Microablative radiofrequency versus pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial

Slongo, Helena; Lunardi, Ana Lygia B; Riccetto, Cássio; Machado, Helymar da Costa; Juliato, Cássia Raquel Teatin

doi:10.1007/s00192-021-04758-2

Cited by 14 publications

(13 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The weaknesses of the studies presented in this review are the following. The effect of RF on pelvic muscles were also poorly evaluated, just one paper have included pelvic physiotherapy as an intervention arm [6]. Another issue is the small period of follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…In our review, only one paper evaluated the participants after 6 months, so the duration of the neocollagenesis and elastinogenesis remains unclear, as well as the clinical response duration [8]. Likewise, when we analyzed the sample of each study, only one cited a number of participants greater than 100 and a sample size estimation [6]. The other studies were retrospective with a convenience sample, pilot studies and others didn't had a control group.…”

Section: Discussionmentioning

confidence: 99%

“…All groups also presented a change in the classification of urinary loss in the pad test analysis, from important to insignificant. It is worth mentioning the fact that the follow-up loss rate in the PFME group was 33.3%, while in the other groups it Open Journal of Obstetrics and Gynecology was 7.6% [6].…”

Section: Primary Outcomesmentioning

confidence: 90%

“…The microablative protocol consists of applying lidocaine to the vaginal walls and introitus and antisepsis. Application of RF under direct vision on the anterior and posterior walls and vaginal introitus, for three sessions at 30-day intervals, recomendation to use barrier cream for two to five days after treatment, and avoid sexual intercourse for 10 days [6] [7].…”

Section: Types Of Rf and Protocolsmentioning

confidence: 99%

See 3 more Smart Citations

Non-Ablative Transvaginal Radiofrequency in the Treatment of Stress Urinary Incontinence: Review of the Literature

Calcagnotto¹,

Leite²,

Longo³

et al. 2023

OJOG

View full text Add to dashboard Cite

Background: Urinary incontinence is defined as the involuntary loss of urine, which can affect up to 45% of women after menopause. Radiofrequency is a non-invasive procedure that involves the application of an electromagnetic wave that through heat generation promotes neocollagenesis and neoeslatinogenesis in the vaginal epithelium. This energy-based technology has been studied as a potential alternative for the treatment of genitourinary syndrome of menopause and urinary incontinence. Objective: To review the recent literature (from 2020 to June 2022) on the use of transvaginal radiofrequency in the treatment of stress urinary incontinence, by searching articles at databases of Capes, PubMed Cochrane and Scielo. Methods: The descriptor terms "Urinary Incontinence/therapy" [Majr] AND "Urinary Incontinence, Stress/ therapy" [Majr] AND RADIOFREQUENCY-Search Results-PubMed, ["woman" OR "women"] AND ["urinary incontinence" OR "stress urinary incontinence"] AND Radiofrequency were used, with a filter for the period 2020 to 2022. Conclusion: The studies evaluated in this review demonstrated significant results of radiofrequency in the resolution or reduction of complaints of women with urinary incontinence, especially stress urinary incontinence, but most of these studies presented a low methodological quality. There is, therefore, a lack of studies with longer follow-ups, evaluation of cost-effectiveness, randomized clinical trials with objective outcomes and the use of validated questionnaires with international acceptance.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Primary Outcomesmentioning

confidence: 90%

Section: Types Of Rf and Protocolsmentioning

confidence: 99%

See 2 more Smart Citations

Non-Ablative Transvaginal Radiofrequency in the Treatment of Stress Urinary Incontinence: Review of the Literature

Calcagnotto¹,

Leite²,

Longo³

et al. 2023

OJOG

View full text Add to dashboard Cite

show abstract

“…Those studies have demonstrated a benefit when treating GSM and UI symptoms using either technology. 20,21 We believe the pathophysiology in part of vaginal atrophy and UI is linked to collagen production, and by increasing collagen production, both problems can potentially be improved. This is the first study to report the use of fractional RF treatment of the vaginal mucosa.…”

Section: Discussionmentioning

confidence: 99%

Safety, tolerability and short‐term efficacy of transvaginal fractional bipolar radiofrequency therapy for symptoms of stress and or mixed incontinence in conjunction with genitourinary syndrome of menopause

Abdelaziz

Blusewicz²,

Coley³

et al. 2023

Neurourology and Urodynamics

View full text Add to dashboard Cite

Introduction: Radiofrequency (RF) energy application stimulates collagen and elastin remodeling to restore the elasticity, and moisture of the superficial vaginal mucosa. This is the first study to report on the use of microneedling to deliver RF energy to the vaginal canal. Microneedling increases the response of the collagen contraction and neocollagenesis in deeper layers of tissue, thus increasing the support to the surface. The novel intravaginal microneedling device used in this study allows penetration of the needles to 1, 2, or 3 mm. Objective: A prospective study to evaluate the safety and short-term outcome of a single fractional RF treatment of the vaginal canal in a series of women with coexistent stress or mixed incontinence (MUI) and genitourinary syndrome of menopause (GSM).Methods: Twenty women who had symptoms of SUI and or MUI in conjunction with GSM were given a single vaginal treatment that consisted of fractional bipolar RF energy using the EmpowerRF platform with the Morpheus8V applicator (InMode). RF energy was delivered into the vaginal walls via 24 microneedles, at a depth of 1, 2, and 3 mm. Outcomes were evaluated by "cough" stress test, questionnaires (MESA SI, MESA UI, iQoL, UDI-6) and evaluation of vaginal tissue through the VHI scale at 1-, 3-, and 6-months post-treatment compared to baseline. Biopsies were performed at baseline and 3-months on five patients for histological reference and tissue evaluation.Results: Eight out of eight outcomes measured from baseline to 6-months post-treatment showed improvement. The parameters scored in the questionnaires including frequency, urgency, nocturia, urge incontinence, and stress incontinence showed significant improvement in all areas at the 1-, 3-, and 6month follow-up sessions compared to baseline. Conclusions:The results showed evidence that fractional RF energy delivered vaginally is safe, well tolerated, and provide short term improvement of SUI and or MUI in conjunction with GSM.

show abstract

What is There About Endovaginal Devices and Their Effects for Pelvic Floor Muscle Training?: A Systematic Review

Arantes,

Viana,

Seabra

et al. 2023

Lecture Notes in Bioengineering

View full text Add to dashboard Cite

Microablative radiofrequency versus pelvic floor muscle training for stress urinary incontinence: a randomized controlled trial

Cited by 14 publications

References 21 publications

Non-Ablative Transvaginal Radiofrequency in the Treatment of Stress Urinary Incontinence: Review of the Literature

Non-Ablative Transvaginal Radiofrequency in the Treatment of Stress Urinary Incontinence: Review of the Literature

Safety, tolerability and short‐term efficacy of transvaginal fractional bipolar radiofrequency therapy for symptoms of stress and or mixed incontinence in conjunction with genitourinary syndrome of menopause

What is There About Endovaginal Devices and Their Effects for Pelvic Floor Muscle Training?: A Systematic Review

Contact Info

Product

Resources

About