{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:26:05Z","timestamp":1788312365734,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T00:00:00Z","timestamp":1496016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2017,6]]},"abstract":"Summary<\/jats:title>\n \n Background and objective<\/jats:title>\n \n Vaginal childbirth, natural process of aging, congenital factors, and surgical interventions are considered the main causes of vulvo\u2010vaginal laxity driven by changes in collagen and elastin fibers. This causes a loss of strength and flexibility within the vaginal wall. As a result, women may experience lack of sensation and stress urinary incontinence (\n SUI<\/jats:styled-content>\n )\u2014the condition of involuntary loss of urine associated with activities that cause an increase in intra\u2010abdominal pressure (eg, sneezing, coughing, and lifting). Both vaginal laxity and urinary incontinence significantly affect patients' quality of life (QoL).\n <\/jats:p>\n \n The aim of this study was to evaluate efficacy and safety of a noninvasive radiofrequency device when used to treat\n SUI<\/jats:styled-content>\n and vulvo\u2010vaginal laxity through its heating effect which stimulates collagen and elastin fibers.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Twenty\u2010seven women (average age 44.78\u00b110.04 years) with indications of mild\/moderate\n SUI<\/jats:styled-content>\n as well as vulvo\u2010vaginal laxity were treated with a monopolar radiofrequency device. The treatment course consisted of three once\u2010a\u2010week sessions. Each session included intravaginal treatment followed by treatment of labia majora and the perineum.\n <\/jats:p>\n \n Improvement in the\n SUI<\/jats:styled-content>\n condition was evaluated by applying the International Consultation on Incontinence Questionnaire \u2010 Urinary Incontinence Short Form (\n ICIQ<\/jats:styled-content>\n \u2010\n UI SF<\/jats:styled-content>\n ). Data were collected at the baseline, after the last treatment and at 1\u2010month follow\u2010up visit.\n <\/jats:p>\n \n Vaginal laxity was assessed by subjective vulvo\u2010vaginal laxity questionnaire (\n VVLQ<\/jats:styled-content>\n ). Data were collected before the 1st treatment and during the 1\u2010month follow\u2010up visit.\n <\/jats:p>\n Patient's satisfaction was recorded using a satisfaction questionnaire. Data were collected after the last treatment and at the 1\u2010month follow\u2010up visit. Any adverse events related to the treatments were monitored.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n On a scale of 0 to 5, the average frequency of urine leak improved from \u201c2\u20103 times a\n week\u201d<\/jats:italic>\n (2.15\u00b11.03 points prior to treatment) to \u201c\n once a week\u201d<\/jats:italic>\n (1.00\u00b10.78 points post\u2010treatment), and on to \u201c\n never\u201d<\/jats:italic>\n (0.44\u00b10.51 points at the 1\u2010month follow\u2010up visit). Sixteen subjects (59.3%) reported decrease in the amount of leakage, with 15 women (55.6%) becoming completely leak\u2010free at the 1\u2010month follow\u2010up. At the 1\u2010month follow\u2010up visit, 24 subjects (88.9%) expressed their condition's interference with everyday life decreased and 17 patients (62.9%) said the condition did not interfere with their everyday life at all as a result of the treatment. All results are statistically significant (\n P<\/jats:italic>\n <.05). No adverse events were recorded.\n <\/jats:p>\n \n All subjects reported improvement in vaginal laxity, from average perception of \u201c\n very loose\u201d<\/jats:italic>\n (2.19\u00b11.08 points prior to treatment) to \u201c\n moderately tight\u201d<\/jats:italic>\n (5.74\u00b10.76 points at the 1\u2010month follow\u2010up visit).\n <\/jats:p>\n \n During the follow\u2010up visit, 89% of the patients \u201c\n agreed\u201d<\/jats:italic>\n or \u201c\n strongly agreed\u201d<\/jats:italic>\n that their\n \n SUI<\/jats:styled-content>\n condition\n <\/jats:italic>\n improved, and 93% of the patients \u201c\n agreed\u201d<\/jats:italic>\n or \u201c\n strongly agreed\u201d<\/jats:italic>\n that their gratification during intercourse improved. None of the subjects reported dissatisfaction.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The study confirmed the monopolar radiofrequency method as an effective and safe treatment of\n SUI<\/jats:styled-content>\n and vulvo\u2010vaginal laxity. The treatments were well tolerated by all subjects with no adverse effects.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocd.12348","type":"journal-article","created":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T06:48:49Z","timestamp":1496040529000},"page":"230-234","source":"Crossref","is-referenced-by-count":62,"title":["Evaluation of the safety and efficacy of a monopolar nonablative radiofrequency device for the improvement of vulvo\u2010vaginal laxity and urinary incontinence"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1806-4603","authenticated-orcid":false,"given":"Shelena","family":"Lalji","sequence":"first","affiliation":[{"name":"Dr. Shel Wellness & Medical Spa Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Lozanova","sequence":"additional","affiliation":[{"name":"Department of Dermatology and venerology Medical University Sofia Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930070502"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.8.986"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2010.07.017"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-11692010000500010"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000267220.48987.17"},{"issue":"3","key":"e_1_2_6_7_1","first-page":"S3","article-title":"The definition, prevalence, and risk factors for stress urinary incontinence","volume":"6","author":"Luber K","year":"2003","journal-title":"Rev Urol"},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","unstructured":"ThomasS.Good practice in continence services.Nursing Stand.2000;14:43\u201045.","DOI":"10.7748\/ns2000.08.14.47.43.c2898"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7182.487"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02199579"},{"key":"e_1_2_6_11_1","first-page":"1112","article-title":"Two\u2010treatment protocol for skin laxity using 90\u2010watt dynamic monopolar radiofrequency device with real\u2010time impedance monitoring","volume":"13","author":"McDaniel D.","year":"2014","journal-title":"J Drugs Dermatol"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22363"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocd.12348","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.12348","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T15:19:40Z","timestamp":1694272780000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.12348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,29]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1111\/jocd.12348"],"URL":"https:\/\/doi.org\/10.1111\/jocd.12348","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,29]]}}}