‘It’s not enough to wax, now we have to lift?’
A tightening procedure that uses lasers to treat female urinary incontinence – or to improve sex – is available in Ireland. But it is not without critics
Whoopi Goldberg, who is the face of a brand of adult nappies in the US, during a visit to Trinity College Dublin in 2012. Photograph: Dara Mac Dónaill
Frustrated with her GP’s advice that pelvic floor exercises were the solution to her leakage problem, 31-year-old Leah, a broker, has turned to a new laser treatment that was introduced to Ireland this month. Her legs in stirrups in a clinic in south Dublin, she is texting on her phone and chatting to the nurse while a doctor inserts a cylindrical device that promises to rejuvenate the lining of her vagina, much as laser therapy rejuvenates the face.
“I suffer a bit from incontinence,” says Leah, a mother of one. When sailing with her husband last summer, she felt like she needed the toilet every 15 minutes. As her husband sailed the boat in to shore once again, she was “freaking out” with the discomfort. At work, she has to monitor her coffee intake by the millilitre.
“It’s not every day, but when it is happening it affects my way of life,” she says. About 30 per cent of women who’ve had vaginal deliveries suffer some incontinence.This embarrassing problem used to be something women put up with, and many still do. In the US, Whoopi Goldberg is the face of a brand of adult nappies. As she sees it, “it’s one of those things that we should be able to say: hey, does this thing happen to you?”
Leah isn’t ready for adult nappies just yet, with her toddler barely out of them. She is exceptionally fit, does cross-fit training five times a week, is on the paleo diet, and is proactive about her health.
So here she is, feeling no discomfort as the probe delivers concentrated thermal heating to her vaginal tissue at Venus Medical, a treatment clinic that offers a variety of procedures, from Botox to body sculpting. Dr Peter Prendergast, the medical director at Venus Medical; and Israeli medical engineer Yair Leopold, the inventor of Femilift, talk me through the procedure. The laser is producing hundreds of tiny white dots on the vaginal lining, which, during the healing process, will result in more collagen and thus a thicker lining. It’s the same CO2 laser that has been used to remove genital warts and cancers for 30 years, and which Leopold developed.
The cost is €4,500 for three treatments. Among the selling points are that there is no downtime, sex can be resumed within a week, and, apart from the possibility a little bleeding akin to a light menstruation, no side effects.
Except for one effect, which for many women, is actually the main effect: tightening of the vagina for more personal satisfaction. When the press release appeared, titled “Save your sex life: Venus Medical launch Femilift in Ireland”, I thought: here we go again. It’s not enough to wax, now we have to lift? The Irish Association of Plastic Surgeons stated that “it sounds like another money racket targeting vulnerable women”.
However, Leah doesn’t come across as vulnerable or exploitable. She is looking for a solution to a problem mainstream medicine couldn’t help her with. But Femilift has only been around for two years, so it’s impossible to say how long the effects will last.
Prendergast says that “it’s the women themselves seeking out vaginal tightening – 38 per cent of women who have had vaginal deliveries are concerned with vaginal laxity, and more than half of these women are interested in non-surgical, minimally invasive treatment.”