Treatment of vaginal relaxation syndrome with an Erbium:YAG laser 360° scanning scope via automatic dual mode technique

  • Jamal JomahEmail author
  • Abdullah Wael Bahi
  • Khaled Prince Mousa
  • Alaa El-Saharty
  • Salwa Mohammed Neyazi
Original Paper



Vaginal relaxation syndrome (VRS) is a common phenomenon affecting women and their partners which may lead to decreased sexual satisfaction. Recently, the use of 2940-nm Erbium:YAG laser (Er:YAG) has been extended to cosmetic gynecology to treat VRS. This study evaluated the efficacy of this non-surgical laser procedure.


From October 2014 till January 2017, 39 females with vaginal relaxation syndrome (VRS) were treated with the 2940-nm Er:YAG. Their ages ranged from 27 to 47. Those 39 patients received one to four treatment sessions at 2–3-week intervals. The sessions were performed with a 360° scope via automatic dual step technique. The first step consisted of three passes of multiple pulses ranging from 1.7 to 2.2 J per pulse. The second step consisted of two passes of long-pulsed wave of 3.7 J and a pulse width of 1 s. The improvement in sexual satisfaction was assessed subjectively by patients’ questionnaire.


Improvement in sexual satisfaction was reported by 78% of the patients. A few minor side effects were reported such as vaginal ecchymosis and mild burning sensation.


In patients suffering from VRS, the use of automatic dual pass technique Er:YAG is a convenient non-surgical method to obtain reasonable tightening of vaginal wall and improve sexual satisfaction.

Level of Evidence: Level IV, case series study.


Automatic dual mode Vaginal tightening 360° scanning scope Sexual satisfaction Tissue remodeling 


Compliance with ethical standards

Conflict of interest

Jamal Jomah, Abdullah Wael Bahi, Khaled Prince Mousa, Alaa El-Saharty, and Salwa Mohammed Neyazi declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this retrospective study formal consent from a local ethics committee is not required.

Informed consent

Informed consent was obtained from all individual participants in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Jamal Jomah
    • 1
    Email author
  • Abdullah Wael Bahi
    • 1
  • Khaled Prince Mousa
    • 1
  • Alaa El-Saharty
    • 1
  • Salwa Mohammed Neyazi
    • 1
    • 2
  1. 1.Med Art ClinicsRiyadhSaudi Arabia
  2. 2.King Saud UniversityRiyadhKingdom of Saudi Arabia

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