Non-Ablative Radiofrequency and Vaginal Dilation Therapy.

INTRODUCTION

Radiofrequency (RF) is indicated for degenerative processes that involve decreased or delayed metabolism, blood flow, and nutrition, typically associated with chronic conditions. This study evaluated the effects of non-ablative radiofrequency (RF) combined with vaginal dilation in patients with vaginal agenesis or vaginal stenosis.

METHODS

Ten patients were divided into 2 groups: 5 received RF combined with dilation (VD+RF group), and 5 underwent only vaginal dilation (VD group). The RF treatment involved applying radiofrequency at 39°C for 5 minutes before dilation, while the VD group had dilation alone for 20 minutes.

RESULTS

No significant differences between the groups in final vaginal length and diameter were found. However, the VD+RF group exhibited a significant increase in vaginal length during sessions compared to the VD group. Improved comfort and reduced pain during dilation in the VD+RF group were attributed to the thermal effects of RF, which enhanced tissue elasticity and extensibility. Pain reduction during dilation was reported by all participants in the VD+RF group, whereas issues such as canal stenosis and emotional challenges were noted in both groups. The Visual Analog Scale for Satisfaction showed a significant improvement in sexual satisfaction in the VD+RF group compared to the VD group (P = .0422). Although the Female Sexual Function Index questionnaire revealed improvements in sexual function domains, it was only administered to a subset of sexually active women in the RF group.

CONCLUSION

RF is as a safe and effective adjunct to vaginal dilation, enhancing pain management and sexual satisfaction.