Use of therapeutic radiofrequency exposure in gynecology


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Abstract

The data available in the world literature on the use of therapeutic radiofrequency exposure in gynecology are analyzed. The review includes the results of recent studies on this topic and considers the physical foundations and mechanisms of radiofrequency exposure to biological tissues. Radiofrequency currents affect mainly the dermis that is known to be composed of cells and a matrix containing 60-70% water. Modern literature includes various data on the minimally required frequency and multiplicity of exposure of the dynamic quadripolar radiofrequency to vulvovaginal tissues, which provides relief of the symptoms of genitourinary syndrome of menopause, vaginalrelaxation syndrome andpelvic organ prolapse, the stress and mixed types of mild urinary incontinence, and sexual dysfunction. Conclusion. Taking into account the high efficiency and promise of this technique, the data analyzed and the experience presented are scanty and require further investigation in this area.

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About the authors

Svetlana N. Kazakova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: s-juice@mail.ru
postgraduate student at the Department of Obstetrics, Gynecology, Perinatology and Reproductology

Inna A. Apolikhina

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

Email: i_apolikhina@oparina4.ru
MD, Head of the Department of Aesthetic Gynecology and Rehabilitation

Tatiana A. Teterina

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: t_teterina@oparina4.ru
Ph.D., Department of Aesthetic Gynecology and Rehabilitation

Olga A. Pauzina

Volga District Medical Center, Federal Biomedical Agency of Russia

Email: pauzina.olga@yandex.ru
gynecologist, Head of the clinical and diagnostic Department of polyclinic № 1

