The Influence of Vaginal Radiofrequency on Quality of Life and Sexual Activity Post-Surgery

Background & Objective: The objective of this research was to investigate the influence of post-surgical vaginal radiofrequency on life quality and sexual function, using a control group for comparison. Materials & Methods: This clinical trial enrolled women with recurrent POP who underwent surgery at Imam Khomeini Hospital in Tehran, Iran, between November 2022 and July 2023. Patients were divided into an intervention group, which received vaginal radiofrequency treatment post-surgery, and a control group, which received radiofrequency treatment in silent mode. Both groups completed the Pelvic Floor Distress Inventory-20 (PFDI-20) and Female Sexual Function Index (FSFI) before surgery and five months post-surgery. Data analysis was performed using SPSS software, with a p-value of less than 0.05 indicating statistical significance. Results: The research encompassed a total of 60 participants, evenly split between the control group (age 56.16 ± 9.94 years) and the intervention group (50.70 ± 10.57 years). Statistical analysis showed no significant differences between the two groups in terms of demographic data, cough test results, and POP-Q test results, indicating similarity (P > 0.05). However, the intervention group, which received post-surgery radiofrequency treatment, showed a significantly greater reduction in PFDI-20 scores and a higher increase in FSFI scores than the control group (P<0.001). Conclusion: The results suggest that the application of radiofrequency treatment post-surgery led to more pronounced enhancements in PFDI-20 and FSFI scores compared to the group that was not subjected to this treatment. Consequently, it can be inferred that radiofrequency is a secure and efficacious approach for the repair of the pelvic floor.