Women with Genitourinary Syndrome of Menopause Treated with Vaginal Estriol, Microablative Fractional CO2 Laser and Microablative Fractional Radiofrequency: A Randomized Pilot Study.

IF 1.8 Q2 SURGERY
Carla Dias de Oliveira, Ana Maria Homem de Mello Bianchi, Madalena Leonor Pereira Campos, Maria Cristina Caceres Nogueira, Marair Gracio Ferreira Sartori, Neila Maria de Góis Speck
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Abstract

Objective: This pilot study intended to assess the feasibility of a large-scale randomized clinical trial designed to analyze the effectiveness of microablative fractional CO2 laser (CO2L) and microablative fractional radiofrequency (RF) compared with vaginal estriol (VE) as treatments for women with moderate-to-severe Genitourinary Syndrome of Menopause (GSM). Methods: Participants were randomized into VE, CO2L, or RF groups. In the VE group, women were required to use vaginal estriol cream for 14 days and then twice a week for 4 months. In the CO2L and RF groups, three energy therapies were administered at monthly intervals. Visual Analog Scale (VAS) for GSM symptoms, Female Sexual Function Index (FSF-I), Vaginal Health Index (VHI), and Nugent Score (NS) were analyzed before and 120 days after the beginning of the treatments. Pain scores were verified after each CO2L and RF session. Results: Thirty-four participants completed the study: 11 in the VE group, 11 in the CO2L group, and 12 in the RF group. No unexpected or serious adverse events were observed. We also verified that GSM symptoms, sexual function, and VHI significantly improved (p < 0.05) with no difference among the groups. NS did not show statistically significant difference before and after the treatments. Pain during RF application was associated with higher scores. Conclusions: The study is feasible and does not seem to have safety implications. Preliminary results suggest that CO2L and RF are good alternatives to VE for ameliorating clinical symptoms, FSF-I, and VHI in patients with GSM. Clinical Trial Registration number: NCT04045379.

用阴道雌三醇、微烧蚀点阵二氧化碳激光和微烧蚀点阵射频治疗更年期泌尿生殖系统综合征妇女:随机试验研究。
研究目的本试验研究旨在评估大规模随机临床试验的可行性,旨在分析微剥脱点阵式 CO2 激光(CO2L)和微剥脱点阵式射频(RF)与阴道雌三醇(VE)作为中重度更年期泌尿生殖系统综合征(GSM)女性治疗方法的有效性比较。方法:参与者被随机分为 VE、CO2L 或 RF 组。在 VE 组,妇女必须使用阴道雌三醇霜 14 天,然后每周两次,持续 4 个月。CO2L 组和射频组则每月进行三次能量治疗。在治疗开始前和治疗开始后 120 天,对 GSM 症状的视觉模拟量表(VAS)、女性性功能指数(FSF-I)、阴道健康指数(VHI)和 Nugent 评分(NS)进行了分析。在每次 CO2L 和射频治疗后,对疼痛评分进行核实。结果34 名参与者完成了研究:VE组11人,CO2L组11人,RF组12人。未发现意外或严重不良事件。我们还证实,GSM 症状、性功能和 VHI 均有明显改善(p 结论:该研究是可行的,而且不会对患者的性功能造成不良影响:这项研究是可行的,似乎不涉及安全问题。初步结果表明,在改善 GSM 患者的临床症状、FSF-I 和 VHI 方面,CO2L 和 RF 是 VE 的良好替代品。临床试验注册号:NCT04045379:NCT04045379。
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来源期刊
CiteScore
4.10
自引率
0.00%
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0
期刊介绍: Photobiomodulation, Photomedicine, and Laser Surgery Editor-in-Chief: Michael R Hamblin, PhD Co-Editor-in-Chief: Heidi Abrahamse, PhD
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