KTP-Nd:YAG laser therapy for the treatment of vestibulodynia: A follow-up study

Catherine M. Leclair, Martha F. Goetsch, Ken K. Lee, Jeffrey T. Jensen

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

OBJECTIVE: To evaluate the results of KTP-Nd:YAG laser therapy for the treatment of vestibulodynia. STUDY DESIGN: Retrospective review and follow-up mail survey of women with vestibulodynia who underwent laser treatment. Demographics, number of laser treatments and symptom severity prior to laser treatment (100-mm visual analog scale) were obtained from the medical record. The survey included questions regarding current sexual pain, sexual quality of life and satisfaction with treatment. RESULTS: Of 41 treated women, 37 women were located and agreed to participate. The mean number of laser sessions was 2.81 (range, 1-8). The mean age was 32.9 years and mean follow-up, 2.8. Following laser treatment, most (24 of 37, 68%) subjects reported less pain with sexual intercourse. One subject reported more pain, while 29% (11 of 37) reported no change. Sixty percent (21 of 37) reported their sex lives to be more satisfying/ pleasurable following laser treatment. Thirteen women (13 of 37, 35%) underwent vestibulectomy following laser therapy, and 2 subjects were treated with a laser after failed vestibulectomy. CONCLUSION: Most women with vestibulodynia treated with a KTP-Nd:YAG laser achieve a reduction in sexual pain and improved sexual satisfaction without excisional therapy.

Original languageEnglish (US)
Pages (from-to)53-58
Number of pages6
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume52
Issue number1
StatePublished - Jan 1 2007

Keywords

  • Laser
  • Vestibulodynia
  • Vulva
  • Vulvar diseases
  • Vulvar vestibulitis

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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