Author

Year

Study Design

N˚ and characteristic of the population

Main exclusion criterion

Follow-up

Intervention

Results

Mezzana et al.

2022

Retrospective

54 women between 40 and 71 years old, with normal CMI and SUI

4 mo

Bipolar RF in all patients, at anterior portion of the middle and distal thirds of the vagina, temp between 41˚C - 44˚C, 2 sessions, 4 weeks apart

SUI improvement in volume from “moderate quantitaty” to “none”

Reduction in Loss frequency from 2.1 weekly to 0.8×.

Ribeiro et al.

2021

Systematic Review

Women with UI treated with any type of RF as intervention

Studies conducted for less than 3 months; animal or in vitro studies; articles whose main objective was to evaluate the use of other types of energy in the treatment of UI; articles targeting vaginal rejuvenation, fecal incontinence, vaginal atrophy and other urinary tract diseases

Studies conducted between 2016 and 2021

Any type of RF, compared to other treatments, including placebo, vaginal estrogen, PFME, or no treatment

studies have shown significant improvement in SUI-related symptoms.

Ahmed Abdelaziz et al.

2021

Retrospective

101 women with SUI or MUI

Women with previous surgery for SUI, prolapse greater than stage II, neurological disease, pregnant and nursing women.

6 mo

69 patients treated with bipolar RF, 32 patients with monopolar RF. 3 sessions of 7 - 10 minutes, 4 weeks apart, temp 43˚C

symptom improvement in both monopolar and bipolar RF groups.

Slongo et al.

2022

Randomized clinical trial

117 climacteric women aged 45 - 65 years with SUI

Patients with prolapse grade 3 or higher, previous surgery for prolapse, PMFE within the past 12 months, use of vaginal estrogen or HT within the past 6 months.

30 days

Group 1:3 monthly microablativa RF sessions; Group 2: weekly PMFE for 12 weeks; Group 3: both therapies

RF associated with PMFE obtained better results than PMFE of RF alone.

Pinheiro et al.

2021

Pilot Study

11 menopausal women with complaint of GSM

HT within previous 6 months, pacemaker carriers, pelvic metal, hemophiliacs, vasodilators or anticoagulants users, degenerative neurological disease, vaginal infection.

3 mo

RF non-ablative at 41˚C. 5 weekly sessions of 4 minutes.

clinical improvement in symptoms of UI, vaginal dryness, dyspareunia, pruritus, burning and sexual dysfunction