205 results match your criteria Carbon Dioxide Laser Surgery in Gynecology


Promising impact of platelet rich plasma and carbon dioxide laser for stress urinary incontinence.

Eur J Obstet Gynecol Reprod Biol X 2020 Jan 22;5:100099. Epub 2019 Oct 22.

Centre for Advanced Reproductive Endosurgery, Sydney, Australia.

Objectives: To evaluate the safety, feasibility and efficacy of trans-vaginal fractional micro-ablative CO laser therapy in combination with platelet rich plasma (PRP) for the treatment of stress urinary incontinence (SUI) in women.

Study Design: Participants with SUI underwent three sessions of transvaginal CO laser and PRP treatment, administered at 4-6-week intervals. Outcomes were assessed using the bladder function section of the Australian Pelvic Floor Questionnaire (APFQ). Read More

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http://dx.doi.org/10.1016/j.eurox.2019.100099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6994399PMC
January 2020

Orabase-formulated gentian violet effectively improved oral potentially malignant disorder in vitro and in vivo.

Biochem Pharmacol 2020 Jan 14;171:113713. Epub 2019 Nov 14.

Center for Cancer Research, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Translational Research Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

Oral cancer is a prevalent cancer in male worldwide. Oral potentially malignant disorders (OMPDs) are the oral mucosa lesions that have high malignant transformation rate to oral cancer. The mainstay for OMPDs treatment includes carbon dioxide (CO) laser and surgery, which may lead to the side effects of scarring and impaired function of oral cavity in the patients and reduced their willingness to receive curative therapy. Read More

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http://dx.doi.org/10.1016/j.bcp.2019.113713DOI Listing
January 2020

[Short-term efficacy of vaginal CO laser therapy as a treatment modality for genitourinary syndrome of menopause].

Orv Hetil 2019 Oct;160(41):1617-1622

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Eastern Virginia Medical School Norfolk, VA, USA.

Genitourinary syndrome of menopause (GSM) affects up to 40-57% of postmenopausal women. Intravaginal microablative fractional CO laser is a new proposal for the management of GSM, although the evidence of safety and efficacy of the procedure appears to be insufficient. The aim of the study was to assess the efficacy of fractional CO laser for the treatment of GSM at the Department of Obstetrics and Gynecology of the University of Debrecen. Read More

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https://www.akademiai.com/doi/10.1556/650.2019.31529
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http://dx.doi.org/10.1556/650.2019.31529DOI Listing
October 2019
4 Reads

[CO2 laser ablation of cervical endometrioid lesions - treatment efficacy evaluation].

Pol Merkur Lekarski 2019 Aug;47(278):60-64

Medicover Hospital, Department of Obstetric and Gynecology, Warsaw, Poland.

Endometriosis affects 10-15% of the female population of childbearing potential. Endometrioid lesions of the cervical surface are a rare manifestation of the disease. There are various complaints related to this particular form of endometriosis, making the diagnosis challenging. Read More

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August 2019
2 Reads

Successful release of pseudoamniotic bands after laser photocoagulation for twin-twin transfusion syndrome: utility of partial carbon dioxide insufflation of uterus.

Ultrasound Obstet Gynecol 2020 Jan;55(1):134-135

Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Fetal Center, Houston, TX, USA.

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http://dx.doi.org/10.1002/uog.20396DOI Listing
January 2020
6 Reads

Recurrence of genitals warts in pre-HPV vaccine era after laser treatment.

Arch Gynecol Obstet 2019 09 8;300(3):661-668. Epub 2019 Jul 8.

Department of Obstetrics and Gynecology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Purpose: Human papillomavirus (HPV) can cause condylomata acuminata, also known as genital warts. Our aim was to evaluate the long-term recurrence of genital warts after primary carbon dioxide laser treatment before the introduction of the vaccination against HPV.

Methods: Recurrence rate and localization of genital warts were analysed in a retrospective study in 1798 women presenting with a new diagnosis of genital warts from 1992 to 2009 at a University hospital and had received laser treatment. Read More

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http://dx.doi.org/10.1007/s00404-019-05242-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6694085PMC
September 2019
13 Reads

Case Report: Treatment for Rectovaginal Fistula in Crohn's Disease Using Fractionate CO Vaginal Laser with Anti-TNF Therapy.

Photobiomodul Photomed Laser Surg 2019 Jul 17;37(7):451-454. Epub 2019 Jun 17.

7 Ultraimagem, Juiz de Fora, Minas Gerais, Brazil.

Rectovaginal fistulas (RVFs) are defined as any connection between the anorectum and the vagina. They can have several causes, being Crohn's disease, the second leading cause of RVFs, responsible for ∼10% of the RVFs. Despite the advances in surgical and clinical treatment, there is no consensus regarding the best line of treatment. Read More

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http://dx.doi.org/10.1089/photob.2019.4643DOI Listing
July 2019
11 Reads

Provoked vulvar vestibulodynia: Epidemiology in Europe, physio-pathology, consensus for first-line treatment and evaluation of second-line treatments.

