Application of AI temperature controlled radiofrequency in vaginal laxity
Objective:To observe the efficacy of AI temperature-controlled radiofrequency in the treatment of vaginal laxity.Methods:Thirty-six women with vaginal laxity were recruited,and assigned to temperature-controlled radiofrequency treatment group(RF group)and biofeedback electrostimulation group.Then the indicators before and following treatment were compared between groups.Results:By subjective rating the symptom improvement after treatment,the number of self-reported improvement in RF group and electrostimulation group was 15 and 9 cases,respectively.The treatment response to the Vaginal Laxity Questionnaire(VLQ)and Sexual Satisfaction Questionnaire(SSQ)showed that 15 and 16 women,respectively,in the RF group declared improvement after treatment(P<0.05).The Female Sexual Function Index(FSFI),Pelvic Organ Prolapse Quantitation(POP-Q),muscle strength measurement,and related values in pelvic floor ultrasound examination were also improved in RF group.The FSFI was improved at 3 and 6 months compared to that before treatment,and the improvement was better at the 6th month compared to that at the 3 rd month after treatment(P<0.05).Point Aa was raised at 1,3,and 6 months after treatment,and the lift was more obvious at 3 and 6 months compared to that at 1 month after treatment(P<0.05).Point Ap was lifted at 6 months after treatment(P<0.05).Points C and D were pulled up at 1,3 and 6 months following treatment,and the elevation was predominant at 3 and 6 months compared to that at 1 month after radiofrequency therapy(P<0.05).Under the Valsalva test state in pelvic floor 3D ultrasound,the position of the bladder neck was uplifted at 1 and 3 months after treatment,and the elevation was more obvious at the 3 rd month compared to that at the 1st month following treatment(P<0.05).The lowest point of the cervix at rest was moved up one month after treatment(P<0.05),and the lowest point of the cervix in Valsalva test state was raised at 3 months after treatment(P<0.05).The maximum value of fast muscle detected by pelvic floor electromyography was increased at 6 months after treatment compared to that before treatment and at 1 and 3 months after treatment(P<0.05);The average value of slow muscles was also increased at 1,3,and 6 months after treatment,and the increase was dominant at 6 months compared to that at 1 month after treatment(P<0.05).There was no significant difference in the muscle strength measured at 1 month after treatment by the two techniques(P>0.05).Conclusion:AI temperature-controlled radiofrequency and biofeedback electrostimulation may improve the strength of pelvic floor muscles,yet the former should be the optimal option for non-surgical treatment of vaginal relaxation,because it can greatly improve the symptom of vaginal laxity and sexual function of the female victim.
AI temperature-controlled radiofrequencyvaginal laxityfemale pelvic floor dysfunctionbiofeedback electrostimulation