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Volume 6, Issue 3 (Summer 2021)                   J Obstet Gynecol Cancer Res 2021, 6(3): 128-133 | Back to browse issues page


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Eftekhar T, Hajibabaei M, Pourali L, Vizheh M, Montazeri A. The Impact of Higgs Radiofrequency on Pelvic Organ Prolapse and Sexual Function Among Women Suffering from Vaginal Laxity. J Obstet Gynecol Cancer Res. 2021; 6 (3) :128-133
URL: http://jogcr.com/article-1-354-en.html
1- Department of Obstetrics and Gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
2- Psychosomatic Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran , m-hajbabaei@farabi.tums.ac.ir
3- Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4- Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
5- Population Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
Abstract:   (787 Views)

Background & Objective: Vaginal laxity is a prevalent disorder that influences woman’s sexual satisfaction and quality of life. This study aimed to evaluate the impact of Higgs radiofrequency on pelvic organ prolapse and sexual function among women suffering from vaginal laxity.
Materials & Methods: This was a pre- and post-intervention study. Twenty-two subjects who suffered from vaginal laxity referring to a pelvic floor clinic affiliated with Tehran University of Medical Sciences were studied. Higgs radiofrequency was administered at six sessions with a two-week interval. Women were evaluated by an urogynecologist for pelvic organ prolapse quantification (POP-Q) twice: before and three months after intervention. Also, women responded to the Female Sexual Function Index (FSFI-19) at baseline and three months follow-up assessment. Data were analyzed by descriptive statistics and paired samples t-test.
Results: The mean age of participants was 40.30 (SD = 8.01) years. The mean number of gravidities was 2.45 (SD = 1.29). Seventeen women (77.3 %) suffered from severe or moderate vaginal laxity. After intervention, the point Ba (P=0.02), perineal body-point PB (P=0.058) and total vaginal length (0.014) significantly improved. Also, female sexual function and its six domains improved (P<0.001).
Conclusion: The findings indicated that Higgs radiofrequency was a safe and noninvasive technique that improved some pelvic organ prolapse quantification and sexual function among women suffering from vaginal laxity.

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Systematic Review: Original Research | Subject: General Gynecology and Pelvic Floor,
Received: 2021/02/3 | Accepted: 2021/04/26 | Published: 2021/06/18

