Vaginal rejuvenation: From scalpel to wands

Desai, Sanjay; Kroumpouzos, George; Sadick, Neil S.

doi:10.1016/j.ijwd.2019.02.003

Cited by 24 publications

(36 citation statements)

References 43 publications

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“…Vaginal rejuvenation refers to procedures that primarily reduce the width of the vagina for reasons of function and well-being [11]. Vaginal rejuvenation has been gaining interest and popularity as a tool to restore vaginal anatomy and function and address both aesthetic and functional issues [12,13]. Emerging noninvasive procedures for ameliorating symptoms of GSM include energy-based devices, such as lasers and radiofrequency (RF), and injectable agents, such as fillers and platelet-rich plasma (PRP) therapy [14].…”

Section: Vulvovaginal Rejuvenationmentioning

confidence: 99%

“…Furthermore, the US Food and Drug Administration (FDA) released a strict warning about the utilization of "energy-based devices" to alter vaginal tissue; it insisted that such practices could severely hurt women and more robust data are required [18]. Nevertheless, the FDA warning did not include sufficient data to address safety or efficacy [13].…”

Section: Vulvovaginal Rejuvenationmentioning

confidence: 99%

See 1 more Smart Citation

Carbon Dioxide Laser Vulvovaginal Rejuvenation: A Systematic Review

Messas¹,

Messas

Kroumpouzos

2021

Cosmetics

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Genitourinary syndrome of menopause (GSM) causes significant symptomatic aggravation that affects the quality of life (QoL). Vulvovaginal atrophy (VVA), the hallmark of GSM, is managed with topical non-hormonal therapy, including moisturizers and lubricants, and topical estrogen application. Patients not responding/being unsatisfied with previous local estrogen therapies are candidates for a noninvasive modality. Carbon dioxide (CO2) laser therapy, especially the fractionated type (FrCO2), has drawn considerable attention over the past two decades as a non-invasive treatment for GSM. This systematic review describes the accumulated evidence from 40 FrCO2 laser studies (3466 participants) in GSM/VVA. MEDLINE, Scopus and Cochrane databases were searched through April 2021. We analyze the effects of FrCO2 laser therapy on symptoms, sexual function, and QoL of patients with GSM/VVA. As shown in this review, FrCO2 laser therapy for GSM shows good efficacy and safety. This modality has the potential to advance female sexual wellness. Patient satisfaction was high in the studies included in this systematic review. However, there is a lack of level I evidence, and more randomized sham-controlled trials are required. Furthermore, several clinical questions, such as the number of sessions required that determine cost-effectiveness, should be addressed. Also, whether FrCO2 laser therapy may exert a synergistic effect with systemic and/or local hormonal/non-hormonal treatments, energy-based devices, and other modalities to treat GMS requires further investigation. Lastly, studies are required to compare FrCO2 laser therapy with other energy-based devices such as erbium:YAG laser and radiofrequency.

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Section: Vulvovaginal Rejuvenationmentioning

confidence: 99%

Section: Vulvovaginal Rejuvenationmentioning

confidence: 99%

Carbon Dioxide Laser Vulvovaginal Rejuvenation: A Systematic Review

Messas¹,

Messas

Kroumpouzos

2021

Cosmetics

Self Cite

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“…Labiaplasty is the most popular among these treatments [4]. Moreover, one controversial term is vaginal rejuvenation, which comprises interventions aiming at reducing the vaginal length and caliber for both aesthetic and sexually functional reasons [1,2,5]. Cosmetic gynaecology procedures are performed by several healthcare specialists including gynaecologists, urologists, and plastic surgeons and while many of these interventions are advertised for cosmetic reasons, they may be further used for the treatment of vulvovaginal pathologies, such as significant effects of excess androgen exposure, congenital anomalies, urinary or feacal incontinence, and pelvic organ prolapse [3,6] (Figure 1).…”

Section: Current Opinion In Gynecology and Obstetricsmentioning

confidence: 99%

Office Procedures in Cosmetic Gynaecology

Anagnostou

Gkrozou

Ioannidi

et al. 2021

COGO

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Female genital cosmetic surgery is a set of multiple procedures focused on improving genital appearance, structure, and function. Sexual dysfunction affects a large proportion of the female population and appears to be associated with distorted genital anatomy although what women perceive as normal varies vastly depending on cultural and social beliefs. Cosmetic gynaecology office procedures are simple, quick, and effective solutions to improve sexual function as well as body image with minimal interventions and minimal side-effects. In this narrative review, we present these widely used minimally invasive aesthetic gynaecology interventions, focusing on their efficacy, and reported complications. Recommendations regarding heath professionals’ approach and ethical issues arising are also discussed.

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“…More recent attempts are directed at application of platelet-rich plasma in the management of erectile dysfunction [75] and cosmetic gynecology, e.g. for vaginal rejuvenation [76] or the so-called "O-shot" [77] treatments aimed at restoring pleasure in sex life by revitalization of female intimate areas.…”

Section: Journal Of Transfusion Medicine 2020 Tom 13 Nrmentioning

confidence: 99%

Autologous platelet-rich plasma therapy — a promising method for tissue repair/ /regeneration in many medical fields

Piszczorowicz¹,

Król²,

Dyląg³

2020

Journal of Transfusion Medicine

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Platelet-rich plasma (PRP) is commonly used in many medicinal fields and the interest in its application for management of numerous pathologies is recently growing. Platelets (PLT) contain physiologically active proteins called growth factors (GFs) that accelerate tissue regeneration. This process of tissue regeneration is stimulated through application of PRP prepared from autologous blood according to special protocol. The purpose of the protocol is to achieve high concentration of platelets within a small volume of plasma. PRP is a biological product with a platelet concentration above the baseline for the patient's peripheral blood. The PRP therapy is based on autologous procedures therefore the risk of infection is remote although some clinical conditions preclude the use of PRP as it may induce adverse reactions. The procedure of PRP preparation is relatively inexpensive and can be performed quickly in the patient's presence. In the literature of the subject there are wide variations in PRP definitions with reference to protocols of preparation, platelet concentration and activation as well as in the manner of application to injured tissue and finally in the assessment of therapy outcome. It is therefore difficult to compare and confirm the efficacy of PRP therapy used for the management of various diseases. Authors clearly emphasize the urgent need for standardizing protocols of PRP preparation and application in various disorders. Although in general PRP therapy is considered a promising method for treatment of tissue injuries, the lack of standardized preparation procedures and ways of PRP application raises numerous questions and controversies. The aim was to present review of literature related to the use of PRP and the mechanism of action of this blood derivative.

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Vaginal rejuvenation: From scalpel to wands

Cited by 24 publications

References 43 publications

Carbon Dioxide Laser Vulvovaginal Rejuvenation: A Systematic Review

Carbon Dioxide Laser Vulvovaginal Rejuvenation: A Systematic Review

Office Procedures in Cosmetic Gynaecology

Autologous platelet-rich plasma therapy — a promising method for tissue repair/ /regeneration in many medical fields

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