Efficacy and safety of Dynamic Quadripolar RadioFrequency, a new high-tech, high-safety option for vulvar rejuvenation

Benincà, Gianluca; Bosoni, David; Vicariotto, Franco; Raichi, Mauro

doi:10.15761/ogr.1000115

Cited by 4 publications

(15 citation statements)

References 12 publications

(18 reference statements)

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“…Most likely, this helps to break the self-sustaining flow of events that leads to the enhanced inflammatory responsiveness of the LPV vestibule, even with no or minimal evidence of background inflammation, and excruciating nociceptive pain [12]. The recently developed DQRF/EVA™ technology has shown a peculiarly strong remodelling efficacy of the vulvovaginal anatomy in a variety of conditions [9][10][11]. This novel radiofrequency technology was thus chosen to test the working hypothesis in comparison with pelvic floor physical therapy, which is known to be of benefit in most LPV patients [28].…”

Section: Discussionmentioning

confidence: 99%

“…When in the ideal combination, these electrodes convey energy with high precision in the subepithelial layers of the vulva and allow to fine tune the vulvar thermal effect in terms both of tissue volumes and depth. The new technology also eliminates the need for a grounding pad and the need to administer heavy energy burdens with the related risk of burns, as already demonstrated in clinical studies [9][10][11].…”

Section: Methodsmentioning

confidence: 99%

“…DQRF is the most recent technology, based on a biophysical approach, aimed at anatomical re-modelling of vulvar tissues and, indirectly, restoration of the vestibular and vaginal ecosystem. The interaction between the reduced flow of energy emitted by the DQRF radio frequency generator and the vestibular subepithelial tissues is biophysically quite peculiar in terms of depth and volume of the target subepithelial vulvar areas and administered energy; the electronically controlled movement and temperature sensors of the EVA™ device (RSS™, Radiofrequency Safety System, technology) allow an easy control of the vestibular subepithelial temperatures [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…The herein presented exploratory non-randomised study in a relatively small sample of LPV women of childbearing age was designed to investigate if the vulvar remodelling properties of the DQRF technology, shown in previous studies, might also be of benefit to control the vestibular LPV pain [9,10]. The working hypothesis that guided the study was that remodelling of vestibular and vaginal tissues, beyond its established aesthetic value in women with variable degrees of vulvovaginal hypotrophy [11], could also help to restore a more physiological vestibular and vaginal ecology and the Lactobacillus microflora to its normal role as gatekeeper of the vaginal ecosystem. This could break the self-sustaining cycle, more extensively discussed in the last section of the paper, of recurrent yeast and aerobic eukaryote infections, dysregulation of vestibular fibroblasts with hyper-expression of proinflammatory cytokines, and nociceptive pain that is thought to be at the core of the most prevalent vulvodynia subtype [12].…”

Section: Introductionmentioning

confidence: 99%

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Dynamic quadripolar RadioFrequency and vulvodynia

Seta¹,

Raichi²

2018

Obstet Gynecol Rep

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Background: Among the several subtypes of vulvodynia or idiopathic vulvar pain lasting for at least 3 months, Localised Provoked Vulvodynia (LPV) is the most highly prevalent clinical variant identified by the "2015 classification". The pathophysiology underlying LPV is still elusive and unclear. The association with recurrent vulvovaginal candidiasis and aerobic vaginitis is most likely prominent in leading to the vestibular nociceptive hypersensitivity that is a distinctive diagnostic marker of LPV. The exploratory non-randomised study herein described was designed to investigate if the demonstrated vulvar remodelling and rejuvenating properties of DQRF (Dynamic Quadripolar RadioFrequency) treatment might be of benefit to control the vestibular pain of LPV. The working hypothesis behind the study was that correcting the mucosal hypotrophy frequent in many LPV women would restore a thriving vestibular and vaginal microorganism ecosystem and break the vicious cycle of recurrent yeast and aerobic infections that leads to exaggerated nociceptive response and LPV hyperesthesia, hyperalgesia, and dyspareunia.Methods: Prospective cohort of 30 consecutively enrolled premenopausal women with vestibulitis and/or moderate to severe hyperesthesia and pain, dyspareunia or pelvic floor hypercontractility related to recurrent vulvovaginal candidiasis and/or aerobic vaginitis. The first 20 women were treated with four 10-min DQRF sessions (EVA™ device) spaced at least 7 to 10 days; the last 10 women, acting as controls, underwent a standard 4-week program of pelvic floor rehabilitation. After the baseline clinical, microbiologic and microscopic assessment, a second follow-up visit was planned no more than 15 days after the fourth (last) DQRF treatment session. Assessed parameters included Lactobacillus and aerobic microflora, polymorphonuclear and clue cells, pH, Nugent score, provoked pain (Swab Test), and severity of vaginal atrophy (Vaginal Health Index).Results: All women completed the planned four DQRF/EVA™ or physical therapy sessions without adverse effects. Both treatment strategies significantly reduced the Swab Test provoked pain. The reduction in pain severity seemed to be more marked at the follow-up visit in the DQRF treatment group (mean pain score difference, -3,55) compared with control women (mean pain score difference, -3,20), although with only marginal statistical significance (p≈0.054). Both treatment strategies improved the vestibular and vaginal environment and mucosal hypotrophy, though more definitely in the DQRF-treated women, as observed for the Vaginal Health Index (DQRF vs. physical therapy pre/post score difference: +5.50 vs. +5.0, p <0.05) and for the microbiologic and microscopic markers of deranged intimate ecology (lactobacilli, Nugent score, polymorphonuclear and clue cells, etc.). Conclusions:The endoderm-derived vestibule, embriologically distinct from the ectoderm-derived external vulva and the mesoderm-derived vagina, may have a quite peculiar inflammatory and immune reactivity compared w...

