A method for photothermal tissue reconstruction using Er:YAG laser Fotona in modern gynecology


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Abstract

Objective. To analyze Russian and foreign data on the efficiency and safety of noninvasive erbium laser therapy aimed at enhancing pelvic floor muscle tone. Material and methods. Articles on the use of erbium laser in gynecology in the past 7 years were chosen and analyzed in PubMed, the international base for citation of scientific medical publications, were selected and analyzed. Results. Many studies describing the successful experience with non invasive laser procedures in gynecology were identified. The absolute majority of authors note not only the high efficiency of the technique, but also its safety, which makes it possible to regard it as a worthy alternative to both the existing surgical procedures and accepted therapies. Conclusion. This type of therapy represents a promising treatment technology with a high efficiency and an optimal safety profile.

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About the authors

I. A Kulikov

National Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov; I.M. Sechenov First Moscow State Medical University

MD, doctor obstetrician-gynecologist of the Department of Aesthetic Gynecology and Rehabilitation; associate professor of the Deparment of Obstetrics, Gynecology, Perinatology, and Reproductology, Institute of Professional Education

L. B Spokoiny

European Laser Academy and Health (LA&HA)

international expert on laser technologies, an anesthesiologist-resuscitator

E. A Gorbunova

National Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov

doctor obstetrician-gynecologist, physiotherapist of the Department of Aesthetic Gynecology and Rehabilitation

I. A Apolikhina

National Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov; I.M. Sechenov First Moscow State Medical University

MD, professor, obstetrician-gynecologist of the highest category, physiotherapist, head of the Department of Aesthetic Gynecology and Rehabilitation; Professor of the Department of Obstetrics, Gynecology, Perinatology, and Reproductology, Institute of Professional Education

References

  1. Abrams P., Cardozo L., Khoury S., Wein A., eds. Incontinence: 4th International consultation on incontinence. Paris, July 2008. Paris, France: Health Publ.; 2009. 1820p.
  2. Novara G., Artibani W., Barber M.D., Chappie C.R., Costantini E., Ficarra V. et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur. Urol. 2010; 58(2): 218-38.
  3. Petros P.E.P., Richardson P.A. The TFS mini-sling for uterine/vault prolapse repair: a three-year follow-up review. Austr. N. Z. J. Obstet. Gynaecol. 2009; 49(4): 439-40.
  4. Rogers R.G. Urinary stress incontinence in women. N. Engl. J. Med. 2008; 358(10): 990-1029.
  5. Kegel A.H. Stress incontinence and genital relaxation. Ciba Clin. Symp. 1952; 4(2): 35-51.
  6. Во K., Sundgot-Borgen J. Are former female elite athletes more likely to experience urinary incontinence later in life than non-athletes? Scand. J. Med. Sci. Sports. 2010; 20(1): 100-4.
  7. Imamura M., Abrams P., Bain C., Buckley B., Cardozo L., Cody J. et al. Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technol. Assess. 2010; 14(40): 1-188.
  8. Lagro-Janssen T.L., Debruyne F.M., Smits A.J., van Weel C. Controlled trial of pelvic exercises in the treatment of urinary stress incontinence in general practice. Br. J. Gen. Pract. 1991; 41(352): 445-9.
  9. Железнякова А.И., Аполихина И.А., Ибинаева И.С. Возможности консервативного лечения женщин со стрессовым недержанием мочи. Акушерство и гинекология. 2010; 2: 17-20.
  10. Davila G.W. Nonsurgical outpatients therapies for the management of female stress urinary incontinence: long-term effectiveness and durability. Adv. Urol. 2011; 2011: 176498.
  11. Cardozo L.D., Drutz H.P., Baygani S.K., Bump R.C. Pharmacological treatment of women awaiting surgery for stress urinary incontinence. Obstet. Gynecol. 2004; 104(3): 511-9.
  12. Fantl J.A., Cardozo L., McClish D.K. Estsrogen therapy in the management of urinary incontinence in postmenopausal women: a meta-analysis. Frist report of the Hormones and Urogenital Therapy Committee. Obstet. Gynecol. 1994; 83(1): 12-8.
  13. Fistonic N., Fistonic I., Gustek S.F., Turina I.S., Marton I., Vizintin Z. et al. Minimally invasive, non-ablative Er:YAG laser treatment of stress urinary incontinence in women--a pilot study. Lasers Med. Sci. 2016; 31(4): 635-43.
  14. Ogrinc U.B., Senear S., Lenasi H. Novel minimally invasive laser treatment of urinary incontinence in women. Lasers Surg. Med. 2015; 47(9): 689-97.
  15. Rivera M. Laser treatments for Vaginal Tightening and Stress Urinary Incontinence, oral presentation at First Symposium of Laser and health Academy, Gozd Matruljek, Slovenia, 21 May, 2011.
  16. Guimaraes P. Laser Vaginal Rejuvenation, oral presentation on 5th World Congress of the International Society of Cosmetogynecology Las Vegas, USA, 17 January 2012.
  17. Garcia V., Gonzalez A., Lemmo A., Herrera S., Rodriguez Z. Laser Vaginal Tightening & Sexual Gratification, oral presentation at XXVIII Congreso Nacional de Obstetrica y Ginecologia, Caracas, Venezuela, 6-9 March 2012.
  18. Gambacciani M., Levancini M. Vaginal erbium laser as second-generation thermotherapy for the genitourinary syndrome of menopause: a pilot study in breast cancer survivors. Menopause. 2017; 24(3): 316-9.
  19. Безменко А.А., Шмидт А.А., Коваль А.А., Карпищенко Ж.М. Консервативные методы лечения недержания мочи при напряжении у женщин. Вестник Российской военно-медицинской академии. 2014; 1: 227-32. [Bezmenko A.A., Shmidt A.A., Koval A.A., Karpishchenko Zh.M. Conservative methods of treatment of urinary incontinence with stress in women. Bulletin of the Russian Military Medical Academy. 2014; 1: 227-32. (in Russian)]
  20. Спокойный Л.Б. Метод фототермической реконструкции тканей в современной практике врача-гинеколога. Технологии IntimaLase, IncontiLase, ProlapLase, RenovaLase с использованием ER:YAG лазера компании Fotona (Словения). http://www.medicallasers.ru/news/2017/05/10/259/ [Spokoiny L.B. Method of photothermal tissue reconstruction in the modern practice of a gynecologist. Technologies IntimaLase, IncontiLase, ProlapLase, RenovaLase using the ER: YAG laser from Fotona (Slovenia). http:// www.medicallasers.ru/news/2017/05/10/259/ (in Russian)]
  21. Jorge E. Gaviria P, Jose A. Lanz L. Laser Vaginal Tightening (LVT) - evaluation of a novel noninvasive laser treatment for vaginal relaxation syndrome. LAHA: Journal of the Laser and Health Academy. Vol. 2012; No.1: 59-66.

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