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Efficacy of fractional CO 2 laser in the treatment of genitourinary syndrome of menopause in Latin-American Population: First Peruvian experience.
- Source :
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Lasers in surgery and medicine [Lasers Surg Med] 2019 Aug; Vol. 51 (6), pp. 509-515. Date of Electronic Publication: 2019 Feb 19. - Publication Year :
- 2019
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Abstract
- Objective: This PUBA study aimed to assess the efficacy of fractional CO2 laser in the treatment of genitourinary syndrome of menopause (GSM).<br />Methods: GSM symptoms were assessed before, 1 month after the first session and 1 month after the third session of laser (3 sessions with a 30 days interval between them) in 60 women (median, interquartile range: 55, 49-69). Subjective (visual analog scale) and objective (Vaginal Health Index, VHIS; Vaginal Maturity Index/Frost Index; Spanish Overactive Bladder Questionnaire-Short Form, USMEX Spanish OAB-qSF and Female Sexual Function Index, FSFI) measures were used during the study period to assess CO2 fractionated laser treatment outcomes compared to baseline.<br />Results: Fractional CO <subscript>2</subscript> laser treatment was effective to improve GSM symptoms (vaginal dryness, vaginal itching, vaginal burning, dyspaurenia, dysuria, urinary urgency; P < 0.001) after three sessions, as well as VHIS (median, interquartile range: 13, 10-15 at baseline vs. 21, 20-23 at the fourth month follow up; P < 0.001), Frost Index (median, interquartile range: 28, 24-31 at baseline vs. 8, 6-10 at the fourth month follow up; P < 0.001), USMEX (median, interquartile range: 56, 46-68 at baseline vs 14, 13-16 at the fourth month follow up: P < 0,001) and FSFI (median, interquartile range: 5, 2-14 at baseline vs 30, 28-32).<br />Conclusions: In this sample, the data suggests that fractionated CO2 laser is an effective alternative for GSM treatment with positive outcomes that persists over time. Lasers Surg. Med. 51:509-515, 2019. © 2019 Wiley Periodicals, Inc.<br /> (© 2019 Wiley Periodicals, Inc.)
Details
- Language :
- English
- ISSN :
- 1096-9101
- Volume :
- 51
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Lasers in surgery and medicine
- Publication Type :
- Academic Journal
- Accession number :
- 30779363
- Full Text :
- https://doi.org/10.1002/lsm.23066