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Physical methods for the treatment of genitourinary syndrome of menopause: A systematic review.
Sarmento, Ayane C A; Lírio, Juliana F; Medeiros, Kleyton S; Marconi, Camila; Costa, Ana P F; Crispim, Janaina C; Gonçalves, Ana K.
Afiliação
  • Sarmento ACA; Health Sciences Postgraduate Program, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.
  • Lírio JF; Departments of Gynecology and Obstetrics, State University of Campinas, Campinas, Brazil.
  • Medeiros KS; Health Sciences Postgraduate Program, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.
  • Marconi C; Department of Biological Science, Federal University of Paraná, Curitiba, Brazil.
  • Costa APF; Health Sciences Postgraduate Program, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.
  • Crispim JC; Department of Clinical Analysis and Toxicology, Federal University of Rio Grande do Norte, Natal, Brazil.
  • Gonçalves AK; Health Sciences Postgraduate Program, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.
Int J Gynaecol Obstet ; 153(2): 200-219, 2021 May.
Article em En | MEDLINE | ID: mdl-33354773
BACKGROUND: Genitourinary syndrome of menopause (GSM) negatively affects sexual function and quality of life. Techniques like laser and radiofrequency are being used to manage GSM, particularly in women with contraindications for hormone therapy. OBJECTIVES: To verify whether the physical methods of laser and radiofrequency can be recommended as safe and effective options for the treatment of GSM/urinary urgency or incontinence in pre- and postmenopausal women. SEARCH STRATEGY: Databases were comprehensively searched using combinations of the following keywords in any language: "postmenopause"; "genitourinary syndrome of menopause"; "vaginal atrophy"; "radiofrequency"; and "laser." SELECTION CRITERIA: Full articles of case-control, cross-sectional, cohort, randomized clinical trials, and quasi-randomized or controlled clinical trials were included. DATA COLLECTION AND ANALYSIS: All authors independently evaluated the design of the studies for quality of reporting, risk of bias, and quality of evidence. MAIN RESULTS: Of the included 49 studies, 37 were on the CO2 laser, 10 on the Erbium laser, and two on radiofrequency. CONCLUSIONS: Laser and radiofrequency therapy could be promising and safe therapeutic options for GSM/urinary incontinence. However, the study findings cannot be generalized until new randomized clinical trials are performed that confirm the strength of the evidence. This review has been registered with PROSPERO: CRD42020141913.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Incontinência Urinária / Menopausa / Doenças dos Genitais Femininos Tipo de estudo: Clinical_trials / Systematic_reviews Aspecto: Patient_preference Limite: Female / Humans Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Incontinência Urinária / Menopausa / Doenças dos Genitais Femininos Tipo de estudo: Clinical_trials / Systematic_reviews Aspecto: Patient_preference Limite: Female / Humans Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos