Angelish Kumar, MD

Hi,
If you never feel like your bladder is empty because you constantly have to urinate, you may have an overactive bladder (OAB), in addition to stress incontinence (leakage with cough, laugh, exercise). A urologist or urogynecologist will review your options which would be different for the OAB and for the SUI. Vaginal rejuvenation procedures can provide collagen and tone to the vaginal wall, which can help with very mild SUI, but it sounds like you will need a procedure urethral bulking agent injection or sling surgery to really take care of it.

This is a great question. Since you had the mesh removed, you could safely have Viveve and it would likely help with vaginal tone and sensation. You need an exam by a urologist or urogynecologist to determine how severe your stress incontinence is. If you leak fairly easily, Viveve will not likely treat that. You may want to consider doing a bulking agent injection (a filler) in the urethra as well.

Hi,

This is a good question. Vfit plus has the ability to use higher settings to achieve the same effect with less sessions. It is only sold in professional offices, because it is meant to be used in women who are also seeing a doctor for their symptoms. 

The photonic gel is a water based gel that allows the energy from the Vfit device to conduct properly to the tissue and it also has a cooling and lubricating effect. It was the gel used in the studies that showed a benefit for sexual satisfaction and stress incontinence in women who used the device.

If you are still leaking after a properly placed sling, you may have intrinsic sphincter deficiency and a urethral bulking agent injection would address this better than Viveve. Very important to have a physical exam done.