Treatment of Rectovaginal Fistula Using Fractionate CO<sub>2</sub> Vaginal Laser: A Case Series

Drumond, Denise Gasparetti; Speck, Neila Maria de Góis; Chebli, Júlio Maria Fonseca; Condé, Camila de Moraes Sarmento; Chebli, Liliana Andrade; Pannain, Gabriel Duque; Esperança, Samuel Drumond

doi:10.1089/photob.2020.4992

Cited by 1 publication

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“…In the search for treatment alternatives for RVF, accumulating evidence suggests that the fractional CO2 vaginal laser therapy could have a potential therapeutic role in this setting. Indeed, after the pilot study and a case series developed by Drumond et al [ 12 , 13 ] presenting potentially complementary, promising, and safe therapeutic strategy with fractional CO2 laser, new studies are being developed.…”

Section: Discussionmentioning

confidence: 99%

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Combined clinical and radiological remission of rectovaginal fistulas using fractional CO2 vaginal laser: a case series and medium-term follow-up

Drumond,

Condé,

Chebli

et al. 2023

BMC Res Notes

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Introduction Despite the advances in surgical and clinical approaches, there is no consensus regarding the best line of treatment from rectovaginal fistula (RVF). Faced with a challenging scenario in the approach of RVF, the fractional CO2 laser receives attention as a possible form of treatment. Objectives A single-center, prospective, open-label study evaluating the effectiveness and safety of laser therapy for RVF treatment. Subjects and methods The total of 15 patients was recruited at the Juiz de Fora University Hospital between August 2018 and July 2022. Inclusion criteria were presence of clinically suspects RVF of any etiology confirmed by pelvic magnetic resonance image (MRI) and gynecological examination. Five fractional CO2 laser sessions with monthly interval followed by complete evaluation through clinical examination and pelvic MRI were performed for all patients after the completion of treatment. Analysis of sexual function before and after the treatment was performed using Female Sexual Quotient (FSQ). Results The evaluation through physical examination showed no persistent inflammatory signs in the vagina for all patients. Additionally, 10 of out 15 (67.7%) patients achieved clinical remission of RVF symptoms, while 33.3% patients reported significant improvement. Of note, five patients who did not have previous sexual activity returned to regular sexual activity while seven patients who have baseline sexual activity had improvement in their sexual function as assessed by the FSQ. Three out of four ostomized patients had their ostomy reversed and remained without complains. All six patients with RVF secondary to Crohn’s disease reported a marked improvement in symptoms and sexual function. In seven (47%) patients radiological remission was confirmed by pelvic MRI. Conclusion CO2 fractional laser can be considered a promising and safe therapeutic alternative for the management of RVF.

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Section: Discussionmentioning

confidence: 99%

“…Two women, previously ostomized, had their ostomy reversed. Of these, four patients resumed sexual function as evaluated by female sex quotient [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Combined clinical and radiological remission of rectovaginal fistulas using fractional CO2 vaginal laser: a case series and medium-term follow-up

Drumond,

Condé,

Chebli

et al. 2023

BMC Res Notes

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Treatment of Rectovaginal Fistula Using Fractionate CO₂ Vaginal Laser: A Case Series

Cited by 1 publication

References 15 publications

Combined clinical and radiological remission of rectovaginal fistulas using fractional CO2 vaginal laser: a case series and medium-term follow-up

Combined clinical and radiological remission of rectovaginal fistulas using fractional CO2 vaginal laser: a case series and medium-term follow-up

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Treatment of Rectovaginal Fistula Using Fractionate CO2 Vaginal Laser: A Case Series

Cited by 1 publication

References 15 publications

Combined clinical and radiological remission of rectovaginal fistulas using fractional CO2 vaginal laser: a case series and medium-term follow-up

Combined clinical and radiological remission of rectovaginal fistulas using fractional CO2 vaginal laser: a case series and medium-term follow-up

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Treatment of Rectovaginal Fistula Using Fractionate CO₂ Vaginal Laser: A Case Series