Evidence map›Paper›PMID 26029987›Full record

ArticleClimacteric : the journal of the International Menopause Society2015

Vaginal erbium laser: the second-generation thermotherapy for the genitourinary syndrome of menopause.

M Gambacciani, M Levancini, M Cervigni

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Climacteric : the journal of the International Menopause Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
13.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05344716 narecruitingnot on this mapstarted 2022, after this paper: background citation

Monocentric, Prospective Pilot Study to Test the Efficacy and Safety of the FotonaSmooth Erbium:YAG Laser for the Treatment of Urethral Pain Syndrome in Women

TypeinterventionalSponsorProf. Dr. Volker ViereckRan2022 to 2027Enrolled30ConditionsPelvic Pain SyndromeArmsLaser
NCT05585476 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effectiveness of C02 Microfractionated Laser in Conjunction With Topical Regenerative Therapy in the Management of Vulvo-vaginal Atrophy in Patients With a History of Breast Cancer. Randomized Experimental and Comparative Study.

TypeinterventionalSponsorInstituto de Investigación Sanitaria de la Fundación Jiménez DíazRan2025 to 2026Enrolled180ConditionsFemale Urogenital Diseases, Breast Cancer FemaleArmsC02 microablative laser, Regenerative topical treatment
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 164 citations in OpenAlex.

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  9. Fractional COFrontiers in reproductive health · 2026
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  17. Safety and efficacy of non-ablative COArchives of gynecology and obstetrics · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

M Gambacciania * Department of Obstetrics and Gynecology , Pisa University Hospital , Pisa , Italy.
M Levancinia * Department of Obstetrics and Gynecology , Pisa University Hospital , Pisa , Italy.
M Cervignic Department of Obstetrics and Gynecology , Catholic University of the Sacred Heart , Rome , Italy.
Azienda Ospedaliera Universitaria Pisana · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim To evaluate the effects of the vaginal erbium laser (VEL) in the treatment of postmenopausal women suffering from genitourinary syndrome of menopause (GSM). Method GSM was assessed in postmenopausal women before and after VEL (one treatment every 30 days, for 3 months; n = 45); the results were compared with the effects of a standard treatment for GSM (1 g of vaginal gel containing 50 μg of estriol, twice weekly for 3 months; n = 25). GSM was evaluated with subjective (visual analog scale, VAS) and objective (Vaginal Health Index Score, VHIS) measures. In addition, in 19 of these postmenopausal women suffering from stress urinary incontinence (SUI), the degree of incontinence was evaluated with the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) before and after VEL treatments. Results VEL treatment induced a significant decrease of VAS of both vaginal dryness and dyspareunia (p < 0.01), with a significant (p < 0.01) increase of VHIS. In postmenopausal women suffering from mild to moderate SUI, VEL treatment was associated with a significant (p < 0.01) improvement of ICIQ-SF scores. The effects were rapid and long lasting, up to the 24th week of the observation period. VEL was well tolerated with less than 3% of patients discontinuing treatment due to adverse events. Conclusion This pilot study demonstrates that VEL induces a significant improvement of GSM, including vaginal dryness, dyspareunia and mild to moderate SUI. Further studies are needed to explore the role of laser treatments in the management of GSM.

Indexed as

MenopauseAgedDyspareuniaFemaleHumansHyperthermia, InducedLasers, Solid-StateLongitudinal StudiesMiddle AgedPilot ProjectsProspective StudiesSurveys and QuestionnairesUrinary Incontinence, StressVaginaVaginal DiseasesDYSPAREUNIAERBIUM LASERGENITOURINARY SYNDROME OF MENOPAUSEMENOPAUSESTRESS URINARY INCONTINENCEVAGINAL ATROPHY

Identifiers

PMID26029987
PMCPMC4673600
OpenAlexW1758775989

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.