Transcutaneous Temperature Controlled Radiofrequency (TTCRF) for the Treatment of Menopausal Vaginal/Genitourinary Symptoms.
OBJECTIVE
The aim of this study was to evaluate the effects of non-ablative, monopolar transcutaneous temperature controlled radiofrequency (TTCRF) technology in the treatment of postmenopausal women suffering from genuine stress urinary incontinence (SUI) related to menopause and to evaluate histological changes vaginally associated with the treatment.


METHODS
Subjective and objective symptoms of SUI were assessed in study subjects before and after TTCRF, (1 treatment every 30 days, for 3 months; n=10) and compared with the effects of a placebo treatment on a control group of demographically similar women (n =10). SUI was subjectively evaluated with subjective Urogenital Distress Inventory (UDI-6) and with the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) before and after TTCRF treatments and objectively with cough stress test. Vaginal health was evaluated with the Vaginal Health Index (VHI) score and visual analogue score (VAS) for dyspareunia and dryness. Punch biopsies were obtained at the urethra-vesical junction in the anterior compartment, before and at the end of the treatment protocol. Basic and histochemical staining methods were used.


RESULTS
In subjects suffering SUI, TTCRF treatment was associated with a significant (p<0.01) improvement of ICIQ-SF and UDI-6 scores. Seven of 10 patients (70%) had a negative cough stress test after the treatment protocol. Improvements were maintained up to the 12th week of follow-up. The results were supported by the positive histologic changes seen vaginally in women suffering from postmenopausal vaginal atrophy. TTCRF was well tolerated with no complications reported in study patients.


CONCLUSIONS
TTCRF treatment in postmenopausal women suffering from SUI showed significant improvement in both objective and subjective symptoms. Vaginal health scores also improved as did VAS for dryness and dyspareunia. We feel these improvements were related to histological changes related to improvement in vaginal atrophy that were not observed in placebo patients.
ynecology and Obstetrics Department, University of Buenos Aires School of Medicine, Buenos Aires, Argentina.
Gustavo
G
Leibaschoff
Gynecology and Obstetrics Department, Military University of Colombia,Urogynecology Department, Hospital Universitario San Jorge, Pereira, Colombia.
Pablo Gonzalez
PG
Izasa
Pathology Department, Universidad Tecnologica, Pereira, Colombia.
Jose Luis
JL
Cardona
Female Pelvic Medicine and Reconstructive Surgery Department, International Urogynecology Associates of Atlanta, Beverly Hills, California and Dubai, United Arab Emirates, Obstetrics and Gynecology Department, Emory University, Atlanta, Georgia.
John R
JR
Miklos
Female Pelvic Medicine and Reconstructive Surgery, International Urogynecology Associates of Atlanta, Beverly Hills, California and Dubai, United Arab Emirates, Obstetrics and Gynecology Department, Emory University, Atlanta, Georgia.
Robert D
RD
Moore
D005260:Female; D006801:Humans; D006979:Hyperthermia, Induced / Q000379:methods*; D008593:Menopause; D011446:Prospective Studies; D013696:Temperature; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000628:therapy*; D014623:Vaginal Diseases