Laser Therapy of Vulval and Cervical Dysplasias

Vulval and cervical dysplasias have been treated until up today by surgery causing scars, sexual discomfort and psychological problems. Within the last few years, several laser therapies and optical diagnostic methods have been developed to treat affected women more differenciated with regard to the...

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Bibliographic Details
Published in:Medical laser application 2003, Vol.18 (2), p.123-128
Main Authors: Müller, Ute, Philipp, Carsten M., Fleige, Barbara, Berlien, H.-Peter
Format: Article
Language:English
Subjects:
conization
fluorescence
immunostimulation
laser ablation
optical diagnostic
Photodynamic Therapy
Vulval and cervical dysplasia
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Summary:Vulval and cervical dysplasias have been treated until up today by surgery causing scars, sexual discomfort and psychological problems. Within the last few years, several laser therapies and optical diagnostic methods have been developed to treat affected women more differenciated with regard to the clinical and histological findings. Large surgeries can be avoided, healing times are shorter, pain and discomfort after treatment are minimized. HPV-induced lesions can be treated after laser with Imiquimod, an immunomodulator with the intention to irradicate the virus and to avoid recurrences. Optical diagnostics with flourescence technique is currently under evaluation for non-invasive detection of cervical pathology. CO 2-laser conization is etablished as one of the present treatment strategies, either using a colposcopic guided beam or free hand surgery.
ISSN:1615-1615
1878-3228
DOI:10.1078/1615-1615-00098