Abstract
Radiofrequency energy has been used for numerous medical applications including orthopedic, oncologic, and ophthalmologic indications. Characteristics of this energy source also allow it to be used for precisely controlled thermal therapy directed at soft tissues so as to induce such changes as collagen deposition and tissue shrinkage. These soft tissue effects have recently been used for the treatment of genuine stress urinary incontinence in women. As experience with this modality has matured, improved and less invasive methods of energy application have been developed. Large-scale clinical trials using this energy modality via laparoscopic and transvaginal approaches have either recently been completed or are near completion. A completely noninvasive approach is presently undergoing early clinical trials. The efficacy and safety profiles of this therapy support radiofrequency treatment of the endopelvic fascia as an option for the management of stress urinary incontinence in women.
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References and Recommended Reading
Osmond C, Hecht P, Hayashi K, et al.: Comparative effects of laser and radiofrequency energy on joint capsule. Clin Orthop 2000, Jun:286–294.
Hecht P, Hayashi K, Lu Y, et al.: Monopolar radiofrequency energy effects on joint capsular tissue: potential treatment for joint instability. An in vivo mechanical, morphological, and biochemical study using an ovine model. Am J Sports Med 1999, 27:761–771.
Hecht P, Hayashi K, Cooley AJ, et al.: The thermal effect of monopolar radiofrequency energy on the properties of joint capsule. An in vivo histologic study using a sheep model. Am J Sports Med 1998, 26:808–814. Excellent discussion and demonstration of RF soft tissue effects including mechanical and structural changes induced by thermal energy.
Lopez MJ, Hayashi K, Fanton GS, et al.: The effect of radiofrequency energy on the ultrastructure of joint capsular collagen. Arthroscopy 1998, 14:495–501.
Dover JS, Arndt KA: New approaches to the treatment of vascular lesions. Lasers Surg Med 2000, 26:158–163.
Allain JC, Le Lous M, Cohen S, et al.: Isometric tensions developed during the hydrothermal swelling of rat skin. Connect Tissue Res 1980, 7:127–133.
Verzar F, Nagy IZ: Electronmicroscopic analysis of thermal collagen denaturation in rat tail tendons. Gerontologia 1970, 16:77–82.
Galen DL: Histologic results of a new treatment for stress urinary incontinence without implantable materials. Obstet Gynecol 2000, 95:S30. Rabbit-based model emphasizing the reproducible effects of RF energy on the endopelvic fascia, and the lack of visceral injury induced by this thermal application.
Fulmer BR, Sakamoto K, Turk TM, et al.: Acute and long-term outcomes of radio frequency bladder neck suspension. J Urol 2002, 167:141–145. Well-designed study reporting first large-scale RF experience in humans. The authors of this study used the LP approach.
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Dmochowski, R.R. Radiofrequency bladder neck suspension for the treatment of genuine stress urinary incontinence. Curr Urol Rep 3, 378–381 (2002). https://doi.org/10.1007/s11934-002-0080-x
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DOI: https://doi.org/10.1007/s11934-002-0080-x