Experience with the use of threads with fixation elements in the vaginal wall in the early stages of implantation (experimental study)

• Marlen A. Sulamanudze
• Dmitriy V. Nikishin

Abstract

In recent years, the number of procedures related to the “rejuvenation” of the internal genitals has increased dramatically. The number of treatment methods offered has also increased considerably as the indications for their use have significantly expanded.

Scientists and manufacturing companies are actively developing minimally invasive procedures. These methods are based both on physical factors (radiofrequency devices and lasers) and include various kinds of implantable threads and fillers. However, the effectiveness of these methods is mainly described only by the clinical effect based on the patients’ sensations. Therefore, the aim of this work was to show in an experimental study, using histological material, how the vaginal walls react to implanted threads.

Keywords:thread lifting; aesthetic gynecology; strengthening of the vaginal wall; plastic surgery of the vaginal wall; implantation of threads

References

1. Desai S.A., Kroumpouzos G., Sadick N. Vaginal rejuvenation: from scalpel to wands. Int J Womens Dermatol. 2019; 5: 79–84.

2. Adrian G. Comparison of two novel laser treatments in aesthetic gynecology. J Lasers Health Acad. 2012; 2012 (suppl 1): S10.

3. Gambacciani M., Levancini M. Short-term effect of vaginal erbium laser on the genitourinary syndrome of menopause. Minerva Ginecol. 2015; 67 (2): 97–102.

4. Gambacciani M., Levancini M., Cervigni M. Vaginal erbium laser: the second-generation thermotherapy for the genitourinary syndrome of menopause. Climacteric. 2015; 18 (5): 757–763.

5. Gambacciani M., Torelli M.G., Martella L., Bracco G.L., Casagrande A.G., Albertin E. Rationale and design for the Vaginal Erbium Laser Academy Study (VELAS): an international multicenter observational study on genitourinary syndrome of menopause and stress urinary incontinence. Climacteric. 2015; 18 (suppl 1): 43–8.

6. Gaspar A., Addamo G., Brandi H. Vaginal fractional CO2 laser: a minimally invasive option for vaginal rejuvenation. Am J Cosmet Surg. 2011; 28 (3): 156–62.

7. Goodman M.P., Placik O.J., Matlock D.L., Simopoulos A.F., Dalton T.A., Veale D. Evaluation of body image and sexual satisfaction in women undergoing female genital plastic/cosmetic surgery. Aesthet Surg J. 2016; 36 (9): 1048–57.

8. Gowda A.U., Chopra N., Khalifeh M. Indications, techniques and complications of labiaplasty. Eplasty. 2015; 15: ic46.

9. Griffiths A., Watermeyer S., Sidhu K., Amso N.N., Nix B. Female genital tract morbidity and sexual function following vaginal delivery or lower segment caesarean section. J Obstet Gynaecol. 2006; 26 (7): 645–9.

10. Millheiser L.S., Pauls R.N., Herbst S.J., Chen B.H. Radiofrequency treatment of vaginal laxity after vaginal delivery: nonsurgical vaginal tightening. J Sex Med. 2010; 7 (9): 3088–95.

11. Ogrinc U.B., Senčar S., Lenasi H. Novel minimally invasive laser treatment of urinary incontinence in women. Lasers Surg Med. 2015; 47 (9): 689–97.

12. Pauls R.N., Occhino J.A., Dryfhout V.L. Effects of pregnancy on female sexual function and body image: a prospective study. J Sex Med. 2008; 5 (8): 1915–22.

13. Pauls R.N., Occhino J.A., Dryfhout V., Karram M.M. Effects of pregnancy on pelvic floor dysfunction and body image; a prospective study. Int Urogynecol J Pelvic Floor Dysfunct. 2008; 19 (11): 1495–501.

14. Pauls R.N., Fellner A.N., Davila G.W. Vaginal laxity: a poorly understood quality of life problem; a survey of physician members of the International Urogynecological Association (IUGA) Int Urogynecol J. 2012; 23 (10): 1435–48.

15. Perino A., Calligaro A., Forlani F., Tiberio C., Cucinella G.A., Svelato A., et al. Vulvo-vaginal atrophy: a new treatment modality using thermo-ablative fractional CO2 laser. Maturitas. 2015; 80 (3): 296–301.

16. Ross E.V., Domankevitz Y., Skrobal M., Anderson R.R. Effects of CO2 laser pulse duration in ablation and residual thermal damage: implications for skin resurfacing. Lasers Surg Med. 1996; 19 (2): 123–9.

17. Sadick N.S., Malerich S.A., Nassar A.H., Dorizas A.S. Radiofrequency: an update on latest innovations. J Drugs Dermatol. 2014; 13 (11): 1331–5.

18. Sadick N.S., Nassar A.H., Dorizas A.S., Alexiades-Armenakas M. Bipolar and multipolar radiofrequency. Dermatol Surg. 2014; 40 (suppl 12): S174–9.

19. Salvatore S., Nappi R.E., Zerbinati N., Calligaro A., Ferrero S., Origoni M. A 12-week treatment with fractional CO2 laser for vulvovaginal atrophy: a pilot study. Climacteric. 2014; 17 (4): 363–9.

20. Salvatore S., Nappi R.E., Parma M., Chionna R., Lagona F., Zerbinati N. Sexual function after fractional microablative CO(2) laser in women with vulvovaginal atrophy. Climacteric. 2015; 18 (2): 219–25.

21. Salvatore S., Leone Roberti Maggiore U., Athanasiou S., Origoni M., Candiani M., Calligaro A. Histological study on the effects of microablative fractional CO2 laser on atrophic vaginal tissue: an ex vivo study. Menopause. 2015; 22 (8): 845–9.

22. Sandel H.D., Perkins S.W. CO2 laser resurfacing: still a good treatment. Aesthet Surg J. 2008; 28 (4): 456–62.

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)