Which is better Mona lisa or resouluna?

Had rectal cancer! cancer free , but vagina is closing and there is leakage which procedure would work better

Doctor Answers 5

MonaLisa or ThermiVA at Medispa

The Medispa offers ThermiVA, which utilizes radiofrequency to heat tissue over 30 minutes.  The MonaLisa is a vaginal laser that is FDA approved and takes 5 minutes.  No heating of tissue is involved. The MonaLisa has been used since 2007 in Italy, hence the name.  If you had pelvic radiation, tissue blood flow is diminished and the tissue becomes drier and less compliant.  I would suggest that you get an evaluation from a urologist/urogynecologist/gynecologist who offers one of these technologies to counsel you appropriately.  
Mary C. DuPont, M.D., F.A.C.S.

Chevy Chase Physician

Can the MonaLisa Touch laser help in patients with rectal cancer

In general, rectal cancer is not a contraindication for vaginal laser treatment.  The effects of radiation to the pelvis can be very devastating though, and can result in firm, dense, inelastic scar tissue.  The MonaLisa Touch vaginal laser increases moisture and elasticity by causing the lamina propria, or middle spongy layer of the vagina to thicken.  Your results may not be as good as a typical patient with vaginal atrophy and you may need a fourth or fifth treatment along with physical therapy and vaginal dilation, similar to our recommendations for patients with lichen sclerosis.

Karny Jacoby, MD
Seattle Urologist
5.0 out of 5 stars 5 reviews


Rectal cancer with radiation can affect the vagina and be amenable to MonaLisaTouch as long as the vagina itself was not the focus (cervical cancer/endometrial cancer). The skin at the vaginal opening will be difficult to soften and may benefit from pre treatment with estrogen cream first before spending the money to see if it works. Resoluna  on the internet seems to revolve around a particular business entity spa rather than a specific procedure. Call them, find out what the procedure is and write back.

Lawrence Eisenhauer, MD
Encinitas OB/GYN
5.0 out of 5 stars 2 reviews

Nonsurgical options for leakage?

Leakage is a symptom. A diagnosis (the reason for your leakage) needs to be determined before deciding on any treatment. There is no treatment for any type of leakage, urinary or rectal, that goes by the name of resouluna. See your gynecologist for an evaluation.

Marco A. Pelosi III, MD
Jersey City OB/GYN
4.6 out of 5 stars 24 reviews

Post rectal cancer

Congratulations on being cancer free!  The time has come for you to feel like yourself again. Your question did not mention your cancer treatments, but if radiation therapy to the pelvic tissues occurred, the MonaLisa Touch is not be recommended. Radiation to the tissues typically will not respond to the revitalization treatment of the MonaLisa Touch laser. If you feel your vagina is closing, please see your gynecologist for options including vaginal dilators and estrogen cream to prevent further scarring. Warm Regards, Jennifer Murphy, M.D., F.A.C.O.G.

L. Jennifer Murphy, MD
Valparaiso OB/GYN
5.0 out of 5 stars 5 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.