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Climacteric Volume 20, 2017 - Issue 4
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Original Article

Fractional CO2 laser therapy: a new challenge for vulvovaginal atrophy in postmenopausal women

G. P. SiliquiniObstetrics and Gynaecology Unit, Sedes Sapientiae Institute, Turin, Italy;
,
V. TuninettiObstetrics and Gynaecology Unit, Umberto I Hospital, Department of Surgical Sciences, School of Medicine, University of Turin, Turin, Italy;
,
V. E. BounousObstetrics and Gynaecology Unit, Umberto I Hospital, Department of Surgical Sciences, School of Medicine, University of Turin, Turin, Italy; ORCID Iconhttp://orcid.org/0000-0002-6826-4788
ORCID Icon,
F. BertDepartment of Public Health Sciences and Pediatrics, University of Turin, Turin, ItalyORCID Iconhttp://orcid.org/0000-0002-4329-9028
ORCID Icon &
N. BigliaObstetrics and Gynaecology Unit, Umberto I Hospital, Department of Surgical Sciences, School of Medicine, University of Turin, Turin, Italy; Correspondence[email protected]
ORCID Iconhttp://orcid.org/0000-0003-1009-5309
ORCID Icon
Pages 379-384 | Received 17 Dec 2016, Accepted 04 Apr 2017, Published online: 15 May 2017

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S. Salvatore, A. F. Ruffolo, C. Phillips, S. Athanasiou, L. Cardozo & M. Serati. (2023) Vaginal laser therapy for GSM/VVA: where we stand now – a review by the EUGA Working Group on Laser. Climacteric 26:4, pages 336-352.
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T. C. Hillard. (2020) Lasers in the era of evidence-based medicine. Climacteric 23:sup1, pages S6-S10.
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Timothy C. Hillard. (2017) Turning the spotlight on lasers. Climacteric 20:5, pages 397-399.
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Articles from other publishers (34)

Elizabeth A. Casiano Evans, Deslyn T. G. Hobson, Sarit O. Aschkenazi, Alexandriah N. Alas, Sunil Balgobin, Ethan M. Balk, Alexis A. Dieter, Gregory Kanter, Francisco J. Orejuela, Tatiana V. D. Sanses & David D. Rahn. (2023) Nonestrogen Therapies for Treatment of Genitourinary Syndrome of Menopause. Obstetrics & Gynecology 142:3, pages 555-570.
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Andrzej Woźniak, Sławomir Woźniak, Ewa Poleszak, Tomasz Kluz, Łukasz Zapała, Aleksander Woźniak, Tomasz Rechberger & Andrzej Wróbel. (2023) Efficacy of Fractional CO2 Laser Treatment for Genitourinary Syndrome of Menopause in Short-Term Evaluation—Preliminary Study. Biomedicines 11:5, pages 1304.
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Lin Gao, Yuanli Wang, Wei Wen, Yunyan Duan, Zhaoyang Li, Erle Dang, Peng Li, Lei Yu, Chenxi Zhou, Meiheng Lu & Gang Wang. (2023) Fractional carbon dioxide vaginal laser treatment of stress urinary incontinence: Remodeling of vaginal tissues and improving pelvic floor structures. Lasers in Surgery and Medicine 55:3, pages 268-277.
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L.S. Kruglova, S.I. Surkichin & M. Avin. (2023) Laser technologies for genitourinary syndrome of menopause. Plasticheskaya khirurgiya i esteticheskaya meditsina:2, pages 81.
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Lin Gao, Wei Wen, Yuanli Wang, Zhaoyang Li, Erle Dang, Lei Yu, Chenxi Zhou, Meiheng Lu & Gang Wang. (2022) Fractional Carbon Dioxide Laser Improves Vaginal Laxity via Remodeling of Vaginal Tissues in Asian Women. Journal of Clinical Medicine 11:17, pages 5201.
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Meichen Liu, Fengyong Li, Yu Zhou, Yujiao Cao, Senkai Li & Qiang Li. (2021) Efficacy of CO 2 laser treatment in postmenopausal women with vulvovaginal atrophy: A meta‐analysis . International Journal of Gynecology & Obstetrics 158:2, pages 241-251.
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Olivia Engholt Mortensen, Sarah Emilie Christensen & Ellen Løkkegaard. (2022) The evidence behind the use of LASER for genitourinary syndrome of menopause, vulvovaginal atrophy, urinary incontinence and lichen sclerosus: A state‐of‐the‐art review . Acta Obstetricia et Gynecologica Scandinavica 101:6, pages 657-692.
