Can Thermiva help with urinary frequency?

I am 44yo, currently urinating over 30 times a day! I have had all the tests done by a urologist, clearing me of any problems. They have offered me a botox for my bladder but want to explore other options. Would Thermiva would reduce the number of times I go per day?

Doctor Answers 15

Severe urinary frequency

If you have failed the typical medications for frequency/ overactive bladder. You may have undergone urodynamic testing ( bladder function testing ) and cystoscopy to identify potential bladder pathology. Hopefully, your doctor has reviewed your fluid intake along with a urinary diary. Due to the severity of your symptoms the next line of therapy would be Botox bladder injections or InterStIm sacral neuromodulation. However, I have seen THERMIva be effective for milder frequency/ stress / urge incontinence to help reduce or resolve  symptoms.

ThermiVa will not help with urinary frequency

ThermiVa helps with vaginal rejuvenation, tightness, lubrication, even with minor stress incontinence, but frequency will not be helped.  

Juris Bunkis, MD, FACS
Newport Beach Plastic Surgeon
4.8 out of 5 stars 39 reviews

ThermiVa and Urinary Frequency

Thank you for your question. ThermiVa is a great option for women who want to restore vaginal tightness. It is a minimally-invasive option that can restore and rejuvenate the vaginal tissues. While one of the benefits include a decrease in incontinence, I recommend getting a in person consultation from a board-certified dermatologist. 


Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Frequent urination

Thank you for your question. Thermiva is for patients that are dealing with stress incontinence or laxity or orgasmic difficulties. It also helps with patients dealing with the appearance or even atrophy/dryness. It  may help with your bladder function, but just for your information Thermiva is not officially indicated for overactive bladder (urgency, frequency and urge incontinence). I would suggest to contact a plastic surgeon near you to schedule a consultation to get all your questions answered and best reach your goal. 

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 117 reviews

ThermiVa and urinary frequency

The symptoms you describe are caused by OAB (overactive bladder) and ThermiVa is not indicated for that condition. It does help with minor stress incontinence and if some of your urination problems are caused by that, ThermiVa could relief some of the symptoms. Good luck.

Renata Wix-Harris, MD
Livingston Physician
5.0 out of 5 stars 7 reviews

Urinary stress incontinence

In my practice I have treated women with urinary stress incontinence, frequency and urgency using a series of three treatments.  Uniformly I have had significant improvement in their symptoms.  I would caution that ThermiVa is not a cure all for extreme or advanced cases and my results may be patient selection.    ThermiVa is rapidly gaining acceptance by Physicians and many are using this as their frontline treatment of new patients with these problems.  There is very little downside risk to this procedure

Dean L. Johnston, MD
Orlando Plastic Surgeon
4.6 out of 5 stars 11 reviews

Will Thermiva help with overactive bladder?

Its possible that it will help you but I would not recommend for this indication.  If you have stress incontinence or laxity or orgasmic difficulties or trouble with the appearance or even atrophy/dryness then I would strongly consider giving thermiva a chance.  It will help with those other issues and may help with your bladder function.  That said, OAB is disruptive to a person's life.  Botox is one direction.  Another direction is a device called an interstim which is like a pacemaker for the bladder.  Of course, you would try these after definite trials of medication including antimuscarinic therapy such as Detrol and Ditropan and the Beta 3 agonist Myrabegron.  Also your urologist should teach you about behavioral changes such as bladder training.  And you should be careful of things that irritate your bladder such as spicy food or diet soda etc....

Michael Litrel, MD, FPMRS, FACOG
Woodstock Urogynecologist
5.0 out of 5 stars 3 reviews

Frequent urination

ThermiVa was originally designed and approved to treat vaginal atrophy. It was noted later that it helps a lot with stress urinary incontinence, especially if it not very severe. As of now it is not officially indicated for Overactive bladder (urgency, frequency and urge incontinence), but we see our patients reporting some improvement in those symptoms as well. Hope this helps.

Armen Kirakosyan, MD, FACOG, FACS
East Aurora Urogynecologist
5.0 out of 5 stars 1 review


ThermiVa has been shown to help symptoms associated with stress incontinence.  You may find it could have a synergistic affect when used in conjunction with other treatments for urgency.  I encourage you to speak with a provider in your area for more information.

Camille Cash, MD
Houston Plastic Surgeon
4.8 out of 5 stars 33 reviews


Urinary frequency and urge incontinence (as opposed to stress incontinence) are not necessarily addressed by ThermiVa.  There have been some preliminary reports that it can help, but in my experience, it's 50:50.  On the other hand, stress incontinence (leaking with cough, laugh, sneeze, etc) is very well treated with ThermiVa, with a very high (90%+) patient satisfaction rate.  If you also experience vaginal dryness, laxity, or decreased sensation during intercourse, then ThermiVa would still be a good option for you, because it will definitely help all of those, but if you are only attempting to address urinary frequency and/or urgency, then you could be wasting your money.  I assume you have tried some of the various medications for this?  They can have side effects in some patients (dry mouth, constipation), but generally work very well for "overactive bladder."

W. John Bullis, MD
Bellevue OB/GYN
4.9 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.