Treatment of vaginal relaxation syndrome with an Erbium:YAG laser 360° scanning scope via automatic dual mode technique
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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.
KeywordsAutomatic 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.
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 was obtained from all individual participants in the study.
- 1.Vizintin Z, Rivera M, Fistonić I et al (2012) Novel minimally invasive VSP Er:YAG laser treatments in gynecology. J Laser Health Acad. 1(1):46–58Google Scholar
- 3.Masters WH, Johnson VE (1966) Human sexual response. Toronto. Bantam Books, New YorkGoogle Scholar
- 4.Pardo JI, Dalenze VS (2016) Evaluation of patient satisfaction in LVT with non-ablative Er:YAG for vaginal relaxation syndrome. Journal of the Laser and Health Academy (1) www.laserandhealth.com ISSN 1855–9913
- 8.Shaw D, Lefebvre G, Bouchard C, Shapiro J, Blake J, Allen L, Cassell K, Leyland N, Wolfman W, Allaire C, Awadalla A, Best C, Dunn S, Heywood M, Lemyre M, Marcoux V, Menard C, Potestio F, Rittenberg D, Singh S, Shapiro J, Akhtar S, Camire B, Christilaw J, Corey J, Nelson E, Pierce M, Robertson D, Simmonds A (2013) Female genital cosmetic surgery. J Obstet Gynaecol Can 35(12):1108–1112CrossRefGoogle Scholar
- 10.ACOG: Vaginal “rejuvenation” and cosmetic vaginal procedures. ACOG Committee Opinion No. 378. ACOG, Washington, DC, USA, September 2007Google Scholar
- 14.Sekiguchi Y, Utsugisawa Y, Azekosi Y, et al (2013) Laxity of the vaginal introitus after childbirth: nonsurgical vaginal tissue restoration and improved sexual satisfaction with an office procedure of low-energyradiofrequency thermal therapy. G Ital di Ostet e Ginecol. J Women's Health 35(1):328–334. https://doi.org/10.1089/jwh.2012.4123
- 17.Gaviria PJE, Lanz LJA (2012) Laser vaginal tightening (LVT)–evaluation of a novel noninvasive laser treatment for vaginal relaxation syndrome. J Laser Health Acad 2012(1):59–66Google Scholar
- 21.Lukac M, Vizintin Z, Kazic M, Sult T (2008) Novel fractional treatments with VSP erbium YAG aesthetic lasers. J Laser Health Acad. 2008(6):1–12Google Scholar
- 23.DEKA (2012) D-Pulse: the Pulse Created for MonaLisa Touch (www.dekalaser.com)
- 24.Gaviria PJE, Korošec B, Fernandez J, Montero G (2016) Up to 3-year follow-up of patients with vaginal relaxation syndrome participating in laser vaginal tightening. J Laser Health Acad. 2016(May):1–6Google Scholar
- 25.Jorge E, Gaviria P, Jose A, Lanz L (2012) Laser vaginal tightening (LVT) – evaluation of a novel noninvasive laser treatment for vaginal relaxation syndrome. Journal of the Laser and Health Academy 2012(1)Google Scholar
- 35.Triffin M (2010) Warning: these doctors may be dangerous to your vagina. Cosmopolitan 249:159–161Google Scholar
- 36.Bates B (2010) Controversy rages over female genital cosmetic surgery. Ob Gyn News 45(March):1–11Google Scholar
- 38.FDA warns against use of energy-based devices to perform vaginal “rejuvenation” or vaginal cosmetic procedures: FDA safety communication, date issued: July 30, 2018Google Scholar
- 39.Fistonic N, Fistonic I, Lukanovic A, Findri Gustek S, Sorta Bilajac Turina I, Franic D (2015) First assessment of short-term efficacy of Er:YAG laser treatment on stress urinary incontinence in women: prospective cohort study. Climacteric 18(sup1)Google Scholar