Abstract
Purpose. To determine the effect of erbium:yttrium-aluminum-garnet (Er:YAG) laser on pelvic floor strength as well as sexual satisfaction in women complaining of vaginal looseness.
Design. A single blind randomized controlled trial.
Methods. Thirty women complaining of vaginal looseness with a decrease in pelvic floor strength and sexual satisfaction, aged 40-50 years, were randomized into 2 equal groups. Group (A) received pelvic floor training exercise (kegel exercise) for 8 weeks, while group (B) received Er:YAG LASER in addition to kegel exercise for 8 weeks. All women in both groups were evaluated before starting the study, after 4 weeks and after 8 weeks of the treatment with Peritron device to assess pelvic floor strength and with Millheiser sexual satisfaction scale to assess sexual satisfaction.
Results. There was a highly significant increase in pelvic floor strength and sexual satisfaction at post 8 weeks and post 4 weeks of treatment, in favor of group (B) (P = 0.0001).
Conclusion. Pelvic floor training exercise (kegel) plus Er:YAG laser yield improvement in pelvic floor strength and sexual satisfaction in women complaining of vaginal looseness more than pelvic floor training exercise (kegel) alone.
Key words: Er:YAG laser, pelvic floor strength, sexual satisfaction, vaginal looseness
