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DiVa laser vaginal treatment is a hybrid laser, using two wavelengths. One of which his erbium and draws less water than cO2. For this reason, the target depth can be great to allow for improvements and also results in less discomfort (less swelling) and downtime. Yes it can help with urinary incontinence if it is mild , and typically requires 3 treatments, one month apart. It helps by increasing collagen in the upper portion of the vagina which can be targeted with this laser and collagen takes about 90 days to optimally build. Therefore, you will continue to see improvements even 3 months after the last treatment and you will typically see improvements after the 1st as well.
The diVa laser is designed to address changes in vaginal health including incontinence. Improvement with incontinence is usually noticeable after the first treatment.
Urinary incontinence can have many etiologies. diVa vaginal laser is a fantastic alternative to painful and costly incontinence surgeries, but there are limitations. Prominent anterior vaginal wall defect/cystocele (a weakening of the anterior vaginal wall, allowing the bladder to drop "down" into the vaginal cavity (posteriorly, when speaking anatomically) is an example of where surgical management would be indicated. Severe stress incontinence (laugh, run, jump, sneeze) where even minimal increase in pressure or position leads to uncontrollable leakage is probably another situation where surgical expertise would be indicated.Mild to moderate stress incontinence, especially coupled with risk factors such as vaginal childbirth, multiple children or large birthweights, as well as menopause status, are very good candidates for diVa vaginal laser therapy. By deep penetrative therapy with the powerful erbium laser allowing for the most significant collagen stimulation, neovascularization, and growth of new epithelial cells, bladder improvements with vaginal rejuvenation have never been more robust. Typical response is seen within 2-4 weeks of first procedure, and build from there.