Evaluation of efficacy of CO2 fractional laser in genitourinary syndrome in menopausal women: a prospective observational study

Sangeeta Arya; Nidhi Johri; M. Maroof; Pragya Trivedi

doi:10.18203/2320-1770.ijrcog20240789

Authors

Sangeeta Arya Department of Obstetrics and Gynecology, Dr, BSKIMS, Kanpur, Uttar Pradesh, India
Nidhi Johri Department of Obstetrics and Gynecology, Saraswati, Medical College, Unnao, Uttar Pradesh, India
M. Maroof Department of SPM, RDMC, Banda, Uttar Pradesh, India
Pragya Trivedi Department of Obstetrics and Gynecology, Dr, BSKIMS, Kanpur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20240789

Keywords:

CO2 Fractional laser, GSM, Menopausal women, VAS

Abstract

Background: Objective were to evaluate the efficacy of fractional CO₂ laser in treating genito-urinary syndrome (GSM).

Methods: We did a prospective observational study on 92 post-menopausal women aged 37-84 years during December 2022-December 2023 in a private clinic of district Kanpur. Fractional CO₂ laser (Rosch, vaginal 360⁰ probe) in three sittings were done for women presenting with GSM at the interval of four weeks as a lunch break therapy. The outcome was studied in terms of visual analogue scale (VAS) having 0 to 10 rating at second, third and sixth months. The statistical analysis was performed using MS excel and GraphPad online statistical calculator.

Results: Stress urinary incontinence, early prolapse, urinary incontinence was the commonest presenting complaints among females. Significant improvement was observed in VAS score in each follow up.

Conclusions: The vaginal fractional CO₂ laser can be used as an effective and safe treatment method in GSM. It is necessary to conduct studies with long-term follow-up.

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