E-Posters-CO2 Laser Therapy for Vaginal Laxity and Rejuvination

CO2 Laser Therapy for Vaginal Laxity and Rejuvination - Lior Lowenstein, MD, MS, MHA, MBA

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This study investigated the use of CO2 laser therapy for the treatment of vaginal laxity and rejuvenation. Vaginal laxity is a condition that lacks standardized diagnostic criteria, and there is no consensus on how to clinically characterize it. The current treatments include pelvic floor physiotherapy and aesthetic surgical procedures, with a trend towards less invasive methods.<br /><br />Laser therapy has been introduced as a non-invasive treatment for genitourinary syndrome of menopause and has shown positive effects on stress urinary incontinence and vaginal wall prolapse. It works by applying fractional photonic energy to the vaginal mucosa tissue, causing micro-ablation and rapid healing. This treatment has been proven effective in burn victims with scar tissue, resulting in a tightening effect.<br /><br />The study included female patients aged 25-50 who complained of vaginal laxity and excluded those who were pregnant, menopausal, had known cervical lesions, or experienced vaginal bleeding. The patients underwent laser therapy without anesthesia, with each of the three treatment sessions lasting up to 3 minutes. The follow-up period lasted up to 6 months.<br /><br />The results showed that after the initial laser treatment, there was no noticeable difference in patient parameters. However, one to three months after the third treatment, 90% of the patients reported a positive effect, with an increase in Vaginal Health Index (VHI) scores from a mean of 11.4 to 13.5 and an increase in Female Sexual Function Index (FSFI) scores from a mean of 26.7 to 29.9. The main improvements were in the lubrication and satisfaction domains for FSFI scores and the epithelial integrity and vaginal moisture parameters for VHI scores. No significant side effects were reported.<br /><br />In conclusion, CO2 laser therapy for vaginal laxity and rejuvenation is considered safe in the short term and effective. However, the effects of the treatment seem to last up to 6 months and may require additional maintenance treatments. More studies are needed to assess the long-term safety and efficacy of this therapy.

Keywords

CO2 laser therapy

vaginal laxity

vaginal rejuvenation

diagnostic criteria

non-invasive treatment

genitourinary syndrome of menopause

stress urinary incontinence

Vaginal Health Index

Female Sexual Function Index

scar tissue