Gold Thread Implantation for Female Sexual Dysfunction and Vaginal Laxity: A Preliminary Investigation

Kim, Su Mi; Won, Young Seok; Kim, Seul Ki

doi:10.6118/jmm.19024

Cited by 3 publications

(3 citation statements)

References 29 publications

(35 reference statements)

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“…The International Consultation on Incontinence Questionnaire - Vaginal Symptoms (ICIQ-VS), electronic Personal Assessment Questionnaire for Pelvic Floor Disorders (ePAQ-PF), and Questionnaire for Diagnosing Open Vagina and Vaginal Flatulence (QUDOVVF) are validated questionnaires. Most of the studies used the Vaginal Laxity Questionnaire (VLQ 4 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 ; 16 studies), followed by other self-created questionnaires 26 27 28 29 30 31 32 33 34 35 36 37 (12 studies), ICIQ-VS 38 39 40 41 42 (5 studies), laser vaginal tightening 43 44 45 (3 studies), Visual Analog Scale (VAS 5 46 47 48 ; 4 studies), QUDOVVF 49 50 (2 studies), Patient Satisfaction Questionnaire 51 (1 study), Vaginal Functional Numeric Rating Scale (VFNRS 52 ; 1 study), and ePAQ-PF 1 (1 study).…”

Section: Resultsmentioning

confidence: 99%

Current Perspectives in Vaginal Laxity Measurement: A Scoping Review

Aulia

Valeria

2023

Arch Plast Surg

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This scoping review aimed to identify and categorize the available measurement options for vaginal laxity (VL) their indications of use, and whether these measurements can sufficiently provide objective clinical judgment for cases indicated for vaginal rejuvenation with many treatment options nowadays. Systematic searches were conducted on five electronic databases, manually searching articles’ bibliographies and predetermined key journals with no date or study design limitations. We included all studies involving VL in their inclusion criteria, treatment indications, and outcome parameters. We used the Arksey and O’Malley frameworks as the guideline in writing this scoping review. Of the 9,464 articles identified, 66 articles and 11,258 subjects were included in the final analysis. The majority of studies were conducted in obstetrics and gynecology (73%), followed by plastic surgery (10%), medical rehabilitation (4.5%), dermatology (4.5%), and others (8%). Most studies originated from the North American region (30%). The following measurement tools were used: (1) interviews, (2) questionnaires, (3) physical/digital examinations, (4) perineometers, and (5) others. Our results suggested that subjective perception of laxity confirmed by directed interview or questionnaire is sufficient to confirm VL. Additional evaluation of PFM through digital examination or perineometer or other preferred tools and evaluation of sexual function through validated questionnaire (FSFI, FSDS-R, etc) should follow to ensure holistic care to patients. Future research on the psychometric properties (reliability and validity) of commonly used measurements and the correlation in between subjective and objective measurements should be initiated before their clinical applications.

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Section: Resultsmentioning

confidence: 99%

Current Perspectives in Vaginal Laxity Measurement: A Scoping Review

Aulia

Valeria

2023

Arch Plast Surg

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“…Recently, the Korean traditional medicine community has reported various side effects of GTT in patients with crow's feet [10], female sexual dysfunction and vaginal laxity [11] and patients wanting facial rejuvenation [7] who received GTT, and warned of the risk of secondary infection and intense pain after undergoing GTT in patients.…”

Section: Discussionmentioning

confidence: 99%

“…GTT can aid medical treatment when used correctly. It has been reported that GTT is therapeutic for Crow's feet in plastic reconstruction surgery [10] and has been reported to be effective for female sexual dysfunction and vaginal laxity in obstetrics and gynecology [11].…”

Section: Introductionmentioning

confidence: 99%

The Risk of Applying Moving Cupping Therapy to A Patient with Chronic Lumbar Pain Previously Treated with Gold Thread Therapy

Kim

et al. 2022

J Acupunct Res

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Gold thread therapy (GTT) continuously stimulates acupoints and is used to treat chronic conditions/diseases such as chronic lumbar pain. During the procedure gold thread is embedded into the skin and although gold thread is medically pure, GTT is an irreversible treatment where there is limited evidence on its safety. Here, we report a case of a 79-year-old woman being treated for low back pain who developed side effects following moving cupping therapy at a site of GTT (performed in the 1970s). Adverse reactions causing radiating pain persisted more than at least 9 days following moving cupping therapy. The symptoms of pain were evaluated using the numerical rating scale, and changes in tenderness and the state of bruising was recorded. Low back pain improved but the radiating low leg pain did not improve. This case highlights the need for caution when performing moving cupping therapy where GTT has been previously performed.

