Assessment of axillary hyperhidrosis and bromhidrosis treatment with microwave technology

• Main Authors: Jaime Tufet Opi, Maribel Serrano Coronado
• Format: Article
• Language: English
• Published: Journal of Surgery and Medicine 2019-06-01
• Series: Journal of Surgery and Medicine
• Subjects: axillary hyperhidrosis; axillary bromhidrosis; microwave technology; axillary glands; aksiller hiperhidroz; aksiller bromhidroz; mikrodalga teknolojisi; aksiller bezler
• Online Access: https://dergipark.org.tr/en/pub/josam/issue/45558/522543

Aim: Hyperhidrosis and bromhidrosis are disorders related with generalized or local excessive sweating that can have a significant impact on the quality of life of patients who suffer from them. There are several treatments, both topical and invasive, with permanent or temporary effects. In recent years, microwave technology has emerged as a non-invasive procedure with permanent effects and few side effects. The study aim was to evaluate the efficacy, safety and satisfaction degree of patients with axillary hyperhidrosis and bromhidrosis treatment using microwave technology, and the primary outcome was to increase patient satisfaction about their sweating levels.Methods: Retrospective cohort study is planned and included the patients underwent a single microwave session with miraWave® technology for hyperhidrosis or bromhidrosis. Efficacy and safety were assessed at one, three, six, and 12 months. Inclusion criteria were men or women between 18-65 years old, diagnosed with hyperhidrosis and an HDSS score of 2-4. Patients with pacemakers and expectant or lactating mothers were excluded. Before treatment, patients were diagnosed using the Hyperhidrosis Disease Severity Scale, and the Minor test. Satisfaction was assessed through a subjective assessment of the satisfaction level, using a questionnaire in which participants chose the sentence that best fitted with an assigned score of 0-10.Results: A total of 46 patients participated in the study: 20 women (43.48%) and 26 men (56.52%) aged between 18-65 years old. Throughout the follow-up period, an average of 49.88% of patients reported a subjective improvement of hyperhidrosis and 95% reported the same about bromhidrosis. After comparing the results of their previous level of sweating with those after one year of treatment, 80.40% of patients showed themselves satisfied. All side effects were resolved in a time not exceeding 10 weeks.Conclusion: Microwave technology proves to be an effective and lasting treatment after one single session for axillary hyperhidrosis and/or bromhidrosis.