Would I be a good candidate for ThermiVa if I have a uterine mini sling? Is the mesh able to withstand the RF?

I had a mini sling procedure 5 years ago for very mild SUI (only while jumping rope or jumping jacks, never coughing or sneezing). I've never had any issues w/the mini sling. Also, I just had a normal pap & pelvic exam. Zero issues to report.

Doctor Answers 9


Yes you can safely have the ThermiVa treatment without damage to the sling.  Since your recent exam is problem free it seems you are ready to schedule your first Thermiva treatment.  Remember to shave the area a day or two prior to the procedure.

Houston Plastic Surgeon
4.8 out of 5 stars 33 reviews

ThermiVa after a sling?

Thank you for your question.  ThermiVa can definitely be used safely and effectively after a sling or vaginal mesh procedure.  The temperatures reached during a ThermiVa treatment are not hot enough to damage the mesh material and will produce results.  I assume that the urinary leaking problem is much better after the sling, but even in cases of "sling failures" (i.e., continued incontinence after a sling) ThermiVa has resulted in fewer leaking events.  In addition, it will still improve other symptoms such as dryness, sexual dysfunction, and vaginal laxity.

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

ThermiVa Candidate

ThermiVa can be safely used with a uterine sling in place. I suggest consulting with an expert and disucssing your concerns prior to any treatment. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews

ThermiVA for stress urinary incontinence

Amazingly, there have been ZERO reported complications associated with ThermiVA treatment for vaginal dryness, stress urinary incontinence, vaginal tightening, and for labia majora - labia minora tightening.

There is no data to suggest that ThermiVA will in any way adversely affect your sling or the results of your previous procedure for SUI, but there IS data to suggest that ThermiVA may improve your situation.

Steve Laverson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

What are you trying to fix?

Nonsurgical vaginal treatments are done for various reasons. Your expectations will determine whether you would be a candidate for any of these. The temperatures used in ThermiVa are no warmer than those achieved in a sauna and should have zero effect on slings and meshes.

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

ThermiVA after bladder sling

ThermiVA in patients with various types of slings has been studied and found to be safe. ThermiVA energy penetrates about Emma, slings if in the region should be deeper than this minimum 6mm, but even if not it would take much higher temp to disrupt the sling polypropylene material (well over 100 degrees celcius) and ThermiVA temp is set at max 47 degrees celcius. It is an excellent treatment to with great results. Best,
Lisa Vuich, MD

Lisa Vuich, MD
Nashua Physician
4.7 out of 5 stars 11 reviews

ThermiVa and Mesh

ThermiVa works great for patients with mild to moderate stress urinary incontinence. The contraindications for ThermiVa treatments are as follows: presence of an internal stimulator/cardiac device (i.e. pacemaker, defibrillator, mechanical valve), pregnancy, active STD, and/or current urinary tract infection.

ThermiVa works by delivering radiofrequency (thermal energy) via a small probe to both the internal vaginal canal and the external labia. The tissue is heated to specific temperatures, encouraging the growth of new collagen, increased blood flow and improved nerve supply. The amount of heat generated by the ThermiVa is not enough to cause damage to your mesh.


ThermiVa Post Sling

Yes you can safely use ThermiVa post sling.   The good news is that the ThermiVa will reinforce the area thereby improving the integrity of the tissue and further help you.

David Ghozland, MD
Santa Monica OB/GYN
5.0 out of 5 stars 26 reviews

Thermi Va after a sling

Yes, Thermi Va is safe after this and other gynecologic procedures.  It is recommended that you see your OB/GYN at least within 2yrs of receiving the treatment or if anything has changed since then.

H. Christopher Coley, MD
Greensboro General Surgeon
4.6 out of 5 stars 12 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.