Focal shock waves for
women’s intimate health

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Focal shock waves for
women’s intimate health

Focal shock waves
Non-surgical treatment for urinary incontinence, vaginal dryness, vaginal atrophy and intimate discomfort

MADRID | ZURICH

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Women’s intimate health can be affected by symptoms such as urinary incontinence, vaginal dryness, vaginal atrophy, vulvovaginal irritation or discomfort during and after sexual activity. These conditions can occur at different stages of life and affect physical wellbeing, self-confidence, intimate relationships and quality of life.

At Dr Richard Fakin’s clinic, we offer focal shockwave treatments using the technology DUOLITH SD1 T-TOP Ultra, a non-surgical option that can form part of the medical management of certain intimate, urinary and vulvovaginal symptoms.

Each treatment is prescribed following a personalised medical assessment, taking into account each patient’s symptoms, anatomy, medical history and needs. The treatment is planned on the basis of the patient’s anatomy and health condition, regardless of their gender identity.

DURATION 20–30 minutes
DISCHARGE FROM THE CLINIC No admission fee required
RETURN TO WORK Same day

DURATION 20–30 minutes
DISCHARGE FROM THE CLINIC No admission fee required
RETURN TO WORK Same day

SOCIAL LIFE No interruption required
ANESTHESIA Not required
PROTOCOL According to medical assessment

SOCIALLY PRESENTABLE No interruption required
ANESTHESIA Not required
PROTOCOL According to medical assessment

Conditions treated with focal shock waves

Urinary incontinence

Non-surgical treatment for patients with urinary incontinence, whether caused by straining, coughing, laughing, playing sport or a feeling of urgency.

Vaginal dryness and atrophy

Treatment using focal shock waves for symptoms associated with dryness, tissue fragility, irritation, itching or vulvovaginal changes.

Intimate discomfort and sexual activity

Treatment for pain, irritation or discomfort during and after sexual activity, always following a prior medical assessment.

Focal shock waves

DUOLITH® SD1 T-TOP Ultra

Swiss Precision in Urological Medicine

Developed by STORZ MEDICAL, the DUOLITH® system is the gold standard in non-invasive regenerative treatments. Its focused technology concentrates acoustic energy directly on the vascular or cellular source of the problem, preventing it from being dispersed at the surface.

SHOCK WAVES
RADIAL TYRES

Surface dispersion
energy

T-TOP ULTRA FOCAL SHOCK WAVES

Precise targeting at the tissue depth

Maximum Focal Accuracy

It targets the energy directly at the blood vessels or deep fibrous plaques, whilst protecting the surrounding healthy tissue.

Cell Regeneration

It naturally stimulates angiogenesis (the formation of new blood vessels) and reduces inflammation in the nerve endings.

Outpatient Efficiency

Short 20–30-minute sessions at the surgery. No surgery, no anaesthesia and no disruption to your sex life or work.

Treatment

How is focal shockwave therapy carried out?

The treatment is carried out in the clinic. During the session, the specialist applies focal shock waves to the areas indicated, based on the patient’s diagnosis and symptoms.

The procedure is usually well tolerated and does not require anaesthesia in most cases. The number of sessions and their frequency are determined on an individual basis following a medical assessment.

Before starting treatment, the case is assessed, the symptoms are reviewed and it is determined whether DUOLITH SD1 T-TOP Ultra is a suitable option. In some cases, this treatment may be combined with other medical, gynaecological, hormonal or pelvic floor rehabilitation measures to optimise the management of the problem.

Indications

When might focal shockwave therapy be considered?

Treatment with focal shockwave therapy may be considered for patients with intimate, urinary or vulvovaginal symptoms that affect their comfort, sexual function or quality of life.

Conditions that can be assessed during a consultation include:

• urinary incontinence
• vaginal dryness
• vaginal atrophy
• vaginitis or persistent vulvovaginal discomfort, always after ruling out an active infection or other specific causes
• discomfort during or after sexual activity
• vulvovaginal irritation or tenderness
•intimate symptoms associated with hormonal changes or the menopause

Whether treatment is indicated always depends on an individual medical assessment. Not all cases are suitable for treatment, particularly where symptoms may be related to infections, active inflammation or other causes that require a specific approach.

