Articles Vol. 65 No. CĐ 4 - Hội Y học Giới tính Việt Nam 30/05/2024

22. EFFICACY OF VAGINAL ERBIUM LASER IN THE TREATMENT OF GENITOURINARY SYNDROME OF MENOPAUSE

Duong Dang Hieu1,2, Pham Huu Doan1,2, Huynh Doan Phuong Mai1,2, Le Nguyen Minh Hoang1,2, Dinh Quoc Dat1,2, Vu Anh Tuan1,2, Le Hoang My Hanh1,2, Tran Ngoc Thao Linh1,2, Tran Duc Viet1,2, Do Khiem1,2
1 Binh Dan Hospital
2 Bệnh viện Bình Dân
Corresponding author: hieuduongdang@gmail.com
DOI: 10.52163/yhc.v65iCD4.1171
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Keywords
Genitourinary syndrome of menopause, vaginal erbium laser.
Abstract

 Introdution: Genitourinary syndrome in menopause pose a great threat to quality of life due to change of genital, sexual, urological symptoms because of estrogen deficiency. The evidence for stricture rates following robot-assisted radical cystectomy (RARC) is limited. We evaluated the efficacy of vaginal erbium laser in the treatment of genitourinary syndrome of menopause at Binh Dan hospital.

Methods: All patients were treated with 2,940 nm Er:YAG laser (FotonaSmooth®) from January 2023 through March 2024 at Binh Dan hospital. Symptoms will be evaluated before and after therapy for 6 months using the VAS, VHIS and ICIQ-UI SF scales.

Results: Follow-up period was 6 months. We conducted a study with 72 participants. The average age of the sample size was 60.4 with age at menopause around 48, around 56% of the participants suffered from Stress Urinary Incontinence. Vaginal erbium laser treatment induced a significant (p < 0.01) decrease in VAS for both vaginal dryness and dyspareunia, as well an increase in VHIS (p < 0.01) and improved mild-moderate stress urinary incontinence in 40 postmenopausal women up to the 6th month after the last laser treatment. About 1% of patients had adverse events.

Conclusion: These results suggest that vaginal erbium laser may be effective and safe for the treatment of genitourinary syndrome of menopause.

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