© Copyright 2026 American Medical Association. All rights reserved.
Endovaginal cryogen-cooled, monopolar radiofrequency remodeling is a specialized non-invasive procedure designed to address urinary incontinence in females, particularly those experiencing urethral hypermobility and stress urinary incontinence. This innovative treatment utilizes the Viveve System, which combines two forms of energy: radiofrequency (RF) energy and cryogen cooling. The RF energy is applied to the deeper layers of tissue surrounding the bladder neck and proximal urethra, promoting the formation of new collagen, which is essential for restoring tissue support. The cryogen cooling mechanism protects the surface tissues from overheating, ensuring patient comfort and safety during the procedure. The entire treatment is typically completed in a single office visit, making it a convenient option for patients. The procedure involves the use of sterile, single-use treatment tips and a special coupling gel that enhances the delivery of RF energy. Additionally, a grounding pad is utilized to ensure the safe application of the RF energy, which is placed on a clean, dry area of the patient's skin, such as the upper outer thigh. This comprehensive approach not only aims to improve urinary incontinence but also enhances the overall quality of life for women suffering from these conditions.
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