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dynamic quadripolar RadioFrequency and vulvodynia

Seta¹,

Raichi²

2018

Obstet Gynecol Rep

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“…Beninca et al [8] Discomfort † (pt. Fasola et al [9] Baseline Vulvar aesthetic imp./GAIS score (pt. assessed) Vicariotto et al [10] Outcome *P value compared to baseline.…”

Section: Tablementioning

confidence: 99%

The effect of dynamic quadripolar radiofrequency on genitourinary atrophy and sexual satisfaction: A systematic review and meta-analysis

2022

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Background: Physiologic processes such as childbirth and menopause can alter vulvovaginal aesthetic appearance, reduce sexual satisfaction, and cause symptoms of vulvovaginal atrophy which affects a woman’s quality of life. There is debate about whether dynamic quadripolar radiofrequency (DQRF) can be used to improve such conditions. We conducted a meta-analysis of studies among patients undergoing treatment with DQRF. Methods: We conducted a literature search without language or article type restriction in PubMed, Cochrane library and Web of Science from inception to June 1, 2022. We included studies that reported outcomes of DQRF treatment. Article selection and data extraction in a predesigned data extraction form were conducted in duplicate. Individual studies reported outcomes in terms of the pre- and post-intervention repeated measures. Meta-analysis combined results across studies to produce effect sizes using random effects model with 95% confidence intervals (CI) taking into account sampling variance to adjust the estimated precision. PROSPERO: CRD42021227752. Results: The search yielded 781 articles, from which 4 case series (127 participants) were included. Two studies reported a significant improvement in patient and medical evaluation assessments of vulvovaginal aesthetic appearance. Significant improvements were reported by three studies for patient assessed sexual satisfaction/discomfort, vaginal laxity and symptoms of genitourinary syndrome of menopause. Meta-analysis showed a trend towards improvement in aesthetic appearance (4 studies; 0.89; 95% CI –0.15 to 1.93; I2 75.0%) and sexual satisfaction (2 studies; 0.62; 95% CI –0.03 to 1.27; I2 0.0%). Conclusion: Dynamic quaripolar radiofrequency is a potentially promising intervention to improve vaginal laxity, appearance and sexual satisfaction, as observed in four monocentric case series. Further studies with a control group, well-defined methods of patient selection and longer follow-up periods are necessary to reach a definitive conclusion.

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Awareness about Vulvovaginal Aesthetics Procedures among Medical Students and Health Professionals in Saudi Arabia

Iqbal

Akkour

Bano

et al. 2021

Rev Bras Ginecol Obstet

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Objective The present study aimed to explore the opinion and ethical consideration of vulvovaginal aesthetics procedures (VVAPs) among health professionals and medical students in Saudi Arabia. Methods This is a cross-sectional study performed between January 2020 and April 2020. Data was collected through electronic media, WhatsApp, and emails. The results were analyzed by applying the Students t-test, and correlations were considered significant if they presented a p-value < 0.05. Results There is significant demand to educate doctors, health professionals, medical students, and gynecologists for the VVAPs to have a solid foundation, justified indications, and knowledge about various aesthetic options. Although female doctors, medical students, young doctors, and gynecologists have more knowledge about VVAPs, all health professionals ought to be aware of recent trends in vulvovaginal aesthetics (VVA). The present analysis determined that VVA should be under the domain of gynecologists, rather than under that of plastic surgeons, general surgeons, and cosmetologists. The majority of the participants considered that vaginal rejuvenation, “G-spot” augmentation, clitoral surgery, and hymenoplasty are not justifiable on medical grounds. Conclusion The decision to opt for different techniques for vaginal tightening and revitalization should be taken very carefully, utilizing the shared decision-making approach. Ethical aspects and moral considerations are important key factors before embarking in the VVAPs purely for cosmetic reasons. Further research is required to determine the sexual, psychological, and body image outcomes for women who underwent elective VVAPs. Moreover, medical educators must consider VVAPs as part of the undergraduate and postgraduate medical curriculum.

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Efficacy and safety of Dynamic Quadripolar RadioFrequency, a new high-tech, high-safety option for vulvar rejuvenation

Cited by 4 publications

References 12 publications

Dynamic quadripolar RadioFrequency and vulvodynia

Dynamic quadripolar RadioFrequency and vulvodynia

The effect of dynamic quadripolar radiofrequency on genitourinary atrophy and sexual satisfaction: A systematic review and meta-analysis

Awareness about Vulvovaginal Aesthetics Procedures among Medical Students and Health Professionals in Saudi Arabia

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