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Treatment of women with vaginal laxity: systematic review with meta-analysis

Pereira,

Cartwright,

Juliato

et al. 2024

The Journal of Sexual Medicine

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Background Despite several treatments that have been used for women reporting vaginal laxity (VL), to our knowledge no systematic review is available on the topic so far. Aim In this study, we sought to summarize the best available evidence about the efficacy and safety of interventions for treating VL, whether conservative or surgical. Methods A comprehensive search strategy was performed in Medline, Embase, Scopus, Web of Science, and Cochrane Library for reports of clinical trials published from database inception to September 2022. Studies selected for inclusion were in the English language and were performed to investigate any type of treatment for VL, with or without a comparator, whether nonrandomized studies or randomized controlled trials (RCTs). Case reports and studies without a clear definition of VL were excluded. Outcomes The outcomes were interventions (laser, radiofrequency, surgery, and topical treatment), adverse effects, sexual function, pelvic floor muscle (PFM) strength, and improvement of VL by the VL questionnaire (VLQ). Results From 816 records, 38 studies remained in the final analysis. Laser and radiofrequency (RF) were the energy-based treatment devices most frequently studied. Pooled data from eight observational studies have shown improved sexual function assessed by a Female Sexual Function Index score mean difference (MD) of 6.51 (95% CI, 5.61-7.42; i2 = 85%, P < .01) before and after intervention, whether by RF (MD, 6.00; 95% CI, 4.26-7.73; i2 = 80%; P < .001) or laser (MD, 6.83; 95% CI, 5.01-8.65; i2 = 92%; P < .01). However, this finding was not shown when only 3 RCTs were included, even when separated by type of intervention (RF or laser). When RF treatment was compared to sham controls, VLQ scores did not improve (MD, 1.01; 95% CI, −0.38 to 2.40; i2 = 94%; P < .001). Patient PFM strength improved after interventions were performed (MD, 4.22; 95% CI, 1.02-7.42; i2 = 77%; P < .001). The ROBINS-I (Risk Of Bias In Nonrandomized Studies of Interventions) tool classified all non-RCTs at serious risk of bias, except for 1 study, and the risk of bias—1 analysis found a low and unclear risk of bias for all RCTs. The GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) certainty of the evidence was moderate for sexual function and the VLQ questionnaire and low for PFM strength. Clinical Implications Sexual function in women with VL who underwent RF and laser treatment improved in observational studies but not in RCTs. Improvement in PFM strength was observed in women with VL after the intervention. Strengths and Limitations Crucial issues were raised for the understanding of VL, such as lack of standardization of the definition and for the development of future prospective studies. A limitation of the study was that the heterogeneity of the interventions and different follow-up periods did not make it possible to pool all available data. Conclusions Vaginal tightening did not improve sensation in women with VL after intervention, whereas RF and laser improved sexual function in women with VL according to data from observational studies, but not from RCTs. PFM strength was improved after intervention in women with VL.

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Gold Thread Implantation for Female Sexual Dysfunction and Vaginal Laxity: A Preliminary Investigation

Cited by 3 publications

References 29 publications

Current Perspectives in Vaginal Laxity Measurement: A Scoping Review

Current Perspectives in Vaginal Laxity Measurement: A Scoping Review

The Risk of Applying Moving Cupping Therapy to A Patient with Chronic Lumbar Pain Previously Treated with Gold Thread Therapy

Treatment of women with vaginal laxity: systematic review with meta-analysis

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