The Role of Bipolar Radiofrequency (Bprf) as a Mechanism of Bio-Stimulation for the Treatment of Vulvo-Vaginal Laxity: A Novel Approach

González-Isaza, Pablo; Rizo, Diana Velez; Garibay, Ignacio; Galvan, Ricardo

doi:10.26855/ijcemr.2021.07.022

Cited by 4 publications

(2 citation statements)

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“…Participants evaluated themselves by the Vaginal Laxity Questionnaire (VLQ). Individuals who scored between 1 and 3 on the VLQ in addition to reporting symptoms such as vaginal gas, entrapped water, reduced friction during intercourse, and labia majora laxity were categorized into the VL group 18 , 19 , while those who scored between 5 and 7 on the VLQ were placed in the control group 19 .…”

Section: Methodsmentioning

confidence: 99%

Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study

Hady,

Mabrouk,

Osman

2024

Sci Rep

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Vaginal laxity (VL) is a common condition among multiparous women, especially those who have delivered vaginally. Since pelvic floor muscles (PFMs) work synergistically with other core muscles, physical therapy protocols that aim to treat VL should train the PFMs in combination with other core muscles. To investigate the activity of core muscles in multiparous women with and without VL, and its relation to sexual function. An observational, cross-sectional study. The study included 100 multiparous women, who were divided into two groups according to their scores on the vaginal laxity questionnaire (VLQ). Women who scored between 1 and 3 on the VLQ were categorized as having VL (n = 48), while those who scored between 5 and 7 were placed in the control group (n = 52). The primary outcomes were PFM displacement, diaphragmatic excursion, transversus abdominis activation ratio, and lumbar multifidus thickness measured by ultrasound imaging. The secondary outcome was sexual functioning, evaluated using the Arabic female sexual function index (ArFSFI). The VL group had significantly lower PFM displacement (mean difference (MD) − 0.42; 95% confidence interval (CI) − 0.49 to − 0.33; p = 0.001), diaphragmatic excursion (MD − 2.75; 95% CI − 2.95 to − 2.55; p = 0.001), lumbar multifidus thickness (MD − 10.08; 95% CI − 14.32 to − 5.82; p = 0.02), and ArFSFI scores (MD − 9.2; 95% CI − 10.59 to − 7.81; p = 0.001) in comparison to the control group (p < 0.05). Nevertheless, the transversus abdominis activation ratio demonstrated no significant difference between the two groups (MD 0.06; 95% CI − 0.05 to 0.17; p = 0.33). Multiparous women with VL had significantly lower PFM displacement, diaphragmatic excursion, lumbar multifidus thickness, and sexual function index scores than women in the control group. The only exception was transversus abdominis activation, which did not differ significantly between the VL and control groups.

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Section: Methodsmentioning

confidence: 99%

Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study

Hady,

Mabrouk,

Osman

2024

Sci Rep

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“…Neuromodulation (NM) is defined as the alteration of neural pathways through the delivery of electrical stimulation or chemical agents to targeted sites of the body and can be used to improve functions and alleviate symptoms related to the relief of pain, restoration of function or normal bowel, bladder control and many more (Haylen et al., 2010). Several neuromodulation routes have been shown to treat chronic and/or refractory pelvic pain, including: transcutaneous pelvic stimulation (Iglesia & Smithling, 2017; Isaza et al., 2021), transvaginal and trans rectal electrical stimulation (Istek et al., 2014), percutaneous tibial nerve stimulation (Juliana et al., 2020; Kelly et al., 2016), sacral nerve electrical stimulation (SNS) (Lauretti et al., 2015; Lemos & Lemos, 2016; Zimmerman et al., 2018), pudendal nerve electrical stimulation (Logsdon et al., 2006; Malaguti, 2009), and conus medularis stimulation (Martellucci et al., 2012). NM has been shown to be effective at improving all these aspects of pelvic floor function, pelvic pain, bowel, bladder and sexual function which potentially makes it particularly useful in the adjuvant treatment of vaginal laxity (Miller et al., 1998), by improving in pelvic floor strength which is responsible for them.…”

