Hoss Elika, Kollipara Ramya, Fabi Sabrina
Cosmetic Laser Dermatology, A West Dermatology Company, San Diego, CA.
Department of Dermatology, University of California, School of Medicine, San Diego, CA.
Skinmed. 2019 Nov 1;17(6):396-398. eCollection 2019.
Noninvasive vaginal rejuvenation (NVR) is a growing area of interest in dermatology. With age, childbirth, and hormonal changes, many women develop changes in their vaginal tissue that can be functionally and psychologically distressing. Until recently, treatment options were limited to topical application, hormonal treatments, kegel exercises, and surgical options such as labiaplasty, vaginoplasty, and perineoplasty. In the last decade, there has been a rise in minimally invasive devices for vulvovaginal laxity (VVL), atrophic vaginitis (AV), orgasmic dysfunction (OD), and stress urinary incontinence (SUI). These include ablative carbon dioxide (CO) lasers, nonablative lasers, and radiofrequency (RF) devices. No devices are currently cleared by Food and Drug Administration (FDA) for noninvasive vaginal rejuvenation (NVR), although international agencies have given varying levels of approval. This review will focus on the radiofrequency modalities used off-label for NVR.
非侵入性阴道年轻化（NVR）是皮肤科领域一个日益受关注的领域。随着年龄增长、分娩以及激素变化，许多女性的阴道组织会出现变化，这在功能和心理上都可能令人苦恼。直到最近，治疗选择还局限于局部应用、激素治疗、凯格尔运动以及诸如阴唇整形术、阴道成形术和会阴成形术等手术方式。在过去十年中，用于治疗外阴阴道松弛（VVL）、萎缩性阴道炎（AV）、性高潮功能障碍（OD）和压力性尿失禁（SUI）的微创设备有所增加。这些设备包括剥脱性二氧化碳（CO）激光、非剥脱性激光和射频（RF）设备。尽管国际机构已给予不同程度的批准，但目前美国食品药品监督管理局（FDA）尚未批准任何设备用于非侵入性阴道年轻化（NVR）。本综述将聚焦于用于NVR但未获批准的射频治疗方式。