J Gynecol Obstet Hum Reprod 2019 10 30;48(8):685-688. Epub 2019 Apr 30.

Federative pelvi-perineology centre, University Hospital of Nantes, 44093, Nantes, France.

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http://dx.doi.org/10.1016/j.jogoh.2019.04.011DOI Listing
October 2019
1 Read

Comparative Thermal Effects of J-Plasma®, Monopolar, Argon, and Laser Electrosurgery in a Porcine Tissue Model.

Surg Technol Int 2019 May;34:35-39

Las Vegas Minimally Invasive Surgery and Women's Pelvic Health Center, WellHealth Quality Care, a DaVita Medical Group, Obstetrics and Gynecology, University of Nevada, Las Vegas, School of Medicine, Las Vegas, Nevada.

Introduction: The objective of this study was to understand how J-Plasma® (Bovie Medical Corporation, Clearwater, Florida) surgical energy compares to monopolar, argon beam, and CO2 laser devices in terms of depth of penetration and lateral thermal spread in a porcine tissue model.

Materials And Methods: Using a porcine animal model, we applied the thermal energy of the J-Plasma® laser, Bovie Monopolar Pencil™ (Bovie Medical Corporation, Clearwater, Florida), argon beam coagulator, and CO2 laser to porcine small bowel, bladder, and peritoneal tissues at equivalent settings. Tissue was excised and sent to pathology for histologic evaluation. Read More

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May 2019
8 Reads

Role of Close Endocervical Margin in Treatment Failure After Cervical Excision for Cervical Intraepithelial Neoplasia: A Retrospective Study.

Arch Pathol Lab Med 2019 08 19;143(8):1006-1011. Epub 2019 Feb 19.

From the Gynecological Oncology Unit (Drs Sopracordevole and del Fabro and Ms Buttignol) and the Pathology Unit (Drs Canzonieri and Alessandrini), Centro di Riferimento Oncologico-National Cancer Institute, Aviano, Italy; the Woman's Health Sciences Department, Gynecologic Section, Università Politecnica delle Marche, Ancona, Italy (Drs Carpini, Serri, and Ciavattini); and the Department of Obstetrics, Gynecology, and Pediatrics, Azienda Sanitaria Universitaria Integrata Udine, Udine, Italy (Dr Cagnacci). Dr Alessandrini is now with the General Pathology and Cytopathology Unit, Department of Medicine-DIMED, University of Padova, Padova, Italy.

Context.—: A significant negative trend in length of cone excision has been observed in recent years, leading to a higher percentage of positive endocervical excision margin and close (<1 mm) negative endocervical margin cases.

Objective. Read More

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http://dx.doi.org/10.5858/arpa.2018-0363-OADOI Listing

The short-term outcome of laser in the management of female pelvic floor disorders: Focus on stress urine incontinence and sexual dysfunction.

Taiwan J Obstet Gynecol 2018 Dec;57(6):825-829

School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Medical Research, China Medical University Hospital, Taichung, Taiwan. Electronic address:

Objective: Female pelvic floor disorders, including female stress urinary incontinence (SUI) or sexual dysfunction are notorious for affecting the quality of women's life. It is reported that laser therapy might result in collagen remodeling and improvement in tissue firmness. The study was conducted to evaluate the short-term outcome of female pelvic floor disorders treated by laser therapy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10284559183023
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http://dx.doi.org/10.1016/j.tjog.2018.10.010DOI Listing
December 2018
23 Reads

Microablative fractional CO2 laser for the genitourinary syndrome of menopause: up to 12-month results.

Menopause 2019 03;26(3):248-255

1st Department of Obstetrics and Gynecology, "Alexandra" Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Objective: The aim of this study is to assess the efficacy of microablative fractional CO2 laser therapy for genitourinary syndrome of menopause (GSM) management, when three, four, or five laser therapies were applied in a follow-up period of 12 months.

Methods: Retrospective study evaluating GSM symptoms at baseline, and 1, 3, 6, and 12 months after last laser therapy. Visual analog scale, International Consultation on Incontinence Questionnaires- Female Urinary Tract Symptoms, International Consultation on Incontinence Questionnaires-Urinary Incontinence Short Form, Urogenital Distress Inventory-6, and Female Sexual Function Index were used for assessment of GSM symptoms' intensity or bothering and parameters of sexual function. Read More

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http://Insights.ovid.com/crossref?an=00042192-900000000-9749
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http://dx.doi.org/10.1097/GME.0000000000001206DOI Listing
March 2019
31 Reads

Laser Therapy for Genitourinary Syndrome of Menopause.