Section: Introductionmentioning

confidence: 99%

Effect of knack technique on vaginal laxity in multiparous women: A randomized controlled trial

Hady,

Kassem,

Abdalla

2023

Physiotherapy Res Intl

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BackgroundVaginal laxity defined according to the International Urogynecological Association/International Continence society is excessive vaginal looseness; it is one of the most common symptoms of pelvic floor dysfunction, which refers to medical/functional disorders that can have a significant impact on a woman's sexual self‐esteem and sexual life.AimThis study aimed to determine the impact of the Knack Technique on Pelvic floor muscle (PFM) and sexual function in women with vaginal laxity.MethodsThirty females complaining of vaginal laxity were randomly chosen from the outpatient clinic at Deraya University. Their ages varied from 35 to 45 years, their body mass index was 25–30 kg/m2, and a number of parities ≤ three normal vaginal deliveries and at least two years from the last delivery complaining about vaginal laxity, water entrapment, and loss of friction during sexual intercourse. They were randomized into two equal groups at random (A, B). Group A (15 females) received (PSTES) and group B (15 females) received (PSTES) and Knack Technique. Both the groups received three sessions per week for 2 months.EvaluationThe outcome measures were evaluated through pre‐ and post‐interventions by using ultrasonography imaging to assess PFM function, Sexual Satisfaction Index, and Vaginal Laxity Questionnaires (VLQ) to assess sexual function.ResultsAnalysis indicated a significant improvement in vaginal laxity in the two groups. Comparison between groups pre‐ and posttreatment showed that there was no statistically significant difference between the groups B and A in SSI and VLQ, while there were significant differences between the groups A and B in PFM force.ConclusionCombining Parasacral transcutaneous electrical stimulation (PSTES) and Knack Technique is more effective than PSTES alone in reducing vaginal laxity as well as improving PFM and sexual function in women with vaginal laxity.

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Revolutionizing core muscle analysis in female sexual dysfunction based on machine learning

Abdel Hady,

Abd El-Hafeez

2024

Sci Rep

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The purpose of this study is to investigate the role of core muscles in female sexual dysfunction (FSD) and develop comprehensive rehabilitation programs to address this issue. We aim to answer the following research questions: what are the roles of core muscles in FSD, and how can machine and deep learning models accurately predict changes in core muscles during FSD? FSD is a common condition that affects women of all ages, characterized by symptoms such as decreased libido, difficulty achieving orgasm, and pain during intercourse. We conducted a comprehensive analysis of changes in core muscles during FSD using machine and deep learning. We evaluated the performance of multiple models, including multi-layer perceptron (MLP), long short-term memory (LSTM), convolutional neural network (CNN), recurrent neural network (RNN), ElasticNetCV, random forest regressor, SVR, and Bagging regressor. The models were evaluated based on mean squared error (MSE), mean absolute error (MAE), and R-squared (R2) score. Our results show that CNN and random forest regressor are the most accurate models for predicting changes in core muscles during FSD. CNN achieved the lowest MSE (0.002) and the highest R2 score (0.988), while random forest regressor also performed well with an MSE of 0.0021 and an R2 score of 0.9905. Our study demonstrates that machine and deep learning models can accurately predict changes in core muscles during FSD. The neglected core muscles play a significant role in FSD, highlighting the need for comprehensive rehabilitation programs that address these muscles. By developing these programs, we can improve the quality of life for women with FSD and help them achieve optimal sexual health.

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The Role of Bipolar Radiofrequency (Bprf) as a Mechanism of Bio-Stimulation for the Treatment of Vulvo-Vaginal Laxity: A Novel Approach

Cited by 4 publications

References 10 publications

Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study

Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study

Effect of knack technique on vaginal laxity in multiparous women: A randomized controlled trial

Revolutionizing core muscle analysis in female sexual dysfunction based on machine learning

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