Resumo

Objectives: To investigate the efficacy of HIFU with oral intake of sachets containing super collagen with vitamins C and E vs. HIFU alone in vaginal tightening on sexual satisfaction and urinary incontinence. Introduction: Vaginal rejuvenation is a current marketing term that incorporates not only aesthetic operations, such as tightening, but also procedures intended to address dyspareunia, urine incontinence, dysuria, vulvar irritation, orgasmic dysfunction, dryness, or atrophy.Since the 1960s, clinical applications of high-intensity focused ultrasound (HIFU) for the noninvasive treatment of diseases in many organs have been widespread. It can reach deeper layers of skin that radio frequency and laser cannot. Materials / method: Patients with "loose vagina" and lower sexual satisfaction who stated a wish to enhance their vaginal tightness participated in this research. There were 54 patients involved. Doctors apply ultrasound gel to a cartridge before inserting it into the vagina and radiating the circumference with HIFU radiation. A group of patients was treated with HIFU alone (group I), and another group was treated with HIFU and systemic marine collagen (group II). We evaluated the patient's vaginal pressure, preoperative safety, and sexual function. Results: There was no significant difference between both groups regarding vaginal pressure before treatment, but there was a significant difference after treatment. The percent of change was significantly higher in group II than group I. Conclusion: HIFU with oral ingestion of collagen resulted in significantly greater improvements in vaginal pressure compared with HIFU alone, with improvements in sexual function and urinary incontinence.