Abstract
BackgroundVaginal relaxation syndrome (VRS) is a common phenomenon affecting women and their partners which may lead to decreased sexual satisfaction. Recently, the use of 2940-nm Erbium:YAG laser (Er:YAG) has been extended to cosmetic gynecology to treat VRS. This study evaluated the efficacy of this non-surgical laser procedure.MethodsFrom October 2014 till January 2017, 39 females with vaginal relaxation syndrome (VRS) were treated with the 2940-nm Er:YAG. Their ages ranged from 27 to 47. Those 39 patients received one to four treatment sessions at 2-3-week intervals. The sessions were performed with a 360 degrees scope via automatic dual step technique. The first step consisted of three passes of multiple pulses ranging from 1.7 to 2.2J per pulse. The second step consisted of two passes of long-pulsed wave of 3.7J and a pulse width of 1s. The improvement in sexual satisfaction was assessed subjectively by patients' questionnaire.ResultsImprovement in sexual satisfaction was reported by 78% of the patients. A few minor side effects were reported such as vaginal ecchymosis and mild burning sensation.ConclusionsIn patients suffering from VRS, the use of automatic dual pass technique Er:YAG is a convenient non-surgical method to obtain reasonable tightening of vaginal wall and improve sexual satisfaction.Level of Evidence: Level IV, case series study.