Light and energy based therapeutics for genitourinary syndrome of menopause: Consensus and controversies. Issue 2 (21st February 2017)

• Record Type: Journal Article
• Authors: Tadir, Yona; Gaspar, Adrian; Lev‐Sagie, Ahinoam; Alexiades, Macrene; Alinsod, Red; Bader, Alex; Calligaro, Alberto; Elias, Jorge A.; Gambaciani, Marco; Gaviria, Jorge E.; Iglesia, Cheryl B.; Selih‐Martinec, Ksenija; Mwesigwa, Patricia L.; Ogrinc, Urska B.; Salvatore, Stefano; Scollo, Paolo; Zerbinati, Nicola; Nelson, John Stuart
• Other Names: Tadir Yona guestEditor.; Lev‐Sagie Ahinoam guestEditor.
• Is Part Of: Lasers in surgery and medicine. Volume 49:Issue 2(2017)
• Page Start: 137
• Page End: 159
• Publication Date: 2017-02-21
• Subjects: laser -- radiofrequency -- energy based device -- genitourinary syndrome of menopause (GSM) -- vagina -- vulva -- rejuvenation -- stress urinary incontinence (SUI) -- lichen sclerosus; vulvodynia; Lasers in medicine -- Periodicals; Lasers in surgery -- Periodicals; 617
• DOI: 10.1002/lsm.22637
• Languages: English
• ISSNs: 0196-8092

Abstract

Abstract : Gynecologist and plastic surgeons pioneered the application of lasers in medicine and surgery almost 5 decades ago, initially used to treat cervical and vaginal pathologies. Ever since, energy‐based devices have been deployed to treat pelvic pathologies and improve fertility. Recent technological developments triggered an unprecedented wave of publications, assessing the efficacy of fractional laser, and radiofrequency on the vaginal wall in reversing natural aging processes. Studies have shown that a certain degree of thermal energy deposited on the vaginal wall stimulates proliferation of the glycogen‐enriched epithelium, neovascularization, and collagen formation in the lamina propria, and improves natural lubrication and control of urination. This review aimed to review such data and to guide future research. A unique assembly of experts from around the globe, compiled and edited this manuscript based on a thorough literature review and personal experience. Lasers Surg. Med. 49:137–159, 2017. © 2017 Wiley Periodicals, Inc.