YAG阴道/尿道激光治疗绝经期泌尿生殖系统综合征(GSM)的安全性和客观改善的前瞻性研究

M. Pandya, Vidya Pancholiya, Nehal Manish Pandya, Roma S. Dadwani, Khushbu K Patel, Z. Vizintin, Hari Krishna
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引用次数: 0

摘要

:绝经期泌尿生殖系统综合征(GSM)是一种结合了外阴阴道萎缩(VVA)和泌尿道功能障碍的病症,这与雌激素缺乏有关。GSM采用阴道激光治疗,采用非烧蚀性Er: YAG激光治疗,以评估该治疗的有效性和安全性。本研究旨在长期评估Er:yag阴道/尿道激光治疗绝经后/围绝经期妇女性和泌尿系统症状对GSM症状的安全性和客观改善。从2020年起,V care激光中心对单词进行了一项前瞻性研究。共入组74人,其中53人完成1次随访,29人完成2次随访。在接下来的12个月里,研究人员对患者进行了两次随访,收集了患者术前和术后的干燥、性交困难、瘙痒/灼烧和下尿路症状等参数的数据,并采用阴道松弛问卷(VLQ)、阴道健康指数评分(VHIS)、女性性困扰量表(FSDS-R)和满意度问卷(0-3分)对数据进行了FSFI评估。2次随访结束时,GSM患者症状改善,无疼痛和轻度疼痛分别占79.31%和20.39%,无瘙痒(72.41%)。2次随访结束时阴道状况改善(正常- 93.10%)。大多数患者报告无性困扰(82.7%)。非烧蚀性Er: YAG激光治疗绝经期泌尿生殖系统综合征是一种安全有效的治疗方法。它也为SUI提供了一种有前途的微创安全治疗方法。
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Prospective study of safety and objective improvement in sysmptoms of GSM (Genitourinary syndrome of menopause) withEr:YAG vaginal /urethral laser treatment
: Genitourinary Syndrome of Menopause (GSM) is the condition which combines the conditions of vulvovaginal atrophy (VVA) and urinary tract dysfunction which are associated with oestrogen deficiency. GSM is treated using vaginal laser therapy by using non-ablative Er: YAG laser therapy to evaluate the effectiveness and safety of this therapy. The present study was planned to evaluate the safety and objective improvement in symptoms of GSM with Er:yag vaginal / urethral laser treatment in sextual and urinary symptoms of post / peri menopausal women on long term basis. A prospective study was conducted at V care laser centre from 2020 on words to till date. Total sample population enrolled was 74 among them 53 completed 1 follow up and 29 had completed 2 follow up. Data were collected before and subsequent 2 follow ups over next 12 months on parameters like dryness, dyspareunia, itching/ burning and lower urinary tract symptoms, data were collected using VLQ (vaginal laxity questionnaire), VHIS (vaginal health index score), FSDS-R (The female sexual distress scale – revised)and Satisfaction questionnaire (0-3) assessed on FSFI. : The study showed symptomatic improvement among patients with GSM like no pain or mild pain among 79.31% and 20.39% respectively, no itching (72.41%) at the end of 2 follow up. There was an improvement in vaginal condition (normal – 93.10%) at the end of 2 follow up. Majority of patients reported no sexual distress (82.7%). : The non-ablative Er: YAG laser therapy is efficacious and safe modality for treatment of symptoms in cases of genitourinary syndrome of menopause. It also offers a promising, minimally invasive safe treatment for SUI.
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