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Intravaginal Pulsed Contractile Radiofrequency for Stress Urinary Incontinence Treatment; A Safety Study.
Mohammadreza Razzaghi1, Afsar Asghari-Azghan2, Saeed Montazeri2
1Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Journal of Lasers in Medical Sciences
|February 14, 2022
Summary
Transvaginal radiofrequency (RF) treatment offers a convenient option for stress urinary incontinence (SUI). This pilot study demonstrated significant improvements in quality of life and reduced incontinence episodes after RF therapy.
Area of Science:
- Urology
- Gynecology
- Medical Devices
Background:
- Stress urinary incontinence (SUI) significantly impacts women's quality of life.
- Current SUI treatments have varying efficacy and patient acceptance.
- Radiofrequency (RF) therapy presents a novel, office-based treatment approach.
Purpose of the Study:
- To assess the efficacy and safety of transvaginal RF treatment for SUI.
- To evaluate the impact of RF treatment on quality of life (QOL) and incontinence frequency.
Main Methods:
- A pilot-safety study involving 28 women with SUI.
- Treatment involved a 3-session course of intravaginal RF therapy (thermic and contractile phases).
- Efficacy was assessed via voiding diaries, I-QOL questionnaires, Q-tip tests, and pad tests at multiple follow-up points.
Main Results:
- Significant improvements were observed in the mean I-QOL total score and 24-hour pad test results.
- A notable reduction in daily incontinence episodes and Q-tip test values was recorded.
- All observed changes were statistically significant (P=0.001) across follow-up visits.
Conclusions:
- Transvaginal RF treatment is a potentially convenient and effective method for managing SUI.
- The therapy demonstrated significant positive effects on patient-reported QOL and objective measures of incontinence.
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