Curr Urol Rep 2018 Aug 17;19(10):83. Epub 2018 Aug 17.

Department of Urology, University of Florida, 1600 SW Archer Road, Gainesville, FL, 32610, USA.

Purpose Of Review: The purpose of this article is to review the available data regarding the application and therapeutic outcomes of laser therapy for the treatment of genitourinary syndrome of menopause (GSM).

Recent Findings: There have been several studies regarding the use of laser therapy for the treatment of GSM. Most of these studies show a trend toward safe and effective treatment in the short term (less than or equal to 12 weeks). Read More

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http://dx.doi.org/10.1007/s11934-018-0831-yDOI Listing
August 2018
28 Reads

Diaphragmatic Endometriosis: Multidisciplinary Treatment.

J Minim Invasive Gynecol 2019 Mar - Apr;26(3):404. Epub 2018 Jul 19.

Departments of Obstetrics and Gynecology (Drs. Seidler, Shabanov, Wenger, and Pluchino) and. Electronic address:

Study Objective: To demonstrate a safe laparoscopic procedure for diaphragmatic infiltrative endometriosis.

Design: Video case SETTING: Teaching hospital (Canadian Task Force classification III).

Patients: One patient presenting deep and severe diaphragmatic endometriosis. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.07.003DOI Listing
August 2019
47 Reads

Total Circulating Microparticle Levels After Laparoscopic Surgical Treatment for Endometrioma: A Pilot, Prospective, Randomized Study Comparing Stripping with CO Laser Vaporization.

J Minim Invasive Gynecol 2019 Mar - Apr;26(3):450-455. Epub 2018 May 24.

Department of Gynecology, Clinical Institute of Gynecology, Obstetrics, and Neonatology, Hospital Clinic of Barcelona, Faculty of Medicine, University of Barcelona, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain. Electronic address:

Study Objective: To evaluate serial generation of microparticles (MPs) after laparoscopic stripping or CO laser vaporization in the surgical treatment of patients with ovarian endometrioma (OE).

Design: A prospective, randomized, blinded, pilot study (Canadian Task Force classification I).

Setting: Tertiary care university hospital from December 2014 to July 2016. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.05.014DOI Listing
July 2019
21 Reads

Effect of age and cone dimensions on cervical regeneration: an Italian multicentric prospective observational study.

BMJ Open 2018 03 19;8(3):e020675. Epub 2018 Mar 19.

Gynecological Oncology Unit, Centro di Riferimento Oncologico - National Cancer Institute, Aviano, Italy.

Objectives: To evaluate cervical regeneration at 6 months following excisional treatment for high-grade cervical intraepithelial neoplasia (CIN), and to investigate the effect of cone dimensions, age of patients and technique of excision on the efficacy of the regeneration process.

Design: Prospective observational multicentric study.

Setting: Three tertiary care and research centres. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2017-02067
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http://dx.doi.org/10.1136/bmjopen-2017-020675DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875629PMC
March 2018
27 Reads

Fractional CO laser for genitourinary syndrome of menopause in breast cancer survivors: clinical, immunological, and microbiological aspects.

Lasers Med Sci 2018 Jul 1;33(5):1047-1054. Epub 2018 Mar 1.

Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", via dell'Istria 65/1, 34100, Trieste, Italy.

The composition of vaginal microbiome in menopause and cancer survivor women changes dramatically leading to genitourinary syndrome of menopause (GSM) in up to 70% of patients. Recent reports suggest that laser therapy may be valuable as a not hormonal therapeutic modality. The aim of the present study was to evaluate the effects of fractional CO laser treatment on the vaginal secretory pathway of a large panel of immune mediators, usually implicated in tissue remodeling and inflammation, and on microbiome composition in postmenopausal breast cancer survivors. Read More

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http://dx.doi.org/10.1007/s10103-018-2471-3DOI Listing
July 2018
39 Reads

Flexible CO2 laser fiber: first look at the learning curve required in gynecological laparoscopy training.

Minerva Ginecol 2018 Feb 9;70(1):53-57. Epub 2017 Oct 9.

San Raffaele Scientific Institute for Research and Care, Milan, Italy.

Background: The advent of flexible CO2 laser fiber to gynecology arena might represent a turning point in the use of laser energy on a large-scale basis in gynecological surgery. However, there might be some concerns regarding the degree of surgical skills required to use the flexible system. The purpose of our study is to evaluate whether flexible CO2 laser fiber is technically accessible. Read More

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http://dx.doi.org/10.23736/S0026-4784.17.04101-6DOI Listing
February 2018
54 Reads

Successful Management of Papular Acantholytic Dyskeratosis Using Carbon Dioxide Laser: A Case Report and Literature Review.