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Eduard Mension, Inmaculada Alonso, Marta Tortajada, Isabel Matas, Sílvia Gómez, Laura Ribera, Sònia Anglès & Camil Castelo-Branco. (2022) Vaginal laser therapy for genitourinary syndrome of menopause – systematic review. Maturitas 156, pages 37-59.
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Sergei I. Surkichin, Larisa S. Kruglova, Inna A. Apolikhina, Roman Yu. Mayorov & Marika Avin. (2021) Involutive changes in the vulvovaginal area. Russian Journal of Physiotherapy, Balneology and Rehabilitation 20:2, pages 161-174.
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Matthias Kiesel, Achim WöckelChristoph ZellerHarald Meden. (2021) Treatment of Vulvovaginal Atrophy with Fractional CO 2 Laser: Evaluating Real-World Data . Photobiomodulation, Photomedicine, and Laser Surgery 39:11, pages 716-724.
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J. Klap, S. Campagne-Loiseau, N. Berrogain, P.O. Bosset, V. Cardot, T. Charles, X. Deffieux, L. Donon, F. Girard, L. Peyrat, P. Roulette, C. Thuillier, B. Tibi, A. Vidart, L. Wagner, J.-F. Hermieu & J.-N. Cornu. (2021) Utilisation du LASER vaginal pour le traitement des pathologies génito-urinaires : revue systématique de la littérature et position du CUROPF. Progrès en Urologie 31:11, pages 634-650.
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Tassahil Messas, Achraf Messas & George Kroumpouzos. (2021) Carbon Dioxide Laser Vulvovaginal Rejuvenation: A Systematic Review. Cosmetics 8:3, pages 56.
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Gian Piero Siliquini, Valentina Elisabetta Bounous, Lorenzo Novara, Margherita Giorgi, Fabrizio Bert & Nicoletta Biglia. (2021) Fractional CO₂ vaginal laser for the genitourinary syndrome of menopause in breast cancer survivors. The Breast Journal 27:5, pages 448-455.
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Ayane C. A. Sarmento, Juliana F. Lírio, Kleyton S. Medeiros, Camila Marconi, Ana P. F. Costa, Janaina C. Crispim & Ana K. Gonçalves. (2021) Physical methods for the treatment of genitourinary syndrome of menopause: A systematic review. International Journal of Gynecology & Obstetrics 153:2, pages 200-219.
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Ottavia D’ORIA, Andrea GIANNINI, Giovanni PRATA, Maria SCUDO, Alessandra LOGOTETA, Alessandro MONDO, Giorgia PERNIOLA, Innocenza PALAIA, Gianluca CASCIALLI, Marco MONTI, Ludovico MUZII, Pierluigi BENEDETTI PANICI & Violante DI DONATO. (2021) Non-invasive treatment of vulvovaginal atrophy in menopause with CO2 laser. Minerva Obstetrics and Gynecology 73:2.
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Jason Cruff & Salil Khandwala. (2021) A Double-Blind Randomized Sham-Controlled Trial to Evaluate the Efficacy of Fractional Carbon Dioxide Laser Therapy on Genitourinary Syndrome of Menopause. The Journal of Sexual Medicine 18:4, pages 761-769.
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Damir Franić, Ivan Fistonić, Maja Franić‐Ivanišević, Željko Perdija & Miljenko Križmarić. (2020) Pixel CO 2 Laser for the Treatment of Stress Urinary Incontinence: A Prospective Observational Multicenter Study . Lasers in Surgery and Medicine 53:4, pages 514-520.
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Fiona Li, Vanessa Picard-Fortin, Sarah Maheux-Lacroix, Rebecca Deans, Erin Nesbitt-Hawes, Lalla McCormack & Jason Abbott. (2021) The Efficacy of Vaginal Laser and Other Energy-based Treatments on Genital Symptoms in Postmenopausal Women: A Systematic Review and Meta-analysis. Journal of Minimally Invasive Gynecology 28:3, pages 668-683.
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Shannon L. Wallace, Eric R. Sokol & Ekene A. Enemchukwu. (2021) Vaginal energy-based devices: characterization of adverse events based on the last decade of MAUDE safety reports. Menopause 28:2, pages 135-141.
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Shannon L. Wallace, Brad St Martin, Kyueun Lee & Eric R. Sokol. (2020) A cost-effectiveness analysis of vaginal carbon dioxide laser therapy compared with standard medical therapies for genitourinary syndrome of menopause-associated dyspareunia. American Journal of Obstetrics and Gynecology 223:6, pages 890.e1-890.e12.
