engleski

LASER VAGINAL TIGHTENING FOR SEXUAL DYSFUNCTION

Objective: Frequent deliveries and the process of ageing distend vaginal musculature irreversibly, reducing the level of vaginal contraction during the intercourse. This effect could diminish sexual arousal and satisfaction. The use of laser in the treatment for vaginal tightening (LVT) is a novel, non-invasive method based on photo thermal effect that produce tightening and shrinking of endopelvic fascia and pelvic floor tissue. The intense and deep thermal stimulus will produce the collagen genesis which consolidates the long-term outcome enhancing sexual gratification for women. Design & Method: This prospective pilot study was conducted on seventeen woman patients who were scheduled for laser vaginal tightening willing to enhance the level of vaginal and pelvic floor muscular strength because of deteriorated sexual response. After completing inclusion criteria: history of vaginal delivery ; pelvic organ prolaps of the 1st or 2nd grade ; Q-tip test over 30 degrees ; low score achieved by specific questionnaire ; low perineometry values assessing pelvic floor muscle strength and endurance. Procedure was preformed with ErYag laser XS Dynamis (Fotona, Slovenia). Follow up was scheduled for 1 and 3 months, measuring all the inclusion parameters. Results: Preliminary results of post treatment evaluation shown improvement in all the domains tested (reduction of total vaginal length, reduction of Q-tip angle, increased maximal pressure and average pressure in perineometry with improved subjective sexual satisfaction. Conclusion: This is the first study that objectivises the effect of exclusively laser photo treatment on vaginal tightening without using any kind of surgical adjuvant techniques. The results after LVT treatment show improvement in reducing POP-Q measures and empowering vaginal and pelvic wall strength, simultaneously enhancing sexual satisfaction. Nevertheless, adequately powered randomised controlled clinical trials are needed to confirm the method that could reduce the operative intervention in the future.

laser, vaginal relaxation, sexuality

nije evidentirano