Stress Urinary Incontinence Clinical Trial
Official title:
A Randomized Controlled Trial for the Evaluation of Efficacy and Safety of Votiva for Vaginal Rejuvenation
This is a multi-site, randomized, prospective study designed to evaluate the safety and efficacy of the Votiva device headpieces through radiofrequency for vaginal rejuvenation. An anticipated 50 subjects will undergo 3 treatments of the vulvovaginal area using radiofrequency unit or radiofrequency placebo. Study duration for each subject is approximately six months (including screening, 3 treatment sessions 3-4 weeks apart and 2 follow-up visit at 3 and 6 months post initiation of treatment (4 and 12 weeks after completion of last treatment). Efficacy will be measured and evaluated by validated questionnaires to include: The Vulvovaginal Symptoms Questionnaire, Vaginal Laxity Questionnaire (VLQ), Urogenital Distress Short Form (UDI-6) and Incontinence Impact Questionnaire Short Form (IIQ-7), Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale-Revised (FSDS-R).
Vaginal rejuvenation is a catch-all term of aesthetic and functional procedures which claim
to provide relief of many issues affecting women's health, ranging from postmenopausal
vulvovaginal symptoms (i.e. dryness, burning, itching), stress urinary incontinence, sexual
dysfunction or discomfort, vaginal laxity, and external labial appearance, amongst others.1,2
Several companies have emerged with non-invasive or minimally-invasive technologies to
alleviate these conditions which operate by radiofrequency (RF) delivery, Hybrid Fractional
Laser, fractional CO2 laser3, or Er:YAG4. Votiva by InMode is unique in its usage as both an
internal and external rejuvenating device.
The RF technologies work theoretically by heating the connective tissue of the vaginal wall
to 40 to 42°C thereby remodeling extracellular matrix configuration. Once optimal
temperatures are reached, collagen contraction, neocollagenesis, vascularization, and growth
factor infiltration could lead to durable vaginal wall changes with improvement in elasticity
and moisture of the vaginal wall. Although numerous studies have demonstrated the therapeutic
efficacy of energy-based devices in rejuvenation of the face, neck, and décolleté, their
application in the vaginal canal is a fairly new concept that is currently being studied.11
Given the paucity of data, this study aims to assess the utility and safety of the RF device
Votiva in a two arm prospective case control trial for improvement in external labial
appearance, vaginal laxity, sexual function and urinary incontinence.
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