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Fractional CO2 laser for vulvovaginal atrophy (VVA) dyspareunia relief in breast cancer survivors.
Pieralli, Annalisa; Fallani, Maria Grazia; Becorpi, Angelamaria; Bianchi, Claudia; Corioni, Serena; Longinotti, Manuela; Tredici, Zelinda; Guaschino, Secondo.
Afiliação
  • Pieralli A; Section of Gynecology and Obstetrics, Department of Woman and Child Health, Careggi University Hospital, Largo Brambilla 3, 50144, Florence, Italy. clabianchi85@gmail.com.
  • Fallani MG; , Largo Brambilla 3, 50134, Florence, Italy. clabianchi85@gmail.com.
  • Becorpi A; Section of Gynecology and Obstetrics, Department of Woman and Child Health, Careggi University Hospital, Largo Brambilla 3, 50144, Florence, Italy.
  • Bianchi C; Section of Gynecology and Obstetrics, Department of Woman and Child Health, Careggi University Hospital, Largo Brambilla 3, 50144, Florence, Italy.
  • Corioni S; Section of Gynecology and Obstetrics, Department of Woman and Child Health, Careggi University Hospital, Largo Brambilla 3, 50144, Florence, Italy.
  • Longinotti M; Section of Gynecology and Obstetrics, Department of Woman and Child Health, Careggi University Hospital, Largo Brambilla 3, 50144, Florence, Italy.
  • Tredici Z; Section of Gynecology and Obstetrics, Department of Woman and Child Health, Careggi University Hospital, Largo Brambilla 3, 50144, Florence, Italy.
  • Guaschino S; Section of Gynecology and Obstetrics, Department of Woman and Child Health, Careggi University Hospital, Largo Brambilla 3, 50144, Florence, Italy.
Arch Gynecol Obstet ; 294(4): 841-6, 2016 10.
Article em En | MEDLINE | ID: mdl-27170261
ABSTRACT

PURPOSE:

The aim of this study was to evaluate the efficacy of fractional CO2 laser therapy in breast cancer survivors as a therapeutic method for vulvovaginal atrophy (VVA) dyspareunia.

METHODS:

50 patients (mean age 53.3 years) underwent fractional microablative CO2 laser treatment for dyspareunia in oncological menopause (mean time of menopause 6.6 years). The Gloria Bachmann's Vaginal Health Index (VHI) score was chosen as system to evaluate the presence of VVA and its improvement after the treatment. Intensity of dyspareunia was evaluated using a visual analog scale (VAS).

RESULTS:

Data indicated a significant improvement in VVA dyspareunia (p < 1.86e-22) in breast cancer survivors who had undergone 3 sessions of vaginal fractional CO2 laser treatment. Moreover, VHI scores were significantly higher 30 days post-treatment (T4) (p < 0.0001). 76 % of patients were satisfied or very satisfied with the treatment results. The majority (52 %) of patients were satisfied after a long-term follow-up (mean time 11 months). No adverse events due to fractional CO2 laser treatment occurred.

CONCLUSIONS:

The treatment with fractionated CO2 laser appeared to be a feasible and effective treatment for VVA dyspareunia in breast cancer survivors with contraindications to hormonal treatments.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Vagina / Vulva / Neoplasias da Mama / Dispareunia / Lasers de Gás Limite: Female / Humans / Middle aged Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Vagina / Vulva / Neoplasias da Mama / Dispareunia / Lasers de Gás Limite: Female / Humans / Middle aged Idioma: En Ano de publicação: 2016 Tipo de documento: Article