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B. Aviva PremingerJoey S. KurtzmanErez Dayan. (2020) A Systematic Review of Nonsurgical Vulvovaginal Restoration Devices: An Evidence-Based Examination of Safety and Efficacy. Plastic & Reconstructive Surgery 146:5, pages 552e-564e.
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Tahereh Eftekhar, Tahereh Forooghifar, Tahereh Khalili, Mamak Shariat & Fedyeh Haghollahi. (2020) The Effect of the CO 2 Fractional Laser or Premarin Vaginal Cream on Improving Sexual Function in Menopausal Women: A Randomized Controlled Trial . Journal of Lasers in Medical Sciences 11:3, pages 292-298.
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L. Photiou, M.J. Lin, D.P. Dubin, V. Lenskaya & H. Khorasani. (2020) Review of non‐invasive vulvovaginal rejuvenation. Journal of the European Academy of Dermatology and Venereology 34:4, pages 716-726.
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Jan Marin, Greta Lipa & Eric Dunet. (2020) The results of new low dose fractional CO2 Laser – A prospective clinical study in France. Journal of Gynecology Obstetrics and Human Reproduction 49:3, pages 101614.
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Khadijeh Adabi, Fatemeh Golshahi, Shirin Niroomansh, Zahra Razzaghi & Marjan Ghaemi. (2020) Effect of the Fractional CO2 Laser on the Quality of Life, General Health, and Genitourinary Symptoms in Postmenopausal Women With Vaginal Atrophy: A Prospective Cohort. Journal of Lasers in Medical Sciences 11:1, pages 65-69.
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Maurizio Filippini, Daniela Luvero, Stefano Salvatore, Annalisa PieralliRoberto Montera, Francesco Plotti, Massimo Candiani & Roberto Angioli. (2020) Efficacy of fractional CO2 laser treatment in postmenopausal women with genitourinary syndrome: a multicenter study. Menopause 27:1, pages 43-49.
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Damir Franić & Ivan Fistonić. (2019) Laser Therapy in the Treatment of Female Urinary Incontinence and Genitourinary Syndrome of Menopause: An Update. BioMed Research International 2019, pages 1-9.
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I. A. ApolihinaE. M. Nazimova. (2019) Application of microablative fractional CO2-laser photothermolysis for correction of age-associated processes of vulvovaginal area. Medical Council:7, pages 8-12.
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Mario Preti, Pedro Vieira-Baptista, Giuseppe Alessandro Digesu, Carol Emi Bretschneider, Margot Damaser, Oktay Demirkesen, Debra S. Heller, Naside Mangir, Claudia Marchitelli, Sherif Mourad, Micheline Moyal-Barracco, Sol Peremateu, Visha Tailor, Tufan Tarcan, Elise J. B. De & Colleen K. Stockdale. (2019) The Clinical Role of LASER for Vulvar and Vaginal Treatments in Gynecology and Female Urology: An ICS/ISSVD Best Practice Consensus Document. Journal of Lower Genital Tract Disease 23:2, pages 151-160.
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Priyanka SinghChristopher Yew Luen ChongHow Chuan Han. (2019) Effects of Vulvovaginal Laser Therapy on Postmenopausal Vaginal Atrophy: A Prospective Study. Journal of Gynecologic Surgery 35:2, pages 99-104.
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S. Abbas Shobeiri, M. H. Kerkhof, Vatche A. Minassian & Tony Bazi. (2018) IUGA committee opinion: laser-based vaginal devices for treatment of stress urinary incontinence, genitourinary syndrome of menopause, and vaginal laxity. International Urogynecology Journal 30:3, pages 371-376.
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Mario Preti, Pedro Vieira‐Baptista, Giuseppe Alessandro Digesu, Carol Emi Bretschneider, Margot Damaser, Oktay Demirkesen, Debra S. Heller, Naside Mangir, Claudia Marchitelli, Sherif Mourad, Micheline Moyal‐Barracco, Sol Peremateu, Visha Tailor, Tufan Tarcan, Elise J.B. De & Colleen K. Stockdale. (2019) The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology: An ICS/ISSVD best practice consensus document. Neurourology and Urodynamics 38:3, pages 1009-1023.
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I. Jardin, G. Canlorbe, J.-L. Mergui, M. Nikpayam, J. Belghiti, C. Uzan & H. Azaïs. (2018) Place du LASER au CO2 pour le traitement des symptômes vaginaux du syndrome génito-urinaire de la ménopause. Gynécologie Obstétrique Fertilité & Sénologie  46:10-11, pages 729-734.
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Scott Evan Eder. (2018) Early effect of fractional CO<sub>2</sub> laser treatment in Post-menopausal women with vaginal atrophy. LASER THERAPY 27:1, pages 41-47.
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