Use of Radiofrequency Energy in the Vaginal Canal and on the Vulva; Therapeutic and Aesthetic Indications and Outcomes

Presentation Slides

Pdf Summary

The American Urogynecologic Society (AUGS) presentation, led by Dr. Mickey Karram, focused on the therapeutic and aesthetic use of radiofrequency energy in the vaginal canal and vulva. It highlighted various energy sources employed for vaginal rejuvenation, therapeutic, cosmetic, and sexual enhancement purposes. The session discussed how radiofrequency affects the vaginal epithelium and vulvar skin, aiming to improve various conditions like urinary incontinence and vaginal atrophy, prevalent in postmenopausal women.<br /><br />A pilot study using fractional CO2 laser showed promising improvements in treating vulvovaginal atrophy symptoms over a 12-week period, with significant enhancements in vaginal health and quality of life, minimal discomfort, and no adverse events during the study. Future controlled studies are required to further investigate the long-term effects of this laser treatment.<br /><br />Additionally, Dr. Karram discussed a pilot study on transvaginal detrusor nerve radiofrequency ablation (DENARA) for overactive bladder treatment. The study, involving 32 women over a period of 3 months, demonstrated significant improvement in urinary symptoms with no adverse events. Radiofrequency energy was used to potentially ablate or modulate nerves affecting bladder sensation, showing significant promise for non-invasive, office-based procedures.<br /><br />Energy sources used were detailed, including CO2 lasers and radiofrequency devices aimed at addressing various conditions such as genitourinary syndrome of menopause, stress incontinence, and lichen sclerosis. The potential of these technologies extends beyond rejuvenation, focusing on substantial therapeutic outcomes like symptom relief in urinary and vaginal conditions, enhancing life quality for affected women. Further research is anticipated to confirm these findings and evaluate long-term efficacy, particularly with randomized controlled trials.

Keywords

AUGS

radiofrequency energy

vaginal rejuvenation

urinary incontinence

vaginal atrophy

fractional CO2 laser

overactive bladder

DENARA

genitourinary syndrome

lichen sclerosis