Use of neodymium laser in the practice of an obstetrician/gynecologist
Background. Neodymium laser is a representative of the group of solid state medical lasers that generate optical radiation because of quantum transitions between the energy levels of the trivalent neodymium (Nd3+) ion placed in a matrix. Currently, the neodymium laser has found application in the treatment of genitourinary atrophic processes associated with estrogen deficiency, grades 1-2 pelvic organ prolapse, vaginal distension, inter alia, for the treatment of mixed urinary incontinence with a predominance of the stress component.Apolikhina I.A., Malyshkina D.A., Bychkova A.E., Pauzina O.A.
Case report. This paper presents a clinical case and describes the experience of using the neodymium laser to treat a female patient with grade 1 vaginal prolapse, apical prolapse, and stress urinary incontinence. The symptoms of the disease appeared in the woman after giving birth to a large baby in 2015 and gradually progressed. The woman underwent three neodymium laser treatment sessions at an interval of 30–40 days. After three neodymium laser sessions, episodes of urinary incontinence during coughing and weight lifting were relieved in the patient who also noted a significant improvement in the quality of her sex life.
Conclusion. The review of the available data in conjunction of the authors’ own clinical experience with laser technologies proves the high efficiency and safety of using noninvasive laser sessions to treat a wide range of gynecological diseases. Neodymium laser radiation is a promising treatment in gynecological practice, which, however, needs further study and more clinical experience.
Keywords
urinary incontinence
pelvic floor muscle prolapse
vaginal relaxation syndrome
sexual dysfunction
neodymium laser
Nd:YAG laser
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Received 22.05.2020
Accepted 10.06.2020
About the Authors
Inna A. Apolikhina, MD, Head of the Department of Aesthetic Gynecology and Rehabilitation, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; Professor of the Department of Obstetrics, Gynecology, Perinatology and Reproductology, Institute of Professional Education of the I.M. Sechenov First MSMU, Ministry of Health of Russia (Sechenov University). E-mail: i_apolikhina@oparina4.ru.117997, Russia, Moscow, Oparina str., 4.
Darya A. Malyshkina, the graduate student, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. E-mail: nidsumi@mail.ru. 117997, Russia, Moscow, Oparina str., 4.
Anastasia E. Bychkova, obstetrician-gynecologist of the Department of Aesthetic Gynecology and Rehabilitation, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. E-mail: abychkova88@mail.ru. 117997, Russia, Moscow, Oparina str., 4.
Olga A. Pauzina, Head of the Outpatient Department, Volga district medical center under FMBA of Russia. E-mail: pauzina.olga@yandex.ru.
603001, Russia, Nizhny Novgorod, Nizhnevolzhskaya embankment, 2.
For citation: Apolikhina I.A., Malyshkina D.A., Bychkova A.E., Pauzina O.A. Use of neodymium laser in the practice of an obstetrician/gynecologist.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 1: 194-199 (in Russian)
https://dx.doi.org/10.18565/aig.2021.1.194-199
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