Case Report
Volume 7 Issue 8 - 2018
Evolutions in Diagnosis and Treatment of Vaginal Laxity
Hichem Bensmail*
Consultant Obstetrician Gynaecologist, Department of Gynaecology and Obstetrics, Polyclinique Bordeaux Nord Aquitaine, Bordeaux, France
*Corresponding Author: Hichem Bensmail, Consultant Obstetrician Gynaecologist, Department of Gynaecology and Obstetrics, Polyclinique Bordeaux Nord Aquitaine, Bordeaux, France.
Received: March 30, 2018; Published: July 31, 2018
Citation: Hichem Bensmail. “Evolutions in Diagnosis and Treatment of Vaginal Laxity”. EC Gynaecology 7.8 (2018): 321-327.
Abstract
Introduction: The use of Dynamic Quadripolar Radiofrequency (DQRF) is a new therapy for the treatment of vulvovaginal conditions such as laxity and sexual dysfunctions, while Vaginal tactile imaging allows biomechanical assessment of vaginal tissues and pelvic floor muscles.
Purpose: The purpose of this study is to explore changes in vaginal tissue elasticity, pelvic floor support and muscle strength after applied vaginal radiofrequency treatments.
Case Report: In January 2017, a 42‐year‐old Caucasian Patient was treated for vaginal laxity. She had given birth to three children, the most recent being six years before vaginal rejuvenation was performed. She had experienced no previous non‐surgical vaginal rejuvenation treatments and no past medical history that would be significant to this procedure such as recent surgical labiaplasty, etc. no known drug allergies, no sexual health history until the procedure, and cervical smears has never shown any abnormalities. DQRF procedures were performed at 2 week intervals for 4 consecutive treatments. The Vaginal Tactile Imager (VTI) was used to assess the vaginal walls, pelvic floor support structures and pelvic floor muscle (PFM) contractions before and two weeks after the final DQRF treatment. The VTI probe allows for an estimation of: a) vaginal tissue elasticity as a pressure gradient under vaginal wall deformation, b) pelvic floor support conditions as a pressure gradient under deformation of the posterior compartment, and c) PFM strength as a pressure feedback under voluntary and involuntary (cough) contractions.
Conclusion: Dynamic Quadripolar Radiofrequency treatment is a promising novel technology with clinical results improving tissue elasticity, pelvic floor support and PFM strength upon assessment with tactile imaging. VTI allows monitoring of biomechanical transformation of tissues before and after the radiofrequency treatment and may predict the effectiveness of therapy for individual patients.
Keywords: Vaginal Tactile Imaging; Radiofrequency; Vaginal Laxity; Vaginal Rejuvenation
Copyright: © 2018 Hichem Bensmail. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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