Laser-Based Devices for Female Genitourinary Indications: Position Statements From the European Society for Sexual Medicine (ESSM)
| Autor: | Marta Skrodzka, Giovanni Corona, Roy Lauterbach, Lior Lowenstein, Javier Romero-Otero, Borja García-Gómez, Antonio Aversa, Yacov Reisman, Ege Can Serefoglu, Arie Parnham, Michael Krychman |
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| Přispěvatelé: | Tıp Fakültesi |
| Rok vydání: | 2020 |
| Předmět: |
Genitourinary Indications
medicine.medical_specialty Evolution Sexual Behavior Urology Endocrinology Diabetes and Metabolism Vaginal Diseases 030232 urology & nephrology Urinary incontinence Laser-Based Devices law.invention Food and drug administration 03 medical and health sciences 0302 clinical medicine Endocrinology Randomized controlled trial law Sexual medicine Humans Medicine Intensive care medicine 030219 obstetrics & reproductive medicine business.industry Genitourinary system Lasers Evidence-based medicine Preclinical data Psychiatry and Mental health Reproductive Medicine Female Menopause Heterogeneity medicine.symptom business Sexual function |
| Zdroj: | The Journal of Sexual Medicine. 17:841-848 |
| ISSN: | 1743-6109 1743-6095 |
| Popis: | Background Laser-based technologies have been commercially marketed as “wonder treatments” without a sufficient and adequate body of evidence. In addition, on July 30, 2018, the U.S. Food and Drug Administration issued a warning regarding the safety of the use of laser-based devices for the following indications: vaginal “rejuvenation” or cosmetic vaginal procedures, vaginal conditions and symptoms related to menopause, urinary incontinence, and sexual function. Aim To perform a thorough review of the available literature regarding laser-based vaginal devices for the treatment of female genitourinary indications and summarize the results in several short statements according to the level of evidence. Methods A comprehensive review of the literature regarding laser treatments for gynecological indications was performed based on several databases. Eligible were studies that included at least 15 patients. Outcomes Several aspects, including preclinical data, have been investigated. For each topic covered, data on laser-based devices were analyzed. Results Despite the high heterogeneity of studies and its limitations, the committee released several statements regarding the use of laser-based devices for genitourinary indications. Clinical Implications Available data in the clinical setting are still poor, and the impact of these technologies on vaginal symptoms and signs has not been clearly established. Strengths & Limitations All studies have been evaluated by a panel of experts providing recommendations for clinical practice. Conclusion It is too early in the evolution and research of laser-based devices to make decisive recommendations regarding vaginal treatments. There is grave need to carry out randomized controlled trials with proper design for safety reasons, possible harm, and short-/long-term benefits for the different indications studied. |
| Databáze: | OpenAIRE |
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