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Applicability of vaginal energy-based devices in urogynecology: evidence and controversy
Machado, Alessa Cunha; Judice, Lívia Maria da Paz Portela; Riccetto, Cássio Luis Zanettini; Toledo, Luis Gustavo Morato.
  • Machado, Alessa Cunha; Hospital da Mulher Nise da Silveira. Maceió. BR
  • Judice, Lívia Maria da Paz Portela; Sociedade Brasileira de Urologia. Disciplina de Urologia Feminina. Departamento de Disfunção Miccional. Rio de Janeiro. BR
  • Riccetto, Cássio Luis Zanettini; Sociedade Brasileira de Urologia. Disciplina de Urologia Feminina. Departamento de Disfunção Miccional. Rio de Janeiro. BR
  • Toledo, Luis Gustavo Morato; Sociedade Brasileira de Urologia. Disciplina de Urologia Feminina. Departamento de Disfunção Miccional. Rio de Janeiro. BR
Rev. Assoc. Med. Bras. (1992, Impr.) ; 69(supl.1): e2023S129, 2023.
Article in English | LILACS-Express | LILACS | ID: biblio-1449143
ABSTRACT
SUMMARY

OBJECTIVE:

This study aimed to analyze the evidence and controversies about the use of vaginal energy-based devices (laser and radiofrequency) for treatment of genitourinary syndrome of menopause, recurrent urinary tract infection, urinary incontinence, and genital prolapse through a literature review.

METHODS:

A search of literature databases (PubMed, Medline) was performed for publications in December 2022. Keywords included genitourinary syndrome of menopause, vaginal laxity, vaginal/vulvovaginal atrophy, urinary tract infection, urgency incontinence, frequency, urgency, stress urinary incontinence, genital prolapses AND energy-based devices, AND vaginal laser, AND vaginal radiofrequency, AND CO2 laser, AND ErYAG laser. Publications in English from the last 7 years were reviewed and selected by the authors.

RESULTS:

The literature regarding vaginal energy-based devices in the treatment of urogynecological conditions is primarily limited to prospective case series with small numbers and short-term follow-up. Most of these studies showed favorable results, improvement of symptoms with low risk, or no mention of serious adverse events. Consensus statement documents from major medical societies suggest caution in recommending these therapies in clinical practice until more relevant data from well-designed studies become available.

CONCLUSION:

The potential of the vaginal laser and radiofrequency as a therapeutic arsenal for the evaluated urogynecological conditions is great, but qualified research must be done to prove their efficacy and long-term safety, define application protocols, and recommend the use of these technologies in clinical practice.


Full text: Available Index: LILACS (Americas) Type of study: Practice guideline Language: English Journal: Rev. Assoc. Med. Bras. (1992, Impr.) Journal subject: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / Medicine Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital da Mulher Nise da Silveira/BR / Sociedade Brasileira de Urologia/BR

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Full text: Available Index: LILACS (Americas) Type of study: Practice guideline Language: English Journal: Rev. Assoc. Med. Bras. (1992, Impr.) Journal subject: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / Medicine Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital da Mulher Nise da Silveira/BR / Sociedade Brasileira de Urologia/BR