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Q & A with Dr. Hettiarachchi on the Geneveve Treatment

Q & A with Dr. Hettiarachchi on the Geneveve Treatment

Dr. Hettiarachchi Answers Questions About the Viveve Treatment

Is Viveve helpful for urinary incontinence?

As a physician with board certification in Urology and Female pelvic medicine and reconstructive surgery I have treated many women with incontinence and vaginal laxity with the Viveve Treatment. I have been impressed with the results of the Viveve Treatment. There are Varity of incontinence including urgency incontinence where you have to run to the bathroom and may leak. Stress incontinence occurs when you leak with exercise, coughing or sneezing. It is important to review medications you are taking and go over behavioral changes which may help the leaking. Medications and pelvic floor exercises are the initial treatment option. If there is Pelvic prolapse surgery or a sling may be offered. But if you want to avoid surgery there are vaginal laser options like MonaLisa or vaginal radiofrequency treatments like Viveve.

The Viveve delivers high intensity radiofrequency with a coupling cooling component to make the procedure comfortable. The high RF energy heat goes deeper than Laser technologies into the dermal surface  around the vaginal opening and along side the mid urethral.  My patients report that they feel a sensation of cooling and heat during the procedure but no discomfort. It procedure takes approximately 25 minutes. The results peak at 3 months, our patients have seen significant improvement in vaginal tightening and incontinence. I recommend you find a expert who can offer all these options.

How does the Viveve vaginal rejuvenation procedure work and what symptoms does it treat?

The Viveve Treatment is a new radiofrequency (RF) techology that has a patented cooling component to achieve a thermal effect in the deep under surface of the vaginal tissue. The RF energy has no discomfort due the cooling system. It is delivered around the vaginal opening and a few centimeters into the vaginal canal. The thermal effect sets off a chain of reactions stimulating NEW collagen, vaginal lining and blood vessels. What your patients report is better sexual satisfaction due a tighter vaginal canal, better sensation and lubrication. Also, due to the collagen buildup around the bladder neck and urethra patients see improvements in their incontinence. It is important to find a expert with knowledge in available options of vaginal therapy including laser therapies prior to deciding on treatment options.

Viveve does not treat the vulva and so will not “improve appearance.” Again, it is important to find a provider that offers a number of different options.


What do I need to look for in a doctor?

With so many vaginal rejuvenation devices on the market and so many different types of facilities offering this technology, including Med-spas, it is important to remember that these are still medical treatments. I strongly recommend allowing a specialist to examine, evaluate and provide an appropriate treatment plan. Many woman call our office requesting a specific treatment. We always have the patient come in for a full consultation including a pelvic exam and medical history. Based on this, there may be a number of appropriate options ( CO2 Laser, Radio Frequency, pelvic floor rehab, surgery), a combination of treatments or in some cases, surgery may be the only option. An expert in the field can determine the treatment plan suited for each individual to assure the best outcome.

I suggest you start your search for Urologists/Urogyns/FPMRSs who also offer a number of these types of technologies as a treatment option or at least are well versed in the different types of technologies. Realself offers a “provider search” so you can start your search right on this website. You can also try the technology websites as well. Most have “provider searches”.



Dr. John Hettiarachchi, FACS FPMRS

Dr. John Hettiarachchi, FACS FPMRS