References
1. Dietz HP, Stankiewicz M, Atan IK, Ferreira CW, Socha M. Vaginal laxity: what does this symptom mean?. Int Urogynecol J. 2018 May;29(5):723-8. [DOI:10.1007/s00192-017-3426-0] [PMID]
2. Campbell P, Krychman M, Gray T, Vickers H, Money-Taylor J, Li W, Radley S. Self-reported vaginal laxity-prevalence, impact, and associated symptoms in women attending a urogynecology clinic. J Sex Med. 2018 Nov 1;15(11):1515-7. [DOI:10.1016/j.jsxm.2018.08.015] [PMID]
3. Direkvand-Moghadam A, Ghazanfari Z, Sayehmiri K. Predictive factors for pelvic organ prolapse (POP) in Iranian women's: an ordinal logistic approach. J clin Diagn Res: JCDR. 2014 Jan;8(1):96.
4. Persu C, Chapple CR, Cauni V, Gutue S, Geavlete P. Pelvic Organ Prolapse Quantification System (POP-Q)-a new era in pelvic prolapse staging. J Med Life. 2011 Feb 15;4(1):75.
5. Vicariotto F, De Seta F, Faoro V, Raichi M. Dynamic quadripolar radiofrequency treatment of vaginal laxity/menopausal vulvo-vaginal atrophy. Minerva Ginecol. 2017 Aug;69(4):342-9.
6. Dayan E, Ramirez H, Westfall L, Theodorou S. Role of Radiofrequency (Votiva, InMode) in Pelvic Floor Restoration. Plastic Reconstruct Surg Global Open. 2019 Apr;7(4). [DOI:10.1097/GOX.0000000000002203] [PMID] [PMCID]
7. Millheiser LS, Pauls RN, Herbst SJ, Chen BH. Radiofrequency treatment of vaginal laxity after vaginal delivery: nonsurgical vaginal tightening. J Sex Med. 2010 Sep 1;7(9):3088-95. [DOI:10.1111/j.1743-6109.2010.01910.x] [PMID]
8. Sekiguchi Y, Utsugisawa Y, Azekosi Y, Kinjo M, Song M, Kubota Y et al. Laxity of the vaginal introitus after childbirth: nonsurgical outpatient procedure for vaginal tissue restoration and improved sexual satisfaction using low-energy radiofrequency thermal therapy. J Womens Health (Larchmt) 2013;22:775-81. [DOI:10.1089/jwh.2012.4123] [PMID]
9. Madhu C, Swift S, Moloney‐Geany S, Drake MJ. How to use the pelvic organ prolapse quantification (POP‐Q) system?. Neurourol Urodynamics. 2018 Aug;37(S6):S39-43. [DOI:10.1002/nau.23740] [PMID]
10. Rosen RC, Brown C, Heiman J, et al.: The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Mar Ther 2000, 26:191-208. [DOI:10.1080/009262300278597] [PMID]
11. Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM. The Female Sexual Function Index: translation and validation of an Iranian version. J Sex Med 2012; 9:514-523. [DOI:10.1111/j.1743-6109.2011.02553.x] [PMID]
12. Lalji S, Lozanova P. Evaluation of the safety and efficacy of a monopolar nonablative radiofrequency device for the improvement of vulvo-vaginal laxity and urinary incontinence. J Cosmet Dermatol. 2017; 16: 230-234. [DOI:10.1111/jocd.12348] [PMID]
13. Qureshi AA, Tenenbaum MM, Myckatyn TM. Nonsurgical vulvovaginal rejuvenation with radiofrequency and laser devices: a literature review and comprehensive update for aesthetic surgeons. Aesthet Surg J. 2018; 38: 302-311. [DOI:10.1093/asj/sjx138] [PMID]
14. Hashim PW, Nia JK, Zade J, Farberg AS, Goldenberg G. Noninvasive vaginal rejuvenation. Cutis. 2018 Oct 1;102(4):243-6.
15. Gutman RE, Ford DE, Quiroz LH, Shippey SH, Handa VL. Is there a pelvic organ prolapse threshold that predicts pelvic floor symptoms?. Am J Obstet Gynecol. 2008 Dec 1;199(6):683-e1. [DOI:10.1016/j.ajog.2008.07.028] [PMID] [PMCID]
16. Ghetti C, Gregory WT, Edwards SR, Otto LN, Clark AL. Pelvic organ descent and symptoms of pelvic floor disorders. Am J Obstet Gynecol. 2005;193:53-7. (PubMed) (Google Scholar) [DOI:10.1016/j.ajog.2004.12.004] [PMID]
17. Ellerkmann RM, Cundiff GW, Melick CF, Nihira MA, Leffler K, Bent AE. Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol. 2001;185:1332-7. [DOI:10.1067/mob.2001.119078] [PMID]
18. Schimpf, M.O., Harvie, H.S., Omotosho, T.B. et al. Does vaginal size impact sexual activity and function?. Int Urogynecol J 21, 447-52 (2010). [DOI:10.1007/s00192-009-1051-2] [PMID] [PMCID]
19. Occhino, J.A., Trabuco, E.C., Heisler, C.A. et al. Changes in vaginal anatomy and sexual function after vaginal surgery. Int Urogynecol J 22, 799 (2011). [DOI:10.1007/s00192-011-1386-3] [PMID]
20. Vicariotto F, Raichi M. Technological evolution in the radiofrequency treatment of vaginal laxity and menopausal vulvo-vaginal atrophy and other genitourinary sympdevice. Minerva Ginecol. 2016;68:225-36
21. Krychman M, Rowan CG, Allan BB, DeRogatis L, Durbin S, Yacoubian A, Wilkerson D. Effect of single-treatment, surface-cooled radiofrequency therapy on vaginal laxity and female sexual function: the VIVEVE I randomized controlled trial. J Sex Med. 2017 Feb 1;14(2):215-25. [DOI:10.1016/j.jsxm.2016.11.322] [PMID]
22. Wasserberg N, Haney M, Petrone P et al: Morbid obesity adversely impacts pelvic floor function in females seeking attention for weight loss surgery. Dis Colon Rectum, 2007; 50: 2096-103. [DOI:10.1007/s10350-007-9058-6] [PMID]
23. Lee UJ, Kerkhof MH, Van Leijsen SA, Heesakkers JP. Obesity and pelvic organ prolapse. Current Opinion Urol. 2017 Sep 1;27(5):428-34. [DOI:10.1097/MOU.0000000000000428] [PMID]
24. Giri A, Hartmann KE, Hellwege JN, Edwards DR, Edwards TL. Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies. Am J Obstet Gynecol. 2017 Jul 1;217(1):11-26. [DOI:10.1016/j.ajog.2017.01.039] [PMID]
25. Zhu L, Lang J, Wang H et al: The prevalence of and potential risk factors for female urinary incontinence in Beijing, China. Menopause, 2008; 15: 566-69. [DOI:10.1097/gme.0b013e31816054ac] [PMID]

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