Laser Treatment for
Stress Urinary Incontinence

Stress Urinary Incontinence (SUI) is the spontaneous loss of urine during everyday activities such as coughing, sneezing, laughing, or during physical activity. This is due to the weakening of the pelvic floor region and the urethral closure mechanism, usually caused by aging, obesity or vaginal child birth. Until now, Kegal exercises and surgery were the only two options for treatment; however Kegal exercises have low success rates due to lack of compliance and surgery has many complications as well as long recovery times. Mixed Urinary Incontinence is a combination of Stress and Urge Incontinence.

Learn more about our laser treatments for Stress Urinary Incontinence below or book your complementary consultation.

How It Works

IncontiLase® is a non-invasive Er:YAG laser therapy for the treatment of mild and moderate stress or mixed urinary incontinence. This non-ablative therapy uses mild and controlled thermal energy to create tissue tightening and collagen regeneration to the vaginal wall and urethra, giving greater support to the bladder and preventing urine loss.

The Nanaimo Medi Spa Method

IncontiLase® is performed using Fotona’s 2940nm Er:YAG non-ablative laser with proprietary ‘Smooth-mode’ technology. A device similar to a speculum is inserted into the vagina to allow short laser pulses to thermally affect the targeted area, stimulating collagen restructuring and regrowth in the region of the urethral meatus, vaginal opening and anterior vaginal wall.
A consultation is necessary to determine suitability for treatment and Dr. Tonia Winchester, ND has partnered with Nanaimo Medi Spa to complete a medical intake and assist with any test or exam that may be required.

Procedure & Expected Results

Two treatments are administered one month apart. A follow-up will take place after six months, at which time it will be determined if a third treatment is necessary. The treatment is 20 minutes long and you can leave immediately after, with no down-time to your daily routine. There may be some mild sensitivity after the procedure with a transparent discharge for 2 to 3 days afterwards. Sexual intercourse is not recommended for one week after the procedure.

94% of women reported that SUI improved significantly after 120 days and 68% were completely free of Stress Urinary Incontinence.


At the beginning I didn’t believe that such a simple treatment as IncontiLase could be so effective in treating indications such as mild and moderate Stress Urinary Incontinence. But when my first patient, whom I treated one year ago for moderate SUI, reported that she is dry from the day of the procedure, I began to change my mind. Today, after treating many patients, I can say that the results we have obtained with this new technology are exceeding my expectations. And after one year, my first patient is still dry and very happy with the change IncontiLase brought to her life.

– Ivan Fistonic, MD, PhD
Fistonic Gynecology Clinic
Zagreb, Croatia

Scientific & Clinical Research Library

Novel minimally invasive laser treatment of urinary incontinence in women
Ogrinc, UB., Senčar, S., Lenasi, H. Lasers Surg Med., 2015: 47(9): 689-97.

Minimally invasive, non-ablative Er:YAG laser treatment of stress urinary incontinence in women – a pilot study.
Fistonic, N., Fistonic, I., Findri Gustek, S., Sorta Bilajac Turina, I., Franic, D, Vizintin, Z., Kazic, M., Hreljac, I., Perhavec, T., Lukac, M. Lasers in Medical Science, 2016: vol. 31 (4) pp 635-43.

Treatment of female stress urinary incontinence with Erbium-YAG laser in non-ablative mode.
Pardo, IJ., Sola, VR., Morales, AA. European Journal of Obstetrics & Gynecology and Reproductive Biology 204: 2016: 1-4.

Effects of laser procedure for female urodynamic stress incontinence on pad weight, urodynamics, and sexual function.
Tien, Y.-W., Hsiao, S.-M., Lee, C.-N. & Lin, H.-H. Int. Urogynecol. J. (2016).

Vaginal erbium laser: the second-generation thermotherapy for the genitourinary syndrome of menopause.
Gambacciani, M., Levancini, M., Cervigni, M. Climacteric. 2015, 18(5):757-763.

Minimal Invasive Laser Treatment for Female Stress Urinary Incontinence.
Khalafalla, MM., Elbiaa, AM., Abdelazim, IA., Hussain, M. Obst&Gyn Int. Journal, 2015: 2(2) 00035.

First assessment of short-term efficacy of Er:YAG laser treatment on stress urinary incontinence in women: prospective cohort study.
Fistonić, N., Fistonić, I., Lukanovič, A., Guštek, ŠF., Turina, IS., Franić, D. Climacteric, 2015 Oct;18 Suppl 1:37-42.

Minimally invasive laser procedure for early stages of stress urinary incontinence (SUI).
Fistonić, I, F.indri-Guštek, Š., Fistonić, N. Journal of the Laser and Health Academy, Vol. 2012, No. 1, P. 67-74.

Novel Minimally Invasive VSP Er:YAG Laser Treatments in Gynecology.
Vizintin, Z., Rivera, M., Fistonić, I., Saraçoglu, F., Guimares, P., Gaviria, J., Garcia, V., Lukac, M., Perhavec, T., Marini, L. Journal of the Laser and Health Academy, Vol. 2012, No. 1, P. 46-58.

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