Plastic and Aesthetic Surgery

Biography

Biography: Troy R Hailparn

Abstract

Introduction: The use of radiofrequency technology to treat vulvovaginal problems including incontinence, atrophic vaginitis, damage from childbirth, and aesthetic concerns of the labia majora has been introduced in the last year, and has promise as a non-surgical vaginal rejuvenation option for women. Objective: To assess the clinical and subjective effects of ThermiVa® on stress and urge incontinence, painful intercourse due to atrophic vaginitis, sensation changes from childbirth, and saggy labia majora causing cosmetic concerns. Materials & Methods: Female patients presenting for non-surgical treatment of vulvovaginal concerns from August 2015 through April 2016 were counseled on and offered ThermiVa®. Risks and complications and alternative treatments were discussed. All were offered 3 treatments 4-6 weeks apart. Consents were obtained for treatments, before and after photographs, videos and testimonials. Results: 35 patients were included. 3 had only 1 treatment, 7 have had 2 treatments and 25 have completed 3 treatments. All who had 2 and 3 treatments except one have had improvement in all of their symptoms as well as with the cosmetic appearance of their labia majora. The one patient had painful intercourse due to vaginal dryness and presented on combination hormones at the age of 44. She still complained of painful intercourse and vaginal dryness after three treatments and a discussion of changing her hormonal regimen ensued and a trial of vaginal estrogen started. Conclusion: ThermiVa® appears to positively impact the urinary, dryness, and sensation symptoms and cosmetic concerns in the majority of women treated and is an excellent non-surgical vaginal rejuvenation option for women.