Dynamic Quadripolar Radiofrequency: Pilot Study of a New High-Tech Strategy for Prevention and Treatment of Vulvar Atrophy

Fasola, Elena; Bosoni, David

doi:10.1093/asj/sjy180

Cited by 7 publications

(14 citation statements)

References 32 publications

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“…None of the studies used the VHIS or VMV. Two studies used photographs before and after treatment which were assessed by a blinded medical evaluator or by the author; however, details of their assessments are lacking.…”

Section: Discussionmentioning

confidence: 99%

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Review of non‐invasive vulvovaginal rejuvenation

Photiou

Lin

Dubin

et al. 2019

Acad Dermatol Venereol

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Vulvovaginal atrophy (VVA) or genitourinary syndrome of menopause (GSM) may affect up to 90% of menopausal women. Features include vulvovaginal atrophy, vulvovaginal laxity, vulvovaginal dryness and irritation, dyspareunia, anorgasmia and urinary symptoms. The vulva, vagina and bladder are oestrogen‐responsive tissues, but oestrogen replacement therapy is not possible in women who have hormone‐responsive cancers or normal oestrogen levels. Therefore, there is a role for alternative treatments. To date, three non‐surgical energy‐based therapies have been proposed: fractional microablative CO2 laser, erbium:YAG laser and temperature‐controlled radiofrequency (RF). Our objective was to assess the available evidence for the safety and efficacy of erbium:YAG laser, microablative fractional CO2 laser and RF in the treatment of VVA/GSM. The authors reviewed the current published literature evaluating these therapies. All three therapies appear safe; however, all the studies were uncontrolled and used different protocols and outcome measurements. Therefore, comparison of treatments is difficult. It appears that there is more evidence in favour of the CO2 laser than the erbium:YAG laser. Both lasers have more evidence than RF. In conclusion, microablative CO2 laser, erbium:YAG laser and RF may be offered to patients suffering from VVA/GSM as an alternative or adjunct to conventional therapies. Further well‐conducted controlled studies are needed.

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Section: Discussionmentioning

confidence: 99%

“…One study looked at use on the vulva only. 81 Histological changes None of the studies collected biopsies. Some histological information is available based on a sheep vagina model.…”

Section: Temperature-controlled Radiofrequencymentioning

confidence: 99%

Review of non‐invasive vulvovaginal rejuvenation

Photiou

Lin

Dubin

et al. 2019

Acad Dermatol Venereol

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“…При изучении состояния васкуляризации стенок влагалища с помощью методики SMI выявлено обеднение кровотока в зонах исследования у всех пациенток, включенных в исследование. В первой группе VI составил 9,2 (6,5-12,1), во второй группе -8,9 (6,(3)(4)(5)(6)(7)(8)(9)(10)(11)7). При проведении исследования после операции и проведенной терапии в первой группе получены следующие результаты: у 28 (93,3%) пациенток прослеживается тенденция к активным процессам неоангиогенеза; в зоне исследования регистрируются локусы сосудистых пучков.…”

Section: результаты и обсуждениеunclassified

“…В режиме SMI у 30 (100%) пациенток в зоне исследования регистрируются единичные локусы сосудистых пучков. VI после операции в среднем составил 10,5 (8,(4)(5)(6)(7)(8)(9)(10)(11)(12)5), что в 1,2 раза превышает данный показатель до операции (табл. 2).…”

Section: результаты и обсуждениеunclassified

“…Сегодня пока нет единого мнения по поводу методики реабилитации после операций по устранению пролапса. В современной литературе описаны результаты использования различных методов аппаратного моделирования тканей влагалища, улучшающих послеопераци онную реабилитацию [4][5][6][7][8][9][10][11].…”

Section: Introductionunclassified

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Efficacy of dynamic quadripolar radiofrequency assessed by advanced ultrasound technologies

Dobrokhotova¹,

Komagorov²,

Il’ina³

et al. 2021

Russian Journal of Woman and Child Health

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Aim: to develop a postoperative rehabilitation program for women with pelvic organ prolapse (POP). Patients and Methods: sixty postmenopausal women aged 55–75 with POP were randomized into two equal groups. All women underwent surgical intervention, which included anterior and posterior colporrhaphy and colpoperineo-levator-plasty. Group 1 women underwent five courses of radiofrequency therapy with a 14-day interval 30 days after surgery. Radiofrequency exposure was addressed by dynamic quadripolar radiofrequency (DQRF). Group 2 women were followed up without any additional rehabilitation measures. Ultrasound (US) examination using compression elastography was performed in all women To assess tissue elasticity. Neovascularization of vaginal walls was evaluated by superb microvascular imaging (SMI). The vascular intensity of the selected area of the vaginal wall was measured by automatic calculation of the vascularization index. US was performed twice, e.g., before and after surgery and rehabilitation (in group 1) or three months after surgery (in group 2). Results: in women who underwent DQRF therapy, an increase in the elasticity of vaginal walls was reported that indirectly demonstrates the increase in type 1 collagen and improvement of tissue vascularization. After surgery and radiofrequency therapy, the vascularization index increased by 1.6 times in group 1 and 1.2 times in group 2 compared to baseline. No postoperative complications were reported. Conclusion: this rehabilitation program is recommended for women who underwent surgical intervention for POP, given the efficacy and safety of radiofrequency therapy in the postoperative period. KEYWORDS: pelvic organ prolapse, rehabilitation period, dynamic quadripolar radiofrequency, dynamic quadripolar radiofrequency therapy, tissue elasticity, neovascularization, elastography, superb microvascular imaging. FOR CITATION: Dobrokhotova Yu.E., Komagorov V.I., Il’ina I.Yu. et al. Efficacy of dynamic quadripolar radiofrequency assessed by advanced ultrasound technologies. Russian Journal of Woman and Child Health. 2021;4(4):311–316 (in Russ.). DOI: 10.32364/2618- 8430-2021-4-4-311-316.

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