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Short-term effect of vaginal erbium laser on the genitourinary syndrome of menopause.
Minerva Ginecol. 2015 Apr; 67(2):97-102.MG

Abstract

AIM

In this study we evaluated the short term effects of vaginal erbium laser (VEL) in the treatment of postmenopausal women (PMW) suffering from genitourinary syndrome of menopause (GSM).

METHODS

Sixty-five PMW were evaluated before and after VEL treatment (1 treatment every 30 days, for 3 months). GSM symptoms were evaluated either with subjective (Visual Analog Scale, VAS) and objective (Vaginal Health Index Score, VHIS) measures. In addition, in 21 of these PMW suffering from mild-moderate stress urinary incontinence (SUI), the degree of incontinence was evaluated with the International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI SF) before and after VEL treatments.

RESULTS

VEL treatment induced a significant decrease of VAS of both vaginal dryness, dyspareunia (P<0.01) and a significant (P<0.01) increase of VHIS). In addition, VEL treatment induced a significant (P<0.01) improvement of ICIQ-SF scores in PMW suffering from SUI. VEL was well tolerated with less than 2 % of patients discontinuing treatment due to adverse events.

CONCLUSION

VEL treatment significantly improves vaginal dryness, dyspareunia and mild-moderate SUI. Larger and long-term studies are needed to investigate the role of laser treatments in the management of GSM.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Pisa University Hospital, Pisa, Italy - margamba@tin.it.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25763800

Citation

Gambacciani, M, and M Levancini. "Short-term Effect of Vaginal Erbium Laser On the Genitourinary Syndrome of Menopause." Minerva Ginecologica, vol. 67, no. 2, 2015, pp. 97-102.
Gambacciani M, Levancini M. Short-term effect of vaginal erbium laser on the genitourinary syndrome of menopause. Minerva Ginecol. 2015;67(2):97-102.
Gambacciani, M., & Levancini, M. (2015). Short-term effect of vaginal erbium laser on the genitourinary syndrome of menopause. Minerva Ginecologica, 67(2), 97-102.
Gambacciani M, Levancini M. Short-term Effect of Vaginal Erbium Laser On the Genitourinary Syndrome of Menopause. Minerva Ginecol. 2015;67(2):97-102. PubMed PMID: 25763800.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short-term effect of vaginal erbium laser on the genitourinary syndrome of menopause. AU - Gambacciani,M, AU - Levancini,M, PY - 2015/3/13/entrez PY - 2015/3/13/pubmed PY - 2016/12/15/medline SP - 97 EP - 102 JF - Minerva ginecologica JO - Minerva Ginecol VL - 67 IS - 2 N2 - AIM: In this study we evaluated the short term effects of vaginal erbium laser (VEL) in the treatment of postmenopausal women (PMW) suffering from genitourinary syndrome of menopause (GSM). METHODS: Sixty-five PMW were evaluated before and after VEL treatment (1 treatment every 30 days, for 3 months). GSM symptoms were evaluated either with subjective (Visual Analog Scale, VAS) and objective (Vaginal Health Index Score, VHIS) measures. In addition, in 21 of these PMW suffering from mild-moderate stress urinary incontinence (SUI), the degree of incontinence was evaluated with the International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI SF) before and after VEL treatments. RESULTS: VEL treatment induced a significant decrease of VAS of both vaginal dryness, dyspareunia (P<0.01) and a significant (P<0.01) increase of VHIS). In addition, VEL treatment induced a significant (P<0.01) improvement of ICIQ-SF scores in PMW suffering from SUI. VEL was well tolerated with less than 2 % of patients discontinuing treatment due to adverse events. CONCLUSION: VEL treatment significantly improves vaginal dryness, dyspareunia and mild-moderate SUI. Larger and long-term studies are needed to investigate the role of laser treatments in the management of GSM. SN - 1827-1650 UR - https://www.unboundmedicine.com/medline/citation/25763800/Short_term_effect_of_vaginal_erbium_laser_on_the_genitourinary_syndrome_of_menopause_ L2 - http://www.minervamedica.it/index2.t?show=R09Y2015N02A0097 DB - PRIME DP - Unbound Medicine ER -