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Vaginal Energy-Based Devices.

Jonia Alshiek, Bobby Garcia1, Vatche Minassian2

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Summary
This summary is machine-generated.

This consensus statement addresses vaginal energy-based devices (EBDs), with 28 of 40 statements reaching agreement. Lack of evidence hindered consensus on several vulvovaginal EBD treatment guidelines.

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Area of Science:

  • Gynecology
  • Urogynecology
  • Medical Devices

Background:

  • Vaginal energy-based devices (EBDs) are increasingly used for various gynecologic conditions.
  • A consensus on their application, safety, and efficacy is needed for clinical guidance.

Purpose of the Study:

  • To establish a clinical consensus statement on the use of vaginal energy-based devices (EBDs).
  • To evaluate statements regarding patient and provider criteria, efficacy, safety, and treatment considerations for EBDs.

Main Methods:

  • A modified Delphi process was employed by the American Urogynecologic Society's EBD writing group.
  • Statements were drafted by content experts and assessed for consensus following a structured literature search.
  • Forty statements were evaluated across five key categories.

Main Results:

  • Twenty-eight out of forty statements reached consensus among the experts.
  • Twelve statements did not achieve consensus, indicating areas of uncertainty.
  • Insufficient evidence was a primary reason for the lack of consensus on specific vulvovaginal EBD treatments.

Conclusions:

  • The consensus process identified areas of agreement and disagreement regarding vaginal EBDs.
  • Further research is required to address evidence gaps, particularly for vulvovaginal applications.
  • The statement provides a foundation for clinical practice but highlights the need for more robust data.