Non-Ablative Radiofrequency and Vaginal Dilation Therapy.

IF 1.8 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Ana Maria Luna Ramalho, Claudia Cristina Takano, Mila Torii Corrêa Leite, Marair Gracio Ferreira Sartori
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引用次数: 0

Abstract

Introduction: Radiofrequency (RF) is indicated for degenerative processes that involve decreased or delayed metabolism, blood flow, and nutrition, typically associated with chronic conditions. This study evaluated the effects of non-ablative radiofrequency (RF) combined with vaginal dilation in patients with vaginal agenesis or vaginal stenosis.

Methods: Ten patients were divided into 2 groups: 5 received RF combined with dilation (VD+RF group), and 5 underwent only vaginal dilation (VD group). The RF treatment involved applying radiofrequency at 39°C for 5 minutes before dilation, while the VD group had dilation alone for 20 minutes.

Results: No significant differences between the groups in final vaginal length and diameter were found. However, the VD+RF group exhibited a significant increase in vaginal length during sessions compared to the VD group. Improved comfort and reduced pain during dilation in the VD+RF group were attributed to the thermal effects of RF, which enhanced tissue elasticity and extensibility. Pain reduction during dilation was reported by all participants in the VD+RF group, whereas issues such as canal stenosis and emotional challenges were noted in both groups. The Visual Analog Scale for Satisfaction showed a significant improvement in sexual satisfaction in the VD+RF group compared to the VD group (P = .0422). Although the Female Sexual Function Index questionnaire revealed improvements in sexual function domains, it was only administered to a subset of sexually active women in the RF group.

Conclusion: RF is as a safe and effective adjunct to vaginal dilation, enhancing pain management and sexual satisfaction.

非消融射频和阴道扩张治疗。
简介:射频(RF)用于涉及代谢、血流量和营养减少或延迟的退行性过程,通常与慢性疾病相关。本研究评估了非消融射频(RF)联合阴道扩张治疗阴道发育不全或阴道狭窄患者的效果。方法:10例患者分为两组:5例行射频联合阴道扩张术(VD+RF组),5例只行阴道扩张术(VD组)。射频治疗包括在扩张前在39°C下应用射频5分钟,而VD组仅进行扩张20分钟。结果:两组患者最终阴道长度和直径无明显差异。然而,与VD组相比,VD+RF组在治疗期间阴道长度显着增加。VD+RF组舒适感的改善和舒张期疼痛的减轻是由于RF的热效应,它增强了组织的弹性和可扩展性。VD+RF组的所有参与者都报告了扩张过程中的疼痛减轻,而两组都注意到诸如管道狭窄和情绪挑战等问题。视觉模拟满意度量表显示,与VD组相比,VD+RF组的性满意度有显著提高(p = 0.0422)。尽管女性性功能指数问卷显示性功能领域有所改善,但它仅适用于RF组中性活跃的女性的一部分。结论:射频辅助阴道扩张是一种安全有效的辅助方法,可改善疼痛管理和性满意度。
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来源期刊
CiteScore
3.90
自引率
11.10%
发文量
251
审稿时长
57 days
期刊介绍: Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.
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