Evidence map›Paper›PMID 37556648›Full record

ReviewRevista da Associacao Medica Brasileira (1992)2023

Applicability of vaginal energy-based devices in urogynecology: evidence and controversy.

Alessa Cunha Machado, Lívia Maria da Paz Portela Judice, Cássio Luis Zanettini Riccetto, Luis Gustavo Morato Toledo

Abstract readReview
In one paragraph

Review in Revista da Associacao Medica Brasileira (1992), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Is the Addition of COMedicina (Kaunas, Lithuania) · 2025
    Trial
  2. Article
  3. Review
  4. The Efficacy of COJournal of clinical medicine · 2024
    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

4 authors.

Alessa Cunha MachadoHospital da Mulher Nise da Silveira - Maceió (AL), Brazil.ORCID http://orcid.org/0009-0000-9940-4731
Lívia Maria da Paz Portela JudiceSociedade Brasileira de Urologia, Departamento de Disfunção Miccional, Disciplina de Urologia Feminina - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0009-0002-0419-786X
Cássio Luis Zanettini RiccettoSociedade Brasileira de Urologia, Departamento de Disfunção Miccional, Disciplina de Urologia Feminina - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0002-2428-3071
Luis Gustavo Morato ToledoSociedade Brasileira de Urologia, Departamento de Disfunção Miccional, Disciplina de Urologia Feminina - Rio de Janeiro (RJ), Brazil.ORCID http://orcid.org/0000-0003-2304-9336

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to analyze the evidence and controversies about the use of vaginal energy-based devices (laser and radiofrequency) for treatment of genitourinary syndrome of menopause, recurrent urinary tract infection, urinary incontinence, and genital prolapse through a literature review.

methodsA search of literature databases (PubMed, Medline) was performed for publications in December 2022. Keywords included genitourinary syndrome of menopause, vaginal laxity, vaginal/vulvovaginal atrophy, urinary tract infection, urgency incontinence, frequency, urgency, stress urinary incontinence, genital prolapses AND energy-based devices, AND vaginal laser, AND vaginal radiofrequency, AND CO2 laser, AND Er:YAG laser. Publications in English from the last 7 years were reviewed and selected by the authors.

resultsThe literature regarding vaginal energy-based devices in the treatment of urogynecological conditions is primarily limited to prospective case series with small numbers and short-term follow-up. Most of these studies showed favorable results, improvement of symptoms with low risk, or no mention of serious adverse events. Consensus statement documents from major medical societies suggest caution in recommending these therapies in clinical practice until more relevant data from well-designed studies become available.

conclusionThe potential of the vaginal laser and radiofrequency as a therapeutic arsenal for the evaluated urogynecological conditions is great, but qualified research must be done to prove their efficacy and long-term safety, define application protocols, and recommend the use of these technologies in clinical practice.

Indexed as

Lasers, Solid-StateUrinary Incontinence, StressVaginal DiseasesFemaleHumansMenopauseVagina

Identifiers

PMID37556648
PMCPMC10411715

What OpenQuestion holds

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Registered trials

None linked

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.