J Low Genit Tract Dis 2017 10;21(4):e42-e44

1Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; and 2Department of Pathology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1097/LGT.0000000000000331DOI Listing
October 2017
24 Reads

Cervical Excision Procedure: A Trend of Decreasing Length of Excision Observed in a Multicenter Survey.

J Low Genit Tract Dis 2017 Oct;21(4):279-283

1Woman's Health Sciences Department, Gynecologic Section, Università Politecnica delle Marche, Ancona, Italy; 2Gynecologic Oncology Unit, Department. of Obstetrics & Gynecology Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, University of Milano, Milan, Italy; 3Center for Gynecologic Oncology Prevention, AULSS 20, Verona, Italy; 4Local Health Authority of Reggio Emilia, Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano, Italy; and 5Gynecological Oncology Unit, Centro di Riferimento Oncologico - National Cancer Institute, Aviano, Italy.

Objectives: The aim of the present study was to observe the trend of length of cone excisions in women treated with cervical excision procedure in five institutions of Central and Northern Italy.

Materials And Methods: A multicenter retrospective cohort study was conducted on women who underwent a cervical excision procedure between January 2006 and December 2014. The pertinent clinical, histopathological, and sociodemographic characteristics of each woman were collected. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000340DOI Listing
October 2017
28 Reads

CO-laser for the genitourinary syndrome of menopause. How many laser sessions?

Maturitas 2017 Oct 21;104:24-28. Epub 2017 Jul 21.

Urogynaecology Unit, 1st Department of Obstetrics and Gynecology, "Alexandra" Hospital, National and Kapodistrian University of Athens, Greece.

Objectives: The aim of this prospective study was to assess the efficacy of 3, 4 or 5 CO-laser sessions for the management of the genitourinary syndrome of menopause (GSM).

Methods: Postmenopausal women with moderate to severe symptoms of dyspareunia, wanting to resume/retain sexual activity, were treated with 3-5 laser sessions depending on symptom severity/presence, sexual function, clinical findings and women's preference following the third laser application.

Main Outcomes: Severity of dyspareunia, dryness, sexual function, sexual satisfaction and frequency of sexual intercourse defined the primary outcomes. Read More

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http://dx.doi.org/10.1016/j.maturitas.2017.07.007DOI Listing
October 2017
23 Reads

Long-term reliability of fractioned CO laser as a treatment for vulvovaginal atrophy (VVA) symptoms.

Arch Gynecol Obstet 2017 Nov 2;296(5):973-978. Epub 2017 Sep 2.

Section of Oncological Gynecology, Department of Woman and Child Health, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.

Purpose: The aim of this study was to evaluate long-term effects of the fractional CO laser for the treatment of vulvovaginal atrophy (VVA) symptoms.

Methods: Women presenting with VVA symptoms and meeting inclusion criterion were enrolled to fractioned CO laser therapy. Patient's satisfaction was measured on five-point Likert scale at 4 weeks and 6, 12, 18, 24 months after treatment by interview and clinical examination for vaginal livability. Read More

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http://dx.doi.org/10.1007/s00404-017-4504-8DOI Listing
November 2017
80 Reads

Sexual Function in Women Suffering From Genitourinary Syndrome of Menopause Treated With Fractionated CO Laser.

Sex Med Rev 2017 10 23;5(4):486-494. Epub 2017 Aug 23.

Obstetrics and Gynecology Unit, Vita-Salute San Raffaele University and IRCCS San Raffaele Hospital, Milan, Italy.

Introduction: Genitourinary syndrome of menopause (GSM) has a significant impact on the trophism of the genital and lower urinary tracts and can considerably impair sexual function. Fractional CO laser has a regenerative effect on vulvovaginal tissue trophism after menopause.

Aim: To review the available literature on the effect of fractional CO laser on the sexual function of postmenopausal women affected by GSM. Read More

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http://dx.doi.org/10.1016/j.sxmr.2017.07.003DOI Listing
October 2017
71 Reads

Fractional CO laser therapy: a new challenge for vulvovaginal atrophy in postmenopausal women.

Climacteric 2017 Aug 15;20(4):379-384. Epub 2017 May 15.

b Obstetrics and Gynaecology Unit, Umberto I Hospital, Department of Surgical Sciences, School of Medicine , University of Turin , Turin , Italy.

Objective: To evaluate the effects of CO laser in the treatment of vulvovaginal atrophy (VVA) in postmenopausal women.

Methods: VVA was assessed in 87 postmenopausal women (mean age 58.6 ± 6. Read More

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http://dx.doi.org/10.1080/13697137.2017.1319815DOI Listing
August 2017
77 Reads

Safety and long-term efficacy of fractional CO laser treatment in women suffering from genitourinary syndrome of menopause.

Eur J Obstet Gynecol Reprod Biol 2017 Jun 2;213:39-44. Epub 2017 Apr 2.

