دورية أكاديمية
Laser - based devices for female genitourinary indications: Position statements from the european society for sexual medicine (ESSM)
العنوان: | Laser - based devices for female genitourinary indications: Position statements from the european society for sexual medicine (ESSM) |
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المؤلفون: | Romero-Otero, Javier, Lauterbach, Roy, Aversa, Antonio, Şerefoğlu, Ege Can, García-Gómez, Borja, Parnham, Arie, Skrodzka, Marta, Krychman, Michael, Reisman, Yacov, Corona, Giovanni, Lowenstein, Lior |
المساهمون: | Tıp Fakültesi |
بيانات النشر: | Elsevier Inc. |
سنة النشر: | 2020 |
المجموعة: | Biruni University Institutional Repository (DSpace@Biruni) |
مصطلحات موضوعية: | Evolution, Genitourinary Indications, Heterogeneity, Laser-Based Devices |
الوصف: | 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. |
نوع الوثيقة: | article in journal/newspaper |
وصف الملف: | application/pdf |
اللغة: | English |
تدمد: | 1743-6095 |
العلاقة: | https://doi.org/10.1016/j.jsxm.2020.02.013Test; The Journal of Sexual Medicine; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://hdl.handle.net/20.500.12445/1484Test; 17; 841; 848 |
DOI: | 10.1016/j.jsxm.2020.02.013 |
الإتاحة: | https://doi.org/20.500.12445/1484Test https://doi.org/10.1016/j.jsxm.2020.02.013Test https://hdl.handle.net/20.500.12445/1484Test |
حقوق: | info:eu-repo/semantics/openAccess ; Attribution-NonCommercial-NoDerivs 3.0 United States ; http://creativecommons.org/licenses/by-nc-nd/3.0/usTest/ |
رقم الانضمام: | edsbas.9518A79F |
قاعدة البيانات: | BASE |
تدمد: | 17436095 |
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DOI: | 10.1016/j.jsxm.2020.02.013 |