{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:43:59Z","timestamp":1790628239551,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T00:00:00Z","timestamp":1548720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Energy\u2010based devices using radiofrequency and laser technologies have gained popularity as therapies for vaginal atrophy, urinary incontinence, and vaginal prolapse. They have been promoted by cosmetic and aesthetic industries for vaginal \u201claxity\u201d and vaginal \u201crejuvenation,\u201d both of which are undefined conditions and terms. This article aims to review the current available literature and its quality on this emerging technology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An international panel of gynaecologists, urogynaecologists, and urologists undertook a review of the available published literature, identifying articles, guidance, and society statements on the use vaginal energy\u2010based devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There is currently no formal guidance for the use of vaginal energy based therapies. No randomized controlled trials have been published. No comparative studies to existing treatment has been carried out. Studies suggest that vaginal laser can be used in the treatment of vaginal prolapse or \u201cvaginal laxity\u201d and stress urinary incontinence with no quality evidence supporting the use of the therapy for vaginal atrophy or lichen sclerosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This international group propose that whilst there remains a paucity of good quality data describing the safety, benefits, and appropriate use of vaginal radiofrequency or laser treatments in gynaecology and urogynaecology, a consensus best practice document by an established scientific community needs to be developed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.23927","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T02:38:21Z","timestamp":1548815901000},"page":"1005-1008","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["The energy based devices for vaginal \u201crejuvenation,\u201d urinary incontinence, vaginal cosmetic procedures, and other vulvo\u2010vaginal disorders: An international multidisciplinary expert panel opinion"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3914-8147","authenticated-orcid":false,"given":"Giuseppe Alessandro","family":"Digesu","sequence":"first","affiliation":[{"name":"Imperial College Healthcare Department of Urogynaecology London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Visha","family":"Tailor","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare Department of Urogynaecology London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Preti","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Torino Torino Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Vieira\u2010Baptista","sequence":"additional","affiliation":[{"name":"Hospital Lus\u00edadas Porto Porto Portugal"},{"name":"Lower Genital Tract Unit Centro Hospitalar de S\u00e3o Jo\u00e3o Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tufan","family":"Tarcan","sequence":"additional","affiliation":[{"name":"Marmara University School of Medicine Department of Urology Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Stockdale","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Iowa Iowa City Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherif","family":"Mourad","sequence":"additional","affiliation":[{"name":"Ain Shams University Department of Urology Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,29]]},"reference":[{"key":"e_1_2_3_2_1","unstructured":"U.S. Food and Drug Administration. 510(k) Summary for RevLite Q\u2010Switched Nd:YAG Laser System [letter]. Silver Spring (MD): FDA; 2014. Available at:http:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf13\/k133254.pdf. Retrieved May 19 2016."},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000263927.82639.9b"},{"key":"e_1_2_3_4_1","unstructured":"FDA Warns Against Use of Energy\u2010Based Devices to Perform Vaginal \u201cRejuvenation\u201d or Vaginal Cosmetic Procedures: FDA Safety Communication.https:\/\/www.fda.gov\/MedicalDevices\/Safety\/AlertsandNotices\/ucm615013.htm."},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001049"},{"key":"e_1_2_3_6_1","unstructured":"U.S. Food and Drug Administration. Re: trade\/device name: DEKA SmartXide2 Laser System [letter]. Silver Spring (MD): FDA; 2014. Available at:http:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf13\/k133895.pdf. Retrieved May 19 2016."},{"key":"e_1_2_3_7_1","doi-asserted-by":"crossref","unstructured":"Vieira\u2010BaptistaP DamaserM DigesuA MarchitelliC PretiM StockdaleC. To the Editor. Menopause. July20181.https:\/\/doi.org\/10.1097\/GME.0000000000001165.","DOI":"10.1097\/GME.0000000000001165"},{"key":"e_1_2_3_8_1","unstructured":"Fractional laser treatment of vulvovaginal atrophy and U.S. Food and Drug Administration Clearance.https:\/\/www.acog.org\/Clinical\u2010Guidance\u2010and\u2010Publications\/Position\u2010Statements\/Fractional\u2010Laser\u2010Treatment\u2010of\u2010Vulvovaginal\u2010Atrophy\u2010and\u2010US\u2010Food\u2010and\u2010Drug\u2010Administration\u2010Clearance."},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001193"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3458-5"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-014-2588-2"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000263927.82639.9b"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2017.11.040"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000412"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000000955"},{"key":"e_1_2_3_16_1","unstructured":"Statement from FDA Commissioner Scott Gottlieb M.D. on efforts to safeguard women's health from deceptive health claims and significant risks related to devices marketed for use in medical procedures for \u201cvaginal rejuvenation\u201d.https:\/\/www.fda.gov\/newsevents\/newsroom\/pressannouncements\/ucm615130.htm"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002733"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200612000-00056"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2017.1329291"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/074880681102800309"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.22416"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10103-016-1884-0"},{"key":"e_1_2_3_23_1","doi-asserted-by":"publisher","DOI":"10.3109\/13697137.2015.1071126"},{"key":"e_1_2_3_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.06.031"},{"key":"e_1_2_3_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10103-017-2170-5"},{"key":"e_1_2_3_26_1","doi-asserted-by":"publisher","DOI":"10.3109\/13697137.2015.1071608"},{"key":"e_1_2_3_27_1","first-page":"59","article-title":"Laser vaginal tightening (LVT)\u2014evaluation of a novel noninvasive laser treatment for vaginal relaxation syndrome","volume":"1","author":"Gaviria JE","year":"2012","journal-title":"J Laser Heal Acad Artic J LAHA"},{"key":"e_1_2_3_28_1","unstructured":"Bizjak OgrincU SencarS Non\u2010surgical minimally invasive Er: YAG laser treatment for higher\u2010grade cystocele. NDP 373 38th Annual IUGA Meeting Dublin Ireland; May 28th\u2013June 1st 2013."},{"key":"e_1_2_3_29_1","unstructured":"Bizjak\u2010OgrincU SencarS VizintinZ. #178 3 years follow\u2010up of pelvic organ prolapse treated with Er:YAG laser. 37th American Society for Laser Medicine and Surgery San Diego USA 5\u20109 April2017."},{"key":"e_1_2_3_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2008.12.014"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.23927","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.23927","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.23927","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.23927","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T21:58:06Z","timestamp":1694123886000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.23927"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,29]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1002\/nau.23927"],"URL":"https:\/\/doi.org\/10.1002\/nau.23927","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,29]]},"assertion":[{"value":"2018-11-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}