Role of Radiofrequency (Votiva, InMode) in Pelvic Floor Restoration

Dayan, Erez; Ramirez, Henry; Westfall, Lacy; Theodorou, Spero

doi:10.1097/gox.0000000000002203

Cited by 9 publications

(12 citation statements)

References 24 publications

(51 reference statements)

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“…The title and abstract of the remaining 578 were screened and 463 were excluded due to the selection criteria. In the end, 100 more studies were excluded after reading the whole text, obtaining 15 studies that met the inclusion criteria [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…These results suggest that higher quality randomized controlled trials are necessary on this topic, as the existing studies present several limitations. Concerning other study designs, they were assessed by the Newcastle and Ottawa scale, obtaining low scores: between 0 and 3 stars [ 22 , 23 , 24 , 25 , 26 , 30 , 31 , 33 , 34 , 35 ]. This poor result is explained by the lack of comparison groups in most of the designs and the possible risk of selection bias due to the lack of information about participants’ identity and recruitment.…”

Section: Resultsmentioning

confidence: 99%

“…Postpartum perineal pain was treated in the RCT of Bretelle et al, finding no differences in perineal pain but improvements in discomfort while walking in the experimental group [ 20 ]. A case series of Dayan et al obtained improvements in muscle maximum contraction after postpartum, not in basal muscle tone [ 33 ], using a biofeedback device for this assessment.…”

Section: Resultsmentioning

confidence: 99%

“…This review also found RFD applications that targeted pelvic floor muscles contraction. Dayan et al observed that the treatment with RFD produced an increment in maximal pelvic floor muscles contraction but no changes were perceived in base muscle tone [ 33 ]. Similar results regarding muscle strength were reported by Fernández-Cuadros et al [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Concerning the safety of the RFD application in the pelvic floor muscles, five studies identified that the treatment presents a low risk of adverse effects due to their lack of appearance [ 22 , 23 , 24 , 31 , 33 ]. Only Krychman et al reported some adverse events, which resolved spontaneously [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

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Effects of Non-Invasive Radiofrequency Diathermy in Pelvic Floor Disorders: A Systematic Review

González-Gutiérrez¹,

López-Garrido²,

Cortés‐Pérez

et al. 2022

Medicina

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Background and Objectives: In recent years, the use of radiofrequency diathermy in pelvic floor disorders has grown proportionally to the interest in this specialty. Despite the common use of this therapy among pelvic floor physiotherapists, little is known about its effects and effectiveness in pelvic floor disorders. For this reason, the aim of the present review is to assess the effects of non-invasive 300 kHz–1 MHz radiofrequency diathermy in the treatment of pelvic floor disorders. Materials and Methods: A literature search was performed in PubMed, Scopus and Web of Science, searching for any type of study that included pelvic floor disorder participants and an experimental group treated with non-invasive nor ablative radiofrequency diathermy. Results: There were a total of 578 studies after removing duplicates. The inclusion and exclusion criteria were applied, resulting in a total of 15 studies, which were methodologically assessed with PEDro and the Newcastle and Ottawa scale. Conclusions: Despite the low quality of most of them, the studies showed improvements in urinary incontinence, pelvic pain conditions, pelvic floor muscles strength and sexual function. These findings must be considered with caution until more randomized clinical trials are performed to solve the biases detected.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effects of Non-Invasive Radiofrequency Diathermy in Pelvic Floor Disorders: A Systematic Review

González-Gutiérrez¹,

López-Garrido²,

Cortés‐Pérez

et al. 2022

Medicina

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Safety, tolerability and short‐term efficacy of transvaginal fractional bipolar radiofrequency therapy for symptoms of stress and or mixed incontinence in conjunction with genitourinary syndrome of menopause

Abdelaziz

Blusewicz²,

Coley³

et al. 2023

Neurourology and Urodynamics

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Introduction: Radiofrequency (RF) energy application stimulates collagen and elastin remodeling to restore the elasticity, and moisture of the superficial vaginal mucosa. This is the first study to report on the use of microneedling to deliver RF energy to the vaginal canal. Microneedling increases the response of the collagen contraction and neocollagenesis in deeper layers of tissue, thus increasing the support to the surface. The novel intravaginal microneedling device used in this study allows penetration of the needles to 1, 2, or 3 mm. Objective: A prospective study to evaluate the safety and short-term outcome of a single fractional RF treatment of the vaginal canal in a series of women with coexistent stress or mixed incontinence (MUI) and genitourinary syndrome of menopause (GSM).Methods: Twenty women who had symptoms of SUI and or MUI in conjunction with GSM were given a single vaginal treatment that consisted of fractional bipolar RF energy using the EmpowerRF platform with the Morpheus8V applicator (InMode). RF energy was delivered into the vaginal walls via 24 microneedles, at a depth of 1, 2, and 3 mm. Outcomes were evaluated by "cough" stress test, questionnaires (MESA SI, MESA UI, iQoL, UDI-6) and evaluation of vaginal tissue through the VHI scale at 1-, 3-, and 6-months post-treatment compared to baseline. Biopsies were performed at baseline and 3-months on five patients for histological reference and tissue evaluation.Results: Eight out of eight outcomes measured from baseline to 6-months post-treatment showed improvement. The parameters scored in the questionnaires including frequency, urgency, nocturia, urge incontinence, and stress incontinence showed significant improvement in all areas at the 1-, 3-, and 6month follow-up sessions compared to baseline. Conclusions:The results showed evidence that fractional RF energy delivered vaginally is safe, well tolerated, and provide short term improvement of SUI and or MUI in conjunction with GSM.

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Clinical utility of radiofrequency energy for female genitourinary dysfunction: past, present, and future

2021

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Role of Radiofrequency (Votiva, InMode) in Pelvic Floor Restoration

Abstract: Supplemental Digital Content is available in the text.

Cited by 9 publications

References 24 publications

Effects of Non-Invasive Radiofrequency Diathermy in Pelvic Floor Disorders: A Systematic Review

Effects of Non-Invasive Radiofrequency Diathermy in Pelvic Floor Disorders: A Systematic Review

Safety, tolerability and short‐term efficacy of transvaginal fractional bipolar radiofrequency therapy for symptoms of stress and or mixed incontinence in conjunction with genitourinary syndrome of menopause

Clinical utility of radiofrequency energy for female genitourinary dysfunction: past, present, and future

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