Evidence map›Paper›PMID 36559022›Full record

ArticlePharmaceuticals (Basel, Switzerland)2022

Hyaluronic Acid and Radiofrequency in Patients with Urogenital Atrophy and Vaginal Laxity.

Piotr Kolczewski, Mirosław Parafiniuk, Piotr Zawodny, Rashad Haddad, Agnieszka Nalewczyńska, Agnieszka Kinga Kolasa, Barbara Wiszniewska, Sophie Menkes, Alexander Bader, Giorgio Stabile and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07419035 (Efficacy of Bipolar Radiofrequency for Genitourinary Syndrome of Menopause in Postmenopausal Women), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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.

NCT07419035 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy of Bipolar Radiofrequency for Genitourinary Syndrome of Menopause in Postmenopausal Women: A Randomized, Sham-Controlled Clinical Trial

TypeinterventionalSponsorUniversity of Castilla-La ManchaRan2026 to 2026Enrolled40ConditionsGenitourinary Syndrome of Menopause (GSM)ArmsActive bipolar radiofrequency therapy, Sham radiofrequency procedure
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Targeting the JAK/STAT signalling axis in cancer: chemopreventive potential of natural compounds with emerging focus on retinoids.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Modern methods of treating vaginal dryness and atrophy.Przeglad menopauzalny = Menopause review · 2026
    Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Effect of radiofrequency combined with magnetic stimulation on mild and moderate pelvic organ prolapse.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Piotr KolczewskiDepartment of Reconstructive Surgery and Gynecological Oncology, Pomeranian Medical University in Szczecin, Al. Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.ORCID 0000-0002-0855-6471
Mirosław ParafiniukSzczecin Forensic Medicine Department, Pomeranian Medical University, 70-204 Szczecin, Poland.
Piotr ZawodnyPrivate Clinic "Zawodny Clinic" Szczecin, 71-047 Szczecin, Poland.
Rashad HaddadObstetric Gynecology Faculty of the American Academy Aesthetic Gynecology Dubai-Paris-Riyadh, 491C Jumeirah Road, Dubai P.O. Box 566297, United Arab Emirates.
Agnieszka NalewczyńskaPrivate Clinic "Estebelle", 02-972 Warszawa, Poland.
Agnieszka Kinga KolasaHistology and Embryology Department, Pomeranian Medical University, 70-204 Szczecin, Poland.ORCID 0000-0002-6933-7643
Barbara WiszniewskaHistology and Embryology Department, Pomeranian Medical University, 70-204 Szczecin, Poland.
Sophie MenkesClinique Nescens, 1272 Genolier, Switzerland.
Alexander BaderBader Medical Institute of London, 75 Harley Street, London W1G 8QL, UK.ORCID 0000-0003-1914-113X
Giorgio StabileDermatology Clinic, Departmente of Medicine and Surgery, Università Vita-Salute San Raffaele, 20132 Milan, Italy.
Nicola ZerbinatiDepartment of Medicine and Surgery, University of Insubria, 21100 Varese, Italy.
Pomeranian Medical University · PLClinique de Genolier · CHSamodzielny Publiczny Wojewódzki Szpital Zespolony im. Marii Skłodowskiej – Curie · PLUniversity of Insubria · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vaginal laxity (VL) and genitourinary syndrome of menopause (GSM), as well as aesthetic changes in the vulvar skin, often occur together and cause physical, psychological, and functional problems for women and their partners. The current study evaluated the efficacy of a nonsurgical radiofrequency device (RF) procedure combined with hyaluronic acid (HA) injection into the skin of the labia majora on clinical, histological, and aesthetic levels. Twenty women with GSM and VL, aged between 36 and 72 (mean age 53.4), were treated with bipolar RF SECTUM, vaginal and vulvar application, as well as with a hyaluronic acid (HA) injection into the skin of the labia majora. The Vaginal Laxity Questionnaire (VLQ), Vaginal Health Index (VHI), and Female Sexual Function Index (FSFI) were used to examine the clinical effects of the operations. The Global Aesthetic Improvement Scale was utilized to measure patient satisfaction. On a histochemical level, the concentrations of elastin and collagen in the vaginal wall and vulvar skin were examined. Results: There was significantly higher patient satisfaction and a considerable clinical improvement across all areas of analysis. On the histochemical level, elastin and collagen fiber concentration increased after the treatment protocol both in the vulvar skin and in the vaginal wall: elastin in the vaginal wall, 11.4%, and in the vulvar skin, 61%; collagen in the vaginal wall, 26%, and in the vulvar skin, 27%. The current study demonstrated the efficacy and safety of this nonsurgical RF procedure combined with a hyaluronic acid (HA) injection into the skin of the labia majora on clinical, histochemical, and aesthetic levels.

Indexed as

hyaluronic acidradiofrequencyurogenital atrophyvaginal atrophyvaginal laxity

Identifiers

PMID36559022
PMCPMC9788573
OpenAlexW4312211074

What OpenQuestion holds

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LicenceCC BY
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.