Abstract
INTRODUCTION: Genitourinary syndrome of menopause (GSM) and vulvovaginal atrophy (VVA) significantly impact women's quality of life, leading to symptoms such as vaginal dryness, irritation, dyspareunia, and urinary incontinence. While traditional treatments include hormonal therapy and surgical interventions, these approaches may not be suitable for all patients. Laser vaginal rejuvenation has emerged as a promising, minimally invasive alternative that enhances vaginal tissue health with minimal downtime. METHODS: This retrospective study analyzes data from 53 patients who underwent internal, external, or combined laser vaginal rejuvenation. Patient demographics, medical and gynecological history, treatment indications, procedural details, and post-treatment outcomes were assessed. RESULTS: The most common reasons for seeking treatment included vaginal laxity (69.8%), urinary incontinence (47.2%), and vaginal discomfort (15.1%). The majority (90.6%) opted for combined internal and external treatment, with most undergoing three sessions. Post-procedure symptoms were minimal, limited to transient discomfort and minor, self-limiting bleeding in three patients. No patients developed wound infections. CONCLUSIONS: Findings suggest laser vaginal rejuvenation is a well-tolerated procedure, with high adherence and patient satisfaction rates. While our current study is limited by its descriptive nature and its single-center design, results align with existing literature, supporting the procedure's safety and efficacy.