I think I get what you're asking. Your voltage IS changing, you just can't see the change because you don't have the decimal places to display it. On a 1.8 ohm coil, 10 watts is 4.24 volts, 9.9 watts is 4.22, 9.8 watts is 4.2 exactly, and so on. For MOST devices, the voltage is still changing to give you the wattage you're set for.
The biggest advantage to using VW mode, though, is consistency. Within a standard range, a 10 watt vape is the same, regardless of the voltage and resistance it takes to get there. So say you are vaping a 1.8 ohm coil at 4.2 volts to get 9.8 watts and you pop in a new coil that's 2 ohms, and you want it to vape the same. In voltage mode, you can do the math with ohm's law and come up with the correct voltage to get your 9.8 watts (about 4.4 volts), then change the setting. If you're in wattage mode, on the other hand, you just leave it set at 9.8 watts and your mod does the math for you. You don't have to mess with it. Make sense?