San Raffaele University, San Raffaele Hospital, Italy.

Objectives: To evaluate the safety and long-term efficacy of fractional CO laser treatment in reducing the severity of symptoms of genitourinary syndrome of menopause (GSM) in menopausal women.

Study Design: 102 women presenting with symptomatic GSM were treated with the fractional CO laser (MonaLisa Touch, DEKA) system across a series of treatments delivered at intervals of six or more weeks. The Australian Pelvic Floor Questionnaire was used to gather data on sexual function and side-effects at three time-points across the study period (prospective panel design study). Read More

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http://dx.doi.org/10.1016/j.ejogrb.2017.03.036DOI Listing
June 2017
25 Reads

Laser therapy for the restoration of vaginal function.

Maturitas 2017 May 4;99:10-15. Epub 2017 Feb 4.

Palacios Institute of Womeńs Health, Madrid, Spain.

Laser therapy has a therapeutic role in various medical conditions and most recently has gained interest as a non-hormonal treatment for genitourinary syndrome of menopause (GSM) and as a non-invasive option for stress urinary incontinence (SUI). Several therapies are available to alleviate GSM symptoms, including hormonal and non-hormonal products. Both microablative fractional CO laser and the non-ablative vaginal Er:YAG laser (VEL) induce morphological changes in the vaginal tissues, and data from non-randomized clinical trials suggest that laser therapy can alleviate vaginal dryness and dyspareunia. Read More

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http://dx.doi.org/10.1016/j.maturitas.2017.01.012DOI Listing
May 2017
14 Reads

Fractional CO Laser: From Skin Rejuvenation to Vulvo-Vaginal Reshaping.

Photomed Laser Surg 2017 Mar 30;35(3):171-175. Epub 2016 Dec 30.

4 "Laser in Dermatology, " University of Rome Tor Vergata , Rome, Italy .

Background: The CO laser has become the gold standard treatment in dermatologic surgery for the treatment of a large number of skin and mucosal lesions. The introduction of the fractional micro-ablative technology represented an integration to the ablative resurfacing technique, reducing the healing time and the side effects.

Objective: Vaginal rejuvenation performed with this technique is a minimally invasive procedure that stimulates internal tissues of the female lower genital tract to regenerate the mucosa, improving tissue trophism and restoring the correct functionality. Read More

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http://dx.doi.org/10.1089/pho.2016.4173DOI Listing
March 2017
124 Reads

Fractional CO Laser Treatment of the Vestibule for Patients with Vestibulodynia and Genitourinary Syndrome of Menopause: A Pilot Study.

J Sex Med 2016 12 15;13(12):1915-1917. Epub 2016 Nov 15.

Lower Genital Tract Disease Unit, V. Buzzi Hospital, University of Milan, Milan, Italy.

Introduction: Chronic vulvar pain and burning remains one of the most perplexing problems faced by practicing gynecologists.

Aim: To evaluate the effectiveness and safety of the application of micro-ablative fractional CO laser to the vulvar vestibule in the management of patients with vulvar pain from vestibulodynia or genitourinary syndrome of menopause.

Methods: Patients (N = 70) underwent fractional micro-ablative CO laser treatment for vestibular pain plus vestibulodynia (n = 37) or genitourinary syndrome of menopause (n = 33). Read More

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http://dx.doi.org/10.1016/j.jsxm.2016.10.006DOI Listing
December 2016
47 Reads

Microablative fractional CO-laser therapy and the genitourinary syndrome of menopause: An observational study.

Maturitas 2016 Dec 16;94:131-136. Epub 2016 Sep 16.

Urogynecology Unit, 1st Department of Obstetrics and Gynecology, "Alexandra" Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece. Electronic address:

Objectives: This study aimed to assess the effect of the Microablative Fractional CO Laser (CO-laser) therapy on vaginal pathophysiology and the symptoms of the Genitourinary Syndrome of Menopause (GSM).

Methods: Postmenopausal women with moderate to severe symptoms of GSM underwent three sessions of CO-laser therapy at monthly intervals. Participants were evaluated at baseline and 4 weeks after the last treatment. Read More

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http://dx.doi.org/10.1016/j.maturitas.2016.09.012DOI Listing
December 2016
47 Reads

The effect of microablative fractional CO2 laser on vaginal flora of postmenopausal women.

Climacteric 2016 Oct 24;19(5):512-8. Epub 2016 Aug 24.

a Urogynecology Unit, 1st Department of Obstetrics and Gynecology , "Alexandra" Hospital, Medical School, National and Kapodistrian University of Athens , Athens , Greece ;

Objectives: To assess the effect of microablative fractional CO2 laser (MFCO2-Laser) therapy on the vaginal microenvironment of postmenopausal women.

