Demirgean Filis, Albu Simona, Constantin Maria-Magdalena, Streinu-Cercel Adrian
MD, PhDc, Carol Davila University of Medicine and Pharmacy, Bucharest, 050474, Romania.
MD, PhD, Department of Obstetrics and Gynaecology, Carol Davila University of Medicine and Pharmacy and University Emergency Hospital, Bucharest, 050098, Romania.
Germs. 2025 Jun 30;15(2):116-120. doi: 10.18683/germs.2025.1461. eCollection 2025 Jun.
Genitourinary syndrome of menopause (GSM) and vulvovaginal atrophy (VVA) significantly impact women's quality of life, leading to symptoms such as vaginal dryness, irritation, dyspareunia, and urinary incontinence. While traditional treatments include hormonal therapy and surgical interventions, these approaches may not be suitable for all patients. Laser vaginal rejuvenation has emerged as a promising, minimally invasive alternative that enhances vaginal tissue health with minimal downtime.
This retrospective study analyzes data from 53 patients who underwent internal, external, or combined laser vaginal rejuvenation. Patient demographics, medical and gynecological history, treatment indications, procedural details, and post-treatment outcomes were assessed.
The most common reasons for seeking treatment included vaginal laxity (69.8%), urinary incontinence (47.2%), and vaginal discomfort (15.1%). The majority (90.6%) opted for combined internal and external treatment, with most undergoing three sessions. Post-procedure symptoms were minimal, limited to transient discomfort and minor, self-limiting bleeding in three patients. No patients developed wound infections.
Findings suggest laser vaginal rejuvenation is a well-tolerated procedure, with high adherence and patient satisfaction rates. While our current study is limited by its descriptive nature and its single-center design, results align with existing literature, supporting the procedure's safety and efficacy.
更年期泌尿生殖综合征（GSM）和外阴阴道萎缩（VVA）对女性生活质量有显著影响，会导致阴道干燥、刺激、性交困难和尿失禁等症状。虽然传统治疗方法包括激素疗法和手术干预，但这些方法可能并不适用于所有患者。激光阴道年轻化已成为一种有前景的微创替代方法，能在最短的停工期内改善阴道组织健康。
这项回顾性研究分析了53例接受内部、外部或联合激光阴道年轻化治疗的患者的数据。评估了患者的人口统计学特征、医学和妇科病史、治疗指征、手术细节以及治疗后的结果。
寻求治疗的最常见原因包括阴道松弛（69.8%）、尿失禁（47.2%）和阴道不适（15.1%）。大多数患者（90.6%）选择了内部和外部联合治疗，大多数接受了三个疗程。术后症状轻微，仅限于短暂不适，三名患者出现轻微的、自限性出血。没有患者发生伤口感染。
研究结果表明，激光阴道年轻化是一种耐受性良好的手术，依从性和患者满意度高。虽然我们目前的研究受到其描述性性质和单中心设计的限制，但其结果与现有文献一致，支持该手术的安全性和有效性。
