090 Effects of Bipolar Radiofrequency Treatment on Subjective and Objective Endpoints in Post-Partum Pelvic Floor Disorders

Abstract

Post-partum pelvic floor disorders (PFDs) are estimated to impact 24% of women in the United States. The term ‘pelvic floor disorders’ refers to stress urinary incontinence, overactive bladder, pelvic organ prolapse, sexual dysfunction and fecal incontinence. Current treatment options for PFDs include biofeedback, laser, electrical muscle stimulation (EMS), and/or operative intervention. At 40-45 degrees Celsius, radiofrequency heat applied to vaginal and vulvar tissue induces an inflammatory cascade that Results in fibroblast proliferation, production of collagen and elastin and the formation of healthy new tissue as opposed to scar tissue. To evaluate effects of radiofrequency (VotivaTM ,InMode Aesthetics) on pelvic floor tone and subjective symptoms in post- partum women. This is a single center retrospective study of post-partum women with symptoms of PFDs treated with a bipolar vaginal radiofrequency device ( VotivaTM, InMode) Resting pelvic floor muscle tone and maximal pelvic floor contraction were measured a total of 3 times via UROstym.TM Changes in mean resting (UROstym min) and maximal muscle contraction (UROstym max) were determined by ANOVA . Subjects were divided into two groups according to number of treatments completed. Evaluation of patient perception of improvement was determined using a patient symptom improvement index (PSI) with a 5-level measure (0-4).