Treatment of incontinence

Stress urinary incontinence is most common among women. Involuntary discharge of urine is not the result of stress, but of increased pressure in the abdominal region in combination with weakness in the retention apparatus of the bladder and urethra.

The development of stress incontinence is due to multiple factors: anatomical disorders, pregnancy and childbirth, pelvic surgeries, age-related changes, groin trauma, overweight, etc. In women, the bladder and urinary tract are in contact with a muscle layer called the pelvic floor muscles. They help the urinary tract to open up. If these muscles weaken or their elasticity deteriorates, uncontrollable leakage of urine is possible. The muscles of the lower pelvis can stretch and weaken, for example during pregnancy and childbirth. Another cause of incontinence in a woman is menopause. With aging and the decreased amount of female sex hormones (estrogens) at menopause, the lining of the bladder and vagina, as well as the walls of the urinary tract thin. It weakens the blood supply to the muscles of the lower pelvis and this also has an effect in urinary incontinence. Being overweight and certain other conditions (chronic cough, treatment with high blood pressure medication) puts extra strain on these muscles.

IncontiLase® is a patented, non-invasive Er:YAG laser therapy for the treatment of mild to moderate stress incontinence based on non-aggressive, thermal stimulation of collagen formation, contraction and tightening of the vaginal mucosa and the collagen-rich connective tissue lamina along the anterior vaginal wall. This leads to greater bladder support and the return of normal urinary retention function.

A major advantage of IncontiLase® is that the procedure is done in the office – painlessly, without ablation, cutting, bleeding, or sutures. Recovery is extremely fast, without the need for analgesics and antibiotics.

To achieve the desired result, it is necessary to conduct three therapies. The treatment package includes a free follow-up consultation up to 6 months from the last treatment.


IncontiLase® is a mild, effective and safe procedure designed for mild to moderate stress and mixed urinary incontinence.

Esteline Dermatology Clinic works with the high-quality equipment of the leading manufacturer of lasers in the field of dermatology and aesthetics Fotona®.

The therapy proceeds in two steps. After taking the necessary tests and measurements, the doctor places a sterile, glass speculum that limits the contact of the vagina with the laser tip. In the speculum, the laser is inserted, with which the mucous membrane of the vagina is treated along the entire length, two or three times. No pain or burning is felt during the procedure, it is possible that a slightly stronger burning sensation may be felt during the treatment towards the entrance of the vagina, which lasts for seconds. At the end of the therapy, a numbing gel is placed at the entrance to the vagina and urethra, after which the area is treated with a laser. A slight burning sensation may be felt.

The duration of the procedure is between 30 and 40 minutes.

Therapy Incontilase is made after the necessary examinations – pap smear and gynecological examination. Therapy is ineffective for urge incontinence or for a reason other than stress and mixed incontinence. It is contraindicated in infection and narrowing of the urinary tract, positive PAP result, menstruation, pregnancy. It is poorly effective in obesity with BMI >40, and severe prolapse,

After Incontilase therapy, increased vaginal discharge is possible 2-3 days after the procedure, rare, slight bleeding.

The effect is noticeable after the first treatment. After 2 or 4 treatments, the results last up to 18 – 24 months.

Recovery is extremely fast, without the need for analgesics and antibiotics. No special care is needed after the procedure. Abstinence from sexual intercourse is necessary for up to a week after the procedure. Avoid inserting tampons for 4 weeks after therapy. Heavy physical effort is not recommended for at least 2 weeks after therapy.

At least two treatments are usually recommended to relieve mild and even moderate stress urinary incontinence. In more severe cases, 3 or 4 treatments are recommended. Procedures are done once a month.