References

  1. Дарбанова Е.М. К вопросу о механизмах радиочастотного воздействия на биологические ткани. Аппаратная косметология и физиотерапия. 2012; 4: 38-45. [Darbanova E.M. On the mechanisms of radio frequency influence on biological tissues. Hardware cosmetology and physiotherapy 2012; 4: 38-45. (in Russian)].
  2. Zelickson B.D., Kist D., Bernstein E., Brown D.B., Ksenzenko S., Burns J. et al. Histological and ultrastructural evaluation of the effects of a radiofrequency based nonablative dermal remodeling device: a pilot study. Arch. Dermatol. 2004; 140(2): 204-9. https://dx. doi.org/10.1001/archderm.140.2.204.
  3. Кулькова О. RF-лифтинг как процедура выбора в программах anti-age. Kosmetik international. 2011; 1: 52-3. [Kulkova O. RF-lifting as a selection procedure in anti-age programs. KI 2011; 1: 52-3. (in Russian)].
  4. Неробеев А.И., Аликова А.С. К вопросу об актуальности и перспективности применения высокочастотных токов радиоволнового диапазона в эстетической медицине. Вестник эстетической медицины 2010; 9(4): 75-80. [Nerobeev A.I., Alikova A.S. On the relevance and prospects of using high-frequency radio-wave currents in aesthetic medicine. Bulletin of aesthetic medicine 2010; 9(4): 75-80. (in Russian)].
  5. Мамиев А. Как переплавить контур фигуры с помощью радиочастотной липосакции. Аппаратная косметология и физиотерапия. 2011; 2: 20-6. [Mamiev A. How to melt the contour of the figure using radiofrequency liposuction. Hardware cosmetology and physiotherapy 2011; 2: 20-6. (in Russian)].
  6. Аппаратная косметология. В кн.: Эрнандес Е.И., ред. Новая косметология. т. 2. М.: «Фирма КЛАВЕЛЬ»; 2007: 129-220. [Hardware cosmetology. In the book: "New cosmetology. Vol. II" under the General ed. E.I. Hernandez. M.,: LLC "Firm KLAVEL"; 2007: 129-220. (In Russian)].
  7. Влияние электромагнитного излучения на биологические объекты различного уровня организмов. В кн.: Пельмутер В.М., Ча В.А., Чупринова Е.М. Медико-биологические аспекты взаимодействия электромагнитных волн с организмом. Издательство Томского политехнического университета; 2009: 15-44. [Influence of electromagnetic radiation on biological objects of various levels of organisms. In the book: Perelmuter V.M., Chuprinova E.M., Cha V.A. Biomedical aspects of interaction of electromagnetic waves with the body. Tomsk Polytechnic University; 2009: 15-44. (in Russian)].
  8. Пресман А.С. Электромагнитные поля и живая природа М.: Наука; 1968. [Presman A.S. Electromagnetic fields and wildlife. Nauka Publishing House. Moscow. 1968. (in Russian)].
  9. Медведев Д.С. Популярно о квантовой медицине. Механизмы и эффекты лечебного воздействия электромагнитных волн крайне высокой частоты на организм человека. Available at: http://mmwave.ru [Medvedev D.S. Popular about quantum medicine. Mechanisms and effects of therapeutic effects of extremely high frequency electromagnetic waves on the human body. http:// mmwave.ru (in Russian)].
  10. Hantash B.M., Ubeid A.A., Chang H., Kafi R., Renton B. Bipolar fractional radiofrequency treatment induces neoelastogenesis and neocollagenesis. Lasers Surg. Med. 2009; 41(1): 1-9. https://dx. doi.org/10.1002/lsm.20731.
  11. Rangarajan S., Trivedi A., Ubeid A.A., Hantash B.M. Minimally invasive bipolar fractional radiofrequency treatment upregulates anti-senescence pathways. Lasers Surg. Med. 2013; 45(4): 201-6. https://dx. doi.org/10.1002/lsm.22135.
  12. Alexiades-Armenakas M., Newman J., Willey A., Kilmer S., Goldberg D., Garden J. et al. Prospective multicenter clinical trial of a minimally invasive temperature-controlled bipolar fractional radiofrequency system for rhytid and laxity treatment. Dermatol. Surg. 2013; 39(2): 263-73. https://dx. doi.org/ 10.1111/dsu.12065.
  13. Willey A., Kilmer S., Newman J., Renton B., Hantash B.M., Krishna S. et al. Elastometry and clinical results after bipolar radiofrequency treatment of skin. Dermatol. Surg. 2010; 36(6): 877-84. https://dx.doi.org/10.1111/j.1524-4725.2010.01563.x.
  14. Nicoletti G., Cornaglia A.I., Faga A., Scevola S. The biological effects of quadripolar radiofrequency sequential application: a human experimental study. Photomed. Laser Surg. 2014; 32(10): 561-73. https://dx. doi.org/10.1089/ pho.2014.3749.
  15. Vicariotto F., Raichi M. Technological evolution in the radiofrequency treatment of vaginal laxity and menopausal vulvo-vaginal atrophy and other genitourinary symptoms: first experiences with a novel dynamic quadripolar device. Minerva Ginecol. 2016; 68(3): 225-36.
  16. Cassani C., Martini E., Zanellini F., Nappi R.E. et al. Use of a new low-energy dynamic quadripolar radiofrequency (dqrf) device in the treatment of symptoms of vulvo-vaginal atrophy (vva) in natural menopausal women and breast cancer survivors. In: 16th World Congress on Menopause, 6-9th June 2018, Vancouver, Canada.
  17. Vicariotto F., De Seta F., Faoro V., Raichi M. Dynamic quadripolar radiofrequency treatment of vaginal laxity/menopausal vulvo-vaginal atrophy: 12-month efficacy and safety. Minerva Ginecol. 2017; 69(4): 342-49. https://dx. doi. org/10.23736/S0026-4784.17.04072-2.
  18. Fasola E., Bosoni D. Dynamic quadripolar radiofrequency: pilot study of a new high-tech strategy for prevention and treatment of vulvar atrophy. Aesthet. Surg. J. 2019; 39(5): 544-52. https://dx. doi.org/10.1093/asj/sjy180.
  19. Araujo A.R., Soares V.P., Silva F.S., Moreira T.S. Radiofrequency for the treatment of skin laxity: mith or truth. An. Bras. Dermatol. 2015; 90(5): 707-21. https://dx. doi.org/ 10.1590/abd1806-4841.20153605.
  20. de Seta F., Raichi M. Dynamic quadripolar radiofrequency and vulvodynia. Obstet. Gynecol. Rep. 2018; 2(1): 1-6. https://dx.doi.org/10.15761/ OGR.1000124.

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