Methods: Three laser therapies at monthly intervals were applied in postmenopausal women with moderate to severe symptoms of genitourinary syndrome of menopause, pH of vaginal fluid >4.5 and superficial epithelial cells on vaginal smear <5%. Read More

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http://dx.doi.org/10.1080/13697137.2016.1212006DOI Listing
October 2016
7 Reads

Recurrent massive ascites due to mossy endometriosis.

Fertil Steril 2016 Nov 16;106(6):e14. Epub 2016 Aug 16.

Atlanta Center for Minimally Invasive Surgery and Reproductive Medicine, Atlanta, Georgia. Electronic address:

Objective: To report the medical and surgical management of a rare case of recurrent moss-like endometriosis and associated hemorrhagic ascites.

Design: Video description of the case, demonstration of the surgical technique, discussion of the histology, and review of endometriosis-associated ascites.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1016/j.fertnstert.2016.07.1119DOI Listing
November 2016
45 Reads

[CO2 LASER SURGERY IN GYNECOLOGY--NEW HORIZONS].

Authors:
I Karagyozov

Akush Ginekol (Sofiia) 2016 ;55(1):62-6

Aim: Short history of laser procedures in gynecology, benefits and new horizons. Read More

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September 2016
21 Reads

The use of pulsed CO2 lasers for the treatment of vulvovaginal atrophy.

Curr Opin Obstet Gynecol 2015 12;27(6):504-8

aObstetrics and Gynecology Unit, Vita-Salute San Raffaele University, IRCCS San Raffaele Hospital, Milan, Italy bUrogynecology Unit, First Department of Obstetrics and Gynecology, National & Kapodistrian University of Athens, Athens, Greece.

Purpose Of Review: This article reviews the literature regarding the safety and efficacy of the use of a pulsed CO2 laser for the treatment of vulvovaginal atrophy (VVA).

Recent Findings: Prospective observational studies have demonstrated histological changes after the use of pulsed CO2 laser vaginally in atrophic conditions. Increased collagen and extracellular matrix production has been reported together with an increase in the thickness of the vaginal epithelium with the formation of new papilla. Read More

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http://dx.doi.org/10.1097/GCO.0000000000000230DOI Listing
December 2015
19 Reads

Genitourinary syndrome of menopause and the use of laser therapy.

Maturitas 2015 Dec 12;82(4):342-5. Epub 2015 Aug 12.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Urology, Department of Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Genitourinary syndrome of menopause is a common condition that left untreated can progress and negatively affect quality of life and sexual function. Laser therapy has a therapeutic role for several gynecologic conditions and most recently has gained interest as a non-hormonal treatment for genitourinary syndrome of menopause (GSM). The laser is well tolerated and may increase thickness of the squamous epithelium and improve vascularity of the vagina. Read More

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http://dx.doi.org/10.1016/j.maturitas.2015.08.001DOI Listing
December 2015
15 Reads

Obstetrical prognosis of patients with cervical intraepithelial neoplasia (CIN) after "coin-shaped" conization.

Arch Gynecol Obstet 2016 Mar 25;293(3):651-7. Epub 2015 Aug 25.

Department of Obstetrics and Gynecology, Sapporo Medical University, Minami 1 jo, Nishi 16 chome, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan.

Purpose: Uterine cervical conization is related to adverse pregnancy outcomes in subsequent pregnancies. To deal with this problem, we started conservative coin-shaped conization for reproductive-aged patients with cervical intraepithelial neoplasia (CIN). Here we report both the obstetrical and oncological impacts of this operation in comparison with the standard cone-shaped resection. Read More

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http://dx.doi.org/10.1007/s00404-015-3860-5DOI Listing
March 2016
42 Reads

Clinical presentation, treatment and outcome of vaginal intraepithelial neoplasia.

Arch Gynecol Obstet 2016 Feb 2;293(2):415-9. Epub 2015 Aug 2.

Department of Gynaecology and Obstetrics, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Purpose: To characterize the clinical presentation and outcome of patients with vaginal intraepithelial neoplasia (VAIN).

Methods: Medical records of 65 women with VAIN treated between 2005 and 2012 at the colposcopy clinic of a German university hospital were retrospectively evaluated for VAIN grade, HPV status, VAIN localization, treatment method and relapse rate. Follow-up data were available for 53 patients (82 %). Read More

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http://dx.doi.org/10.1007/s00404-015-3835-6DOI Listing
February 2016
22 Reads

Flexible Carbon Dioxide Laser Fiber Versus Ultrasonic Scalpel in Robot-Assisted Laparoscopic Myomectomy.

J Minim Invasive Gynecol 2015 Nov-Dec;22(7):1183-90. Epub 2015 Jun 16.

Center for Infertility and Reproductive Surgery, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address:

Study Objective: To compare the effectiveness and safety of a flexible carbon dioxide (CO2) laser fiber to the ultrasonic scalpel when employed through a robotic surgical system.