Urinary incontinence

Urinary incontinence and intimate wellbeing

Urinary incontinence is the involuntary loss of urine. It can occur when straining, coughing, laughing or playing sport, or it may be associated with a feeling of urgency that is difficult to control.

In selected patients, focal shockwave therapy may be considered as part of a treatment programme aimed at improving intimate wellbeing and quality of life.

Vaginal dryness and vaginal atrophy

Discomfort, irritation and changes in tissue quality

Vaginal dryness and vaginal atrophy can cause irritation, itching, a feeling of tightness, pain during sexual intercourse or discomfort afterwards.

These symptoms are common during periods of hormonal change, the menopause, the postnatal period or following certain medical treatments. Focal shockwave therapy can form part of a personalised approach to improving intimate comfort and tissue quality.

Discomfort during or after sexual activity

Pain, irritation or discomfort in the genital area

Pain, irritation or discomfort during and after sexual activity can have a significant impact on one’s intimate life and personal wellbeing.

In certain cases, focal shock waves can be used as part of a personalised treatment plan to improve intimate comfort and reduce discomfort associated with sexual activity.

Focal shock waves for women’s intimate health
Frequently Asked Questions

What are focal shock waves?

Focal shock waves are high-precision acoustic waves that are applied to specific areas of tissue. In men’s intimate health, they can be used in medical protocols to treat certain urological or sexual problems.

For which symptoms might DUOLITH SD1 T-TOP Ultra be indicated?

It may be considered in selected cases of urinary incontinence, vaginal dryness, vaginal atrophy, discomfort during or after sexual activity, intimate pain or changes in the quality of the vulvovaginal tissue.

Can it help with urinary incontinence?

In some cases, it may be considered as part of a personalised treatment plan. Whether it is recommended depends on the type of incontinence, the cause of the urine leakage and the clinical assessment.

Is it effective for vaginal dryness or vaginal atrophy?

It may be considered when dryness or atrophy is associated with discomfort, irritation, tissue fragility or intimate pain. Before starting treatment, it is necessary to investigate the cause of the symptoms.

Is the treatment effective for any type of vaginitis?

No. Vaginitis can have various causes, including infections or active inflammation. That is why it is essential to obtain a medical diagnosis before prescribing any treatment.

Can it help with discomfort during sexual intercourse?

In certain cases, it can form part of a personalised approach to improving intimate comfort and reducing discomfort associated with sexual activity. Whether it is recommended always depends on the cause of the pain or discomfort.

Is the treatment painful?

It is generally a well-tolerated procedure. Sensitivity may vary depending on the area being treated, the severity of the symptoms and the individual characteristics of each patient.

How many sessions are needed?

The number of sessions depends on the symptoms, the diagnosis and the individual’s response. The treatment plan is determined following the initial assessment.

Do I need to rest after the treatment?

In most cases, the patient can resume their normal activities on the same day.

Is it an operation?

No. Focal shockwave therapy is a non-surgical procedure that involves no incisions and does not require a hospital stay.

Dr. Richard Fakin
Internationally recognised plastic surgeon

Dr. Richard Fakin is a Plastic, Reconstructive and Aesthetic Surgeon with extensive experience in gender-affirming procedures. He specialises in breast surgery, facial surgery and advanced body contouring procedures. His practice combines technical precision, aesthetic sensitivity and a deeply personalised approach to every procedure.

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to provide medically rigorous care while maintaining a warm, compassionate approach. Each patient receives personalised support, from the first consultation through to postoperative follow-up.

As a boutique plastic surgery clinic, the approach is never standardised. The team takes the time to understand each patient's expectations, carefully assess their anatomy, and develop a surgical plan tailored precisely to their individual case. This personalised structure allows us to maintain the highest standards of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin uses refined surgical techniques that prioritise safety, natural-looking results, and an optimised recovery process. Through meticulous planning and advanced technology, the clinic is able to achieve harmonious results that remain true to each patient’s identity.

Beyond surgical technique, the commitment of Dr. Fakin and his team is reflected in transparent, honest and personalised care, where each patient is treated with dedication and professionalism at every stage of the process.