Use of radiofrequency for the treatment of urinary incontinence in women: a systematic review

Ribeiro, Fernanda Catarina; Silva, Maria Letícia Araújo; Silva, Maria Amélia Pires Soares da; Gouveia, Guilherme Pertinni de Morais; Eufrásio, Laiane Santos; Micussi, Maria Thereza Albuquerque Barbosa Cabral

doi:10.1590/1806-9282.20210266

Cited by 2 publications

(5 citation statements)

References 17 publications

(50 reference statements)

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“…In a systematic review, other authors observed a 50.6% reduction in vaginal symptoms, a 72.1% reduction in sexual complaints sustained for two months after treatment [1].…”

Section: Secondary Outcomesmentioning

confidence: 93%

“…Non-ablative monopolar RF has been found to be the most widely used [1]. The monopolar form passes from an active electrode conductor handled by the operator to the body, exiting by passive electro (grounding).…”

Section: Types Of Rf and Protocolsmentioning

confidence: 99%

“…The monopolar protocols varied according to the papers reviewed [1]. Those that described temperature cited a range of 39˚C to 45˚C in the transvaginal transducer.…”

Section: Types Of Rf and Protocolsmentioning

confidence: 99%

“…However, it draws attention to the design of the studies, since few are randomized and with control groups or sham procedures. In addition, those studies present small samples-only one study presented a sample with more than 100 participants, and they also present a short follow-up period, since only one presented a 12-month follow-up [1].…”

Section: Primary Outcomesmentioning

confidence: 99%

“…Urinary incontinence (UI) is defined as the involuntary loss of urine. It affects 25% to 45% of women, depending on the population studied, and may lead to physical, emotional and social discomfort [1]. Classification is based on clinical conditions such as stress (SUI), urgency (UUI) and mixed (MUI).…”

Section: Introductionmentioning

confidence: 99%

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Non-Ablative Transvaginal Radiofrequency in the Treatment of Stress Urinary Incontinence: Review of the Literature

Calcagnotto¹,

Leite²,

Longo³

et al. 2023

OJOG

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Background: Urinary incontinence is defined as the involuntary loss of urine, which can affect up to 45% of women after menopause. Radiofrequency is a non-invasive procedure that involves the application of an electromagnetic wave that through heat generation promotes neocollagenesis and neoeslatinogenesis in the vaginal epithelium. This energy-based technology has been studied as a potential alternative for the treatment of genitourinary syndrome of menopause and urinary incontinence. Objective: To review the recent literature (from 2020 to June 2022) on the use of transvaginal radiofrequency in the treatment of stress urinary incontinence, by searching articles at databases of Capes, PubMed Cochrane and Scielo. Methods: The descriptor terms "Urinary Incontinence/therapy" [Majr] AND "Urinary Incontinence, Stress/ therapy" [Majr] AND RADIOFREQUENCY-Search Results-PubMed, ["woman" OR "women"] AND ["urinary incontinence" OR "stress urinary incontinence"] AND Radiofrequency were used, with a filter for the period 2020 to 2022. Conclusion: The studies evaluated in this review demonstrated significant results of radiofrequency in the resolution or reduction of complaints of women with urinary incontinence, especially stress urinary incontinence, but most of these studies presented a low methodological quality. There is, therefore, a lack of studies with longer follow-ups, evaluation of cost-effectiveness, randomized clinical trials with objective outcomes and the use of validated questionnaires with international acceptance.

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“…In a systematic review, other authors observed a 50.6% reduction in vaginal symptoms, a 72.1% reduction in sexual complaints sustained for two months after treatment [1].…”

Section: Secondary Outcomesmentioning

confidence: 93%

Section: Types Of Rf and Protocolsmentioning

confidence: 99%

“…The monopolar protocols varied according to the papers reviewed [1]. Those that described temperature cited a range of 39˚C to 45˚C in the transvaginal transducer.…”

Section: Types Of Rf and Protocolsmentioning

confidence: 99%

Section: Primary Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Non-Ablative Transvaginal Radiofrequency in the Treatment of Stress Urinary Incontinence: Review of the Literature

Calcagnotto¹,

Leite²,

Longo³

et al. 2023

OJOG

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Bipolar Radiofrequency and Non-Crosslinked Hyaluronic Acid Plus Calcium Hydroxyapatite in the Treatment of Stress Urinary Incontinence

Kolczewski,

Łukaszuk,

Cymbaluk-Płoska

et al. 2024

Pharmaceuticals

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Background: Stress urinary incontinence (SUI) causes both physical and psychological problems to women and their partners. Recently, vaginal radiofrequency (RF) application, as well as the administration of non-crosslinked hyaluronic acid (NCLHA) together with calcium hydroxyapatite (CaHA), has attracted attention for SUI treatment. The current, comparative study evaluated the efficacy and safety of these technologies acting separately and in a combined treatment. Methods: Sixty women with mild to moderate SUI, aged between 46 and 76 years (mean age 63.2) were divided into three groups intended for different treatments: group I, RF vaginal treatment only, group II, NCLHA plus CaHA periurethral injection only, group III, combined treatment including a single periurethral injection of NCLHA plus CaHA followed by four vaginal applications of RF at intervals of 3–5 days. The clinical effects of the treatments were evaluated by ICIQ-LUTSqol (Polish version) and UDI-6. Results: The obtained results suggest that the symptoms of SUI and the quality of life of the patients improved significantly in each group after the therapies compared to the pre-treatment levels and were more persistent in the third HA + RF group compared to the HA or the RF group.

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Use of radiofrequency for the treatment of urinary incontinence in women: a systematic review

Cited by 2 publications

References 17 publications

Non-Ablative Transvaginal Radiofrequency in the Treatment of Stress Urinary Incontinence: Review of the Literature

Non-Ablative Transvaginal Radiofrequency in the Treatment of Stress Urinary Incontinence: Review of the Literature

Bipolar Radiofrequency and Non-Crosslinked Hyaluronic Acid Plus Calcium Hydroxyapatite in the Treatment of Stress Urinary Incontinence

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