P-02-012 Non-surgical, Minimally Invasive Erbium Laser Treatment of Vaginal Relaxation Syndrome - Up to 3 Year Follow-up

Vaginal Relaxation Syndrome (VRS) is defined as a laxity of the vaginal wall due to changes in connective tissue, which is usually associated with vaginal deliveries and the normal aging process. Laser vaginal tightening (LVT) using non-ablative, minimally invasive Er:YAG laser has been performed in our practice since 2011, with over 900 patients treated since then. After 3 years of performing laser treatments, a telephone follow up of 103 patients has been performed to overview the results and to evaluate the long-term efficacy of laser vaginal tightening. Telephone interviews were obtained asking patients to answer the LVT questionnaire and self-assess the efficacy of the Er:YAG laser vaginal tightening treatment, based on 6, 12, 18, 24 and 36-month follow ups. According to the patients’ evaluation of the results, the average duration of the tightening effect after the therapy was 16 months, with significant improvement of stress urinary incontinence and prolapse in patients having these conditions as well. Adverse effects were limited to mild and transient edema, and a tolerable heating sensation in few cases. Further, results also showed that 83% of participants would be willing to repeat the therapy.