Objectives: Vaginal relaxation syndrome (VRS) comprises vaginal laxity and stress urinary incontinence (SUI). Laser vaginal tightening (LVT) therapy using a fractional erbium:yttrium aluminum garnet (Er:YAG) 2.940 nm laser may represent a nonsurgical option for both complaints. This study evaluates the effectiveness and side effects of fractional Er:YAG laser therapy in VRS patients. The improvement in VRS was evaluated.
Materials And Methods: This is a retrospective study analyzing the medical records of patients treated with fractional Er:YAG laser therapy in our private clinic in Surabaya, Indonesia. Objective questions were asked to rate patients' satisfaction with the results of the therapy, namely dissatisfaction, and mild, moderate, or strong satisfaction. Statistical analysis used, data were input into tables in Microsoft Excel.
Results: Twenty-four VRS patients (54% with vaginal laxity, 33% with SUI, and 13% with vaginal laxity and SUI) were studied. Most of the patients were 36-45-year-old and had 2 children, and 79% of the patients had had a vaginal delivery. After 3 LVTs, mild satisfaction was observed in 15% of patients, moderate satisfaction was noted in 54% of patients, and high satisfaction was noted in 31% of patients. Among 11 patients with SUI, 36% recovered after the first LVT, and 100% recovered after the second LVT therapy. One patient experienced mild fluor albus as a side effect.
Conclusion: LVT therapy with a fractional Er:YAG laser was determined to be effective and safe as a treatment for VRS.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8926051 | PMC |
| http://dx.doi.org/10.4103/GMIT.GMIT_141_20 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
[Acupuncture based on "status-target coherence" theory combined with Kegel exercises for vaginal laxity syndrome: a randomized controlled trial].
Zhongguo Zhen Jiu
January 2025
Department of Gynecology, China Academy of Chinese Medical Sciences, Beijing 100053, China.
Objective: To observe the clinical efficacy of acupuncture based on "status-target coherence" theory combined with Kegel exercises for vaginal laxity syndrome (VLS).
Methods: Sixty-six patients with VLS were randomized into an observation group (33 cases, 2 cases dropped out, 1 case was discontinued) and a control group (33 cases, 5 cases dropped out). The observation group was treated with acupuncture combined with Kegel exercises, acupuncture was applied to bilateral Ciliao (BL32), Zhongliao (BL33), Sanyinjiao (SP6), etc.
Influencing factors of recurrence after pelvic organ prolapse surgery and construction of a nomogram risk prediction model.
Rev Assoc Med Bras (1992)
December 2024
Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University, Shulan International Medical College, Department of Gynecology - Hangzhou, China.
Article Synopsis
- Pelvic organ prolapse impacts women's quality of life through symptoms like vaginal laxity and urinary incontinence, making it important to understand risk factors and surgical choices to prevent recurrence.
- The study analyzed 87 patients who underwent surgery, classifying them based on whether they experienced a recurrence of prolapse within 3 years, and evaluated various factors such as age, body mass index, and surgical choices.
- Results indicated a 25.29% recurrence rate, with older age, multiple pregnancies, and muscle fiber contraction type linked to higher recurrence risks; a predictive model was developed to assess these risks effectively.
Levator Ani Deficiency and Pelvic Floor Dysfunction 1 Year Postpartum: A Prospective Nested Case-Control Study.
BJOG
December 2024
Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden.
Objective: First, to assess whether levator ani deficiency (LAD) is associated with pelvic floor dysfunction 1 year postpartum, including urinary, vaginal and bowel symptoms; and second, to explore at what cut-off of LAD score such pelvic floor dysfunction arises.
Design: Nested case-control study.
Setting: Örebro University Hospital, Örebro, Sweden.
The Effect of Vaginal Tightening Surgery on Sexual Function: A Systematic Review.
Int Urogynecol J
November 2024
Saveh Faculty of Medical Sciences, and Modarres and 17th Shahrivar Hospital Complex, Saveh, Iran.
Introduction And Hypothesis: Lifetime physiological or pathological events, such as vaginal delivery and menopause, may change vaginal structure and appearance, owing to local tissue expansion and separation of the pelvic floor muscles, which can affect a woman's sexual relationships. This systematic review was aimed at exploring the effect of vaginal tightening surgery on female sexual function.
Methods: Articles that had measured female sexual function after vaginal tightening were considered eligible.
Physical therapy approach and non-invasive modalities in treatment of vaginal laxity: a literature review.
Sex Med Rev
November 2024
Assistant professor, Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Deraya University, Minia, Egypt.
Introduction: Pelvic floor physical therapy (PFPT) and noninvasive modalities can be more safe and available treatments for vaginal laxity (VL) with less risk of postsurgical complications.
Objectives: The purpose of this review is to define the concepts of PFPT and noninvasive modalities, examine the evidence supporting those modalities as a treatment for VL, and evaluate their effectiveness.
Methods: Between 2002 and 2023, clinical studies including women diagnosed with VL were examined in the Web of Science, Cochrane Library, Scopus, and PubMed databases.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!