Industry Resources - Gynecology

Use of Diode Laser in Hysteroscopy for the Management of Intrauterine Pathology: A Systematic Review

Hysteroscopy is the gold standard for diagnosing and treating intrauterine pathologies, with diode laser technology emerging as an innovative technique. A systematic review (PROSPERO ID: CRD42023485452) included eight studies with 474 patients undergoing laser hysteroscopic surgery. Conditions treated included female genital tract abnormalities, submucosal leiomyomas, endometrial polyps, and a scar pregnancy. Only seven patients required a second surgical step, excluding initial leiomyoma cases. Intraoperative and postoperative complication rates were 2.7% and 0.6%, respectively. Diode laser in "see and treat" hysteroscopy is safe and effective, but further studies are needed.



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Efficacy of a Diode Vaginal Laser in the Treatment of the Genitourinary Syndrome of Menopause

Genitourinary syndrome of menopause (GSM) and vulvovaginal atrophy (VVA) are common menopause-related disorders. Nonhormonal treatments are first-line, while topical estrogen is the gold standard, but not suitable for cancer survivors. This study evaluated nonablative diode laser treatment in sexually active women with GSM who cannot use or refuse estrogen therapy. Using a Leonardo Dual diode laser, 26 patients received three monthly treatments. Significant improvements were observed in the Vaginal Health Index (VHI), symptom severity (VAS score), and sexual function (FSFI-19). No adverse effects were reported, and 73.1% of patients noted symptom improvement.


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