an effective and innovative nursing practice. Rev Gaúcha Enferm [Internet]. 2021 [cited 2025 Oct 21];42:e20200396. Available from: https://doi.org/10.1590/1983-1447.2021.20200396

11. Santos TL, Costa BCPF, Costa CV, Gomes EB, Ripardo LSS, Quaresma OB et al. Importância da laserterapia no tratamento de feridas. Rev. Eletrônica Acervo Enferm [Internet]. 2021 [cited 2025 Oct 21];15:e9078. Available from: https://doi.org/10.25248/reaenf.e9078.2021

12. da Silva AM, Silva GM, Martins JC, Bavaresco T, Echevarría-Guanilo ME. Photobiomodulation and photodynamic therapy in the treatment of pressure injuries: a scoping review. Rev Lat-Am Enferm [Internet]. 2025 [cited 2025 Jul 13];33:e4488. Available from: https://doi.org/10.1590/1518-8345.7495.4488

13. Ferreira RP, Policarpo NS, Ribeiro ZSF, Tonazio CHS, Pinto AMO, Pinto GHP. Aplicação da terapia fotodinâmica antimicrobiana (PDT) no tratamento de feridas: revisão de literatura. Rev Eletr Acervo Saúde [Internet]. 2022 [cited 2025 Jul 15];15(4):e10133. Available from: https://doi.org/10.25248/reas.e10133.2022

14. Frigo FD, Perez Júnior EF, Pires AS, Coutinho VL, Gonçalves FGA, Lima JA. Low intensity laser therapy with photodynamic therapy in the treatment of onychomycosis. Rev Enferm UERJ [Internet]. 2022 [cited 2025 Jun 29];30(1):e64955. Available from: https://doi.org/10.12957/reuerj.2022.64955

15. Bavaresco T ,Osmarin VM, Pires AUB, Moraes VM, Lucena AF. Low-power laser therapy in wound healing. Rev Enferm UFPE on line [Internet]. 2019 [cited 2025 Oct 21]; 13(1):216-26. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1006437

16. e Silva AMA, Agra DCB, Correia UCM, de Oliveira CR, Firmino WMB. Assistência a pacientes submetidos à cistectomia com e sem derivação urinária. Rev Recien [Internet]. 2024 [cited 2025 Jul 10];14(42):484-95. Available from: https://doi.org/10.24276/rrecien2024.14.42.484495

17. Brandão MGSA, Ximenes MAM, Cruz GS, Brito EHS, Veras VS, Barros LM, et al. Terapia fotodinâmica no tratamento de feridas infectadas nos pés de pessoas com diabetes mellitus: síntese de boas evidências. Rev Enferm Atual In Derme [Internet]. 2020 [cited 2025 Jul 22];92(30):138-45. Available from: https://revistaenfermagematual.com.br/index.php/revista/article/view/649

18. Cecatto RB, de Magalhães LS, Rodrigues MFSD, Pavani C, Franco ALS, Gomes MT, et al. Methylene blue mediated antimicrobial photodynamic therapy in clinical human studies: the state of the art. Photodiagnosis Photodyn Ther [Internet]. 2020 [cited 2025 Jul 22];31:e101828. Available from: https://doi.org/10.1016/j.pdpdt.2020.101828

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Published

2025-12-22

How to Cite

Rieth, A. L. L., Paczek, R. S., Silveira, C. de S., Carreiro, P. E., Martins, L. . M., & Micheletti, V. C. D. (2025). Impact of low-power laser therapy on peristomal lesions of urinary stomas: case reports. Cogitare Enfermagem, 31. Retrieved from https://revistas.ufpr.br/cogitare/article/view/100859

Issue

Vol. 31 (2026)

Section

REPORTE DE EXPERIENCIA

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Copyright (c) 2025 Ana Lúcia Lima Rieth, Rosaura Soares Paczek, Cristhiane de Souza Silveira, Pyetra Erthal Carreiro, Laura Machado Martins, Vania Celina Dezoti Micheletti

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