“Urinary incontinence is the unintentional passing of urine. It’s a common problem thought to affect millions of people.” – NHS UK
There are several types of urinary incontinence, including:
It’s also possible to have a mixture of both stress and urge urinary incontinence.
Stress incontinence is usually the result of the weakening of or damage to the muscles used to prevent urination, such as the pelvic floor muscles and the urethral sphincter.
Certain things can increase the chances of urinary incontinence, including:
Cosmetech offer non-surgical treatments which can help with incontinence including Viveve at Kingsbridge Private Hospital Belfast, and ThermiVa at Chelsea Private Clinic, London.
Our urinary incontinence treatments are carried out by highly trained and experienced medical professionals.
30 – 45 minutes per session (1 to 3 sessions depending on treatment)
Many patients experience a noticeable difference after just one session.
The majority of women will need 1 treatment per year to maintain the results.
Back to work
You can resume normal physical and sexual activity immediately following treatment.
The skin may be slightly pink, warm and swollen directly after treatment.
Risks and complications
There is the possibility of mild cramping for up to 24-48 hours. Mild blood spotting may occur.
Who performs the treatment?
A trained Consultant Gynaecologist or Doctor.
Viveve uses radio-frequency deep-heating energy to stimulate your body’s natural collagen formation process. Specially patented cryogen surface cooling technology allows enough heat to be delivered into the vaginal tissue without harming the delicate surface.
How is the treatment delivered?
A small treatment tip, about the size of your thumb, is inserted just inside the vaginal opening. The tip is rotated as it alternately cools the surface and heats the soft tissue beneath. Treatment is painless and takes about 30 – 60 minutes Over the next few months, your body responds to the treatment by generating new collagen and elastin in the vaginal opening.
Is the Viveve treatment safe and effective?
Yes! Clinical studies have shown that the Viveve treatment is safe as well as effective.
What are the results for vaginal laxity and urinary incontinence?
Women feel the full effect after 90 days. Clinical trials show 90% of the women treated for vaginal laxity reported statistically significant tightening, sensation and satisfaction at 12 months. A recent pilot study in women with stress urinary incontinence reported over 90% improvement.
Who can have the Viveve treatment?
Your doctor will determine if Viveve is right for you given your medical history, However, you should NOT consider Viveve if you have an implantable pacemaker or an Automatic Implantable Cardioverter/Defibrillator (AICD) or any other implantable metal device.
Who performs the treatment?
The Viveve treatment is performed by a trained healthcare practitioner at Cosmetech, Kingsbridge Private Hospital, Belfast.
Viveve Post-Treatment Instructions
What to expect:
Call your Doctor if:
Read this Belfast Telegraph Article on why Cathy Martin is speaking out about a problem many mums are too embarrassed to talk about.
Read this Sun Investigation by Claire O’Reilly in discussing how half of women suffer from incontinence after pregnancy — yet it’s still ignored
ThermiVa is a new non-surgical treatment that rejuvenates the vagina and vulva without plastic surgery.
Used to treat:
ThermiVa Q & A
How does ThermiVa work?
ThermiVa works by delivering radio frequency 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. ThermiVa is FDA approved for skin tightening, however patients also report increased sensation, moisture and improvement in symptoms of stress and urinary incontinence.
How long is the treatment?
The procedure takes approximately 30 minutes and requires no downtime. The typical protocol for ThermiVa treatments is three treatments, spaced four weeks apart. Many women see improvement in vaginal tightening after the first treatment, but optimal results will be observed three months after the third treatment.
How long do ThermiVa results last?
The need to re-treat will be based on individual needs and expectations. In addition, both genetic and environmental factors such as smoking, weight gain/obesity and hormones will affect ageing of the vaginal tissue. The majority of women will need one treatment per year as maintenance.
What’s the difference between ThermiVa and lasers?
ThermiVa uses RF, or radiofrequency, whereas other machines use a CO2 laser. Both cause rejuvenation effects to the vaginal area. The difference is that ThermiVa can also be used on the labia and clitoral area and is not painful.
Can ThermiVa help vaginal looseness and sagging?
The answer to your question really depends on your clinical examination. The important part of the examination is to determine if there is any sagging or loss of support of the pelvic organs (the bladder, uterus, and rectum). If there is a mild degree of loss of support or vaginal looseness, then ThermiVa has been shown to help offer relief and provide vaginal tightening.
ThermiVa Post-Treatment Instructions
What to expect:
Call your Doctor if:
Follow up appointment:
“The most obvious improvement after my first treatment was that for the first time in decades I have been able to sleep through the night without getting up to use the bathroom at 3am or 4am.”
“After having my second baby last year, my pelvic floor muscles were just not the same as they were. I was nervous about going to the gym. Even a short run was something I had to ‘come prepared for’. But since I’ve had my ThermiVa® treatments I can do my circuit training and squats again, without any worries, or surgery.”
ThermiVa Consent Forms
Dr Nadia Yoursri
Obstetrician & Gynaecologist
Professor Jim Dornan
Consultant Obstetrician & Gynaecologist
Dr Patrick Campbell
Consultant Gynaecologist and Sub-specialist Urogynaecologist
Mr Ali Kubba
Consultant Medical Gynaecologist
Over 85,000 treatments performed worldwide.***
***Since 2016, data on file.
ThermiVa™, invented by Laguna Beach Urogynecologist, Dr. Red Alinsod, is the first and leading radio frequency device. Dr. Alinsod worked with Thermi, a global manufacturer of radio frequency technology to bring ThermiVa to the market. THERMIva™ is a non-surgical treatment that uses radiofrequency energy to gently heat tissue, without discomfort or downtime, allowing women to reclaim the vitality of life, restore their more youthful bodies, and revive the excitement.
Due to the effects of childbirth, aging, trauma, and/or genetics, the vaginal tissue and surrounding muscles can become stretched and lose their strength and tone. Thermi, an FDA approved in-office, non-surgical device, is used for dermatologic conditions such as loose and saggy skin, dry skin, and insensitive skin. In Europe ThermiVa has a CE Mark and is approved for treatment of vulvovaginal laxity.
ThermiVa RF is FDA cleared for dermatological and general surgical procedures for electrocoagulation and hemostasis. ThermiVa has FDA Approval for Dermatologic Conditions, Surgery, Surgical Nerve Ablation. Examples of dermatologic conditions include loose skin, dry skin, thin skin, insensitive skin. ThermiVa has a CE Mark and EU Approved for Vulvovaginal Laxity or for treatment of loose tissues of the vulva and vagina.
ThermiVa does not have FDA or EU approval for incontinence or the leaky bladder or rectum, atrophy or vaginal dryness, prolapse or fallen bladder/rectum, or orgasmic dysfunction.