Mitsuyuki Midori, Štok Ula, Hreljac Irena, Yoda Kikue, Vižintin Zdenko
Midori Beauty Clinic Hiroo, Tokyo, Japan.
University Medical Centre Ljubljana, Department of Rheumatology, Ljubljana, Slovenia; University of Ljubljana, Faculty of Pharmacy, Ljubljana, Slovenia.
Sex Med. 2020 Jun;8(2):265-273. doi: 10.1016/j.esxm.2020.01.001. Epub 2020 Feb 7.
Vaginal laxity drastically impairs women's quality of life, suggesting there is a need for effective noninvasive treatments.
The aim was to retrospectively assess the effectiveness and safety of a nonablative Er:YAG IntimaLase laser procedure for vaginal laxity in patients treated in our clinical practice during a 2.5-year period.
Laser treatment for vaginal laxity was performed using an intravaginal nonablative Er:YAG laser. Effectiveness was assessed using a Patient Satisfaction Questionnaire and also by independent evaluation of before and after treatment photographs of the patients' introitus. The safety and tolerability of the procedure was monitored in all patients.
The study showed an improvement of sexual gratification and improvement of vaginal tightness, as assessed by patients. The tightness of the introitus was also improved, as assessed by independent evaluators.
As assessed by the Patient Satisfaction Questionnaire, we show that 92.7% of patients experienced improvement of sexual gratification after IntimaLase laser treatment. The results of the visual evaluation of the grade of laxity improvement in the introitus area, when open introitus photos were evaluated, show that 69% (n = 20/29) of patients had an improvement of laxity. Nonablative Er:YAG treatment seems to be an effective and safe treatment for vaginal laxity. As it is a noninvasive procedure, it should be considered before any vaginoplasty surgery. The study included all the patients treated in clinical practice and observed very few adverse effects. The results were comparable with other published data. Because it is a retrospective study, there is a lack of a control group.
The results have confirmed that patients suffering from vaginal laxity can be effectively treated using the nonablative Er:YAG IntimaLase procedure without adverse effects. Mitsuyuki M, Štok U, Hreljac I. Treating Vaginal Laxity Using Nonablative Er:YAG Laser: A Retrospective Case Series of Patients From 2.5 Years of Clinical Practice. Sex Med 2020;8:265-273.
阴道松弛严重损害女性生活质量，这表明需要有效的非侵入性治疗方法。
回顾性评估非剥脱性铒激光阴道紧缩术（IntimaLase激光手术）在2.5年期间于我院接受治疗的阴道松弛患者中的有效性和安全性。
采用阴道内非剥脱性铒激光进行阴道松弛的激光治疗。使用患者满意度调查问卷进行有效性评估，并通过独立评估患者阴道口治疗前后的照片进行评估。在所有患者中监测该手术的安全性和耐受性。
研究表明，经患者评估，性满足感得到改善，阴道紧致度提高。经独立评估者评估，阴道口的紧致度也有所改善。
根据患者满意度调查问卷评估，我们发现92.7%的患者在接受IntimaLase激光治疗后性满足感得到改善。在评估张开阴道口照片时，对阴道口区域松弛改善程度的视觉评估结果显示，69%（n = 20/29）的患者松弛情况有所改善。非剥脱性铒激光治疗似乎是一种有效且安全的阴道松弛治疗方法。由于它是一种非侵入性手术，在任何阴道成形手术之前都应予以考虑。该研究纳入了临床实践中治疗的所有患者，观察到的不良反应极少。结果与其他已发表数据相当。由于这是一项回顾性研究，缺乏对照组。
结果证实，非剥脱性铒激光IntimaLase手术可有效治疗阴道松弛患者，且无不良反应。三之木幸之、什托克·乌、赫利亚克·伊。使用非剥脱性铒激光治疗阴道松弛：来自2.5年临床实践的患者回顾性病例系列。性医学2020；8：265 - 273。
