EFFECT OF SINGLE-SESSION, CRYOGENCOOLED MONOPOLAR RADIOFREQUENCY THERAPY ON VAGINAL LAXITY AND ITSEFFECT ON URINARY INCONTINENCE
B. B. ALLAN;
Allan Ctr.,Calgary, Canada.
Introduction: The complexinteraction of the components of the female pelvic floor aredependent on the healthy function of ligaments, muscles andconnective tissue. If any of these components are not functioningoptimally it can lead to a cascade of events resulting in pelvicfloor dysfunction which can have a profound impact on a woman’squality of life and overall wellbeing.
Objective: Thepurpose of this study was to evaluate the effects of a non-invasivetreatment for vaginal laxity on urinary stress incontinence
Methods:A sub-analysis of participants (n=48) from a multicentre trialinvestigating the effects of cryogen-cooled monopolar radiofrequency(CMRF) therapy for the treatment of the effects of vaginal laxity wascarried out. This sub-population consisted of pre-menopausal womenwith at least one full-term delivery who presented with complaints ofvaginal laxity. Subject baseline scores were compared to results atone, three and six months post-treatment for response to a singlequestion concerning problems with urinary incontinence. Answersranged from Severe (0) to Absent (4). Additionally, a smallfeasibility study (n=4) was carried out for women suffering fromurinary incontinence using a modified treatment of CMRF to treat theanterior and posterior regions of the introitus.
Results:At months one, three and six in the sub-analysis of the multicentretrial the mean change from baseline demonstrated an improvement inthe symptoms of urinary stress incontinence. The small feasibilitystudy demonstrated increases in sexual response and decreases inUDI-6 and IIQ-7 scores.
Conclusions: These resultsdemonstrate that CMRF therapy could be a viable therapy for womensuffering from urinary stress incontinence with potential functionalimprovements associated with a non-surgical modality for a highlyprevalent and undertreated condition.