Design: Retrospective cohort study.

Design Classification: Level II-2 evidence. Read More

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http://dx.doi.org/10.1016/j.jmig.2015.06.005DOI Listing
May 2016
32 Reads

Response to: A new approach to treatment of vulvovaginal atrophy.

Maturitas 2015 May 14;81(1):100. Epub 2015 Mar 14.

Department of Urology, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea.

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http://dx.doi.org/10.1016/j.maturitas.2015.02.008DOI Listing
May 2015
14 Reads

Laser vaginal rejuvenation: not ready for prime time-response to comments by Maggiore et al.

Authors:
Alex Digesu

Int Urogynecol J 2015 May;26(5):785

Academic Department of Obstetrics and Gynaecology, Imperial College Healthcare NHS Trust, South Wharf Road, London, W2 1NY, UK,

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http://dx.doi.org/10.1007/s00192-015-2647-3DOI Listing
May 2015
24 Reads

Comments on Singh et al.: Laser vaginal rejuvenation: not ready for prime time.

Int Urogynecol J 2015 May 27;26(5):783. Epub 2015 Mar 27.

Obstetrics and Gynecology Unit, Vita-Salute San Raffaele University and IRCCS San Raffaele Hospital, Via Olgettina 58-60, 20132, Milan, Italy,

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http://dx.doi.org/10.1007/s00192-015-2644-6DOI Listing
May 2015
29 Reads

Histological study on the effects of microablative fractional CO2 laser on atrophic vaginal tissue: an ex vivo study.

Menopause 2015 Aug;22(8):845-9

From the 1Obstetrics and Gynecology Unit, Vita-Salute San Raffaele University and IRCCS San Raffaele Hospital, Milan, Italy; 2Urogynecology Unit, First Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Athens, Greece; 3Department of Experimental Medicine, Histology, and Embryology, University of Pavia, Pavia, Italy; and 4Department of Dermatology, University of Insubria, Varese, Italy.

Objective: Microablative fractional CO2 laser has been proven to determine tissue remodeling with neoformation of collagen and elastic fibers on atrophic skin. The aim of our study is to evaluate the effects of microablative fractional CO2 laser on postmenopausal women with vulvovaginal atrophy using an ex vivo model.

Methods: This is a prospective ex vivo cohort trial. Read More

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http://dx.doi.org/10.1097/GME.0000000000000401DOI Listing
August 2015
76 Reads

Vulvo-vaginal atrophy: a new treatment modality using thermo-ablative fractional CO2 laser.

Maturitas 2015 Mar 25;80(3):296-301. Epub 2014 Dec 25.

Department of Obstetrics and Gynaecology, University Hospital "P. Giaccone", Palermo, Italy.

Objective: To evaluate the efficacy and feasibility of thermo-ablative fractional CO2 laser for the treatment of symptoms related to vulvo-vaginal atrophy (VVA) in post-menopausal women.

Methods: From April 2013 to December 2013, post-menopausal patients who complained of one or more VVA-related symptoms and who underwent vaginal treatment with fractional CO2 laser were enrolled in the study. At baseline (T0) and 30 days post-treatment (T1), vaginal status of the women was evaluated using the Vaginal Health Index (VHI), and subjective intensity of VVA symptoms was evaluated using a visual analog scale (VAS). Read More

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http://dx.doi.org/10.1016/j.maturitas.2014.12.006DOI Listing
March 2015
98 Reads

Laser vaginal rejuvenation: not ready for prime time.

Int Urogynecol J 2015 Feb 5;26(2):163-4. Epub 2014 Dec 5.

Department of Urogynaecology, Academic Department of Obstetrics and Gynaecology, S. Mary's Hospital, Mint Wing, South Wharf, W2 1NY, London, UK.

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http://dx.doi.org/10.1007/s00192-014-2588-2DOI Listing
February 2015
30 Reads

Sexual function after fractional microablative CO₂ laser in women with vulvovaginal atrophy.

Climacteric 2015 Apr 16;18(2):219-25. Epub 2014 Dec 16.

Obstetrics and Gynecology Unit, Vita-Salute San Raffaele University and IRCCS San Raffaele Hospital , Milan.

Objective: To investigate the effects of fractional microablative CO2 laser on sexual function and overall satisfaction with sexual life in postmenopausal women with vulvovaginal atrophy (VVA).

Method: This prospective study included 77 postmenopausal women (mean age 60.6 ± 6. Read More

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http://dx.doi.org/10.3109/13697137.2014.975197DOI Listing
April 2015
171 Reads

Treatment efficacy for pain complaints in women with endometriosis of the lesser pelvis after laparoscopic electroablation vs. CO2 laser ablation.

Lasers Med Sci 2015 Jan 23;30(1):147-52. Epub 2014 Jul 23.

Departament of Gynecology and Obstetrics, Jagiellonian University Medical College, 23 Kopernika str, 31-501, Krakow, Poland.

Endometriosis is a chronic disease affecting mainly women of the reproductive age. Its most common manifestations include impaired fecundity, pelvic pain, and dyschezia. Laparoscopic removal of endometriotic foci remains to be the gold standard for the treatment of endometriosis. Read More

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http://dx.doi.org/10.1007/s10103-014-1630-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4289154PMC
January 2015
41 Reads
3 Citations
2.490 Impact Factor

Low prevalence of oral and nasal human papillomavirus in employees performing CO2-laser evaporation of genital warts or loop electrode excision procedure of cervical dysplasia.

Acta Derm Venereol 2015 Feb;95(2):173-6

Department of Dermatovenereology, Copenhagen University Hospital, Bispebjerg, DK-2400 Copenhagen, Denmark.

Risk of human papillomavirus (HPV) transmission during laser vaporisation of genital warts or loop electrode excision procedure is controversial. An oral rinse, a nasal swabs, history of HPV related diseases and data on HPV exposure were collected from 287 employees at departments of dermato-venerology and gynaecology in Denmark. A mucosal HPV type was found among 5. Read More

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http://dx.doi.org/10.2340/00015555-1912DOI Listing
February 2015
67 Reads

Therapeutic effect of laser vaporization for vaginal intraepithelial neoplasia following hysterectomy due to premalignant and malignant lesions.

J Obstet Gynaecol Res 2014 Jun;40(6):1740-7

Department of Gynecological Oncology, Beijing Obstetrics and Gynecology Hospital of Capital Medical University, Beijing, China.

Aim: The aim of this study was to evaluate the therapeutic effect of laser vaporization for vaginal intraepithelial neoplasia (VAIN) after hysterectomy in Chinese women and to identify factors affecting persistence/recurrence.

Material And Methods: Twenty-eight VAIN patients after hysterectomy due to cervical intraepithelial neoplasia (group 1) and 11 VAIN patients due to cervical cancer (group 2) were reviewed retrospectively. All patients were treated with at least one episode of laser vaporization between 2010 and 2011, and then followed up every 3 months for at least 1 year. Read More

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http://dx.doi.org/10.1111/jog.12383DOI Listing
June 2014
34 Reads

Greater surgical precision of a flexible carbon dioxide laser fiber compared to monopolar electrosurgery in porcine myometrium.

J Minim Invasive Gynecol 2014 Nov-Dec;21(6):1103-9. Epub 2014 May 22.

Center for Infertility and Reproductive Surgery, Department of Obstetrics, Gynecology, and Reproductive Biology, Boston, Massachusetts. Electronic address:

The objective of this experimental animal study was to compare the surgical precision of a flexible CO2 laser fiber with that of monopolar electrosurgery in porcine myometrium. The subjects were 6 live adult non-pregnant female pigs. Linear injury to the uterine horns was created using a flexible CO2 laser fiber at 5W, 10W, and 15W and with monopolar electrosurgery at 10W, 20W, 30W, and 40W in both cut and coagulation modes. Read More

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http://dx.doi.org/10.1016/j.jmig.2014.05.004DOI Listing
June 2015
49 Reads

Risk factors for treatment failure of CO2 laser vaporization in cervical intraepithelial neoplasia 2.

Arch Gynecol Obstet 2014 Jul 24;290(1):115-9. Epub 2014 Jan 24.

Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, 650-9, Yoksam-dong, Gangnam-gu, Seoul, 135-913, Korea.

Purpose: The aim of our study was to evaluate the risk factors for treatment failure of CO2 laser vaporization in patients with cervical intraepithelial neoplasia 2 (CIN2).

Methods: Medical records of patients who received either shallow or deep CO2 laser vaporization with biopsy-proven CIN2 during March 2007 to April 2011 were reviewed retrospectively. After laser vaporization, liquid-based cytology and human papilloma virus (HPV) DNA testing were checked in every follow-up visit. Read More

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http://dx.doi.org/10.1007/s00404-014-3148-1DOI Listing
July 2014
17 Reads

Laser technology and applications in gynaecology.

J Obstet Gynaecol 2013 Apr;33(3):225-31

Department of Obstetrics and Gynecology, Scripps Clinic Medical Group, San Diego, CA 92108, USA.

The term 'laser' is an acronym for Light Amplification by Stimulated Emission of Radiation. Lasers are commonly described by the emitted wavelength, which determines the colour of the light, as well as the active lasing medium. Currently, over 40 types of lasers have been developed with a wide range of both industrial and medical uses. Read More

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http://dx.doi.org/10.3109/01443615.2012.747495DOI Listing
April 2013
15 Reads