Urinary stress incontinence and overactive bladder

A woman in a bathroom, wearing a dressing gown, with on hand gripping the other tightly. This page is for Urinary Stress Incontinence, one of the Menopause-related conditions treated at The Women's Clinic


CO2RE Intima & Urolon treatment for bladder issues

Urinary ‘urge’ Incontinence (UI) and overactive or leaky bladder in women can be caused by low levels of the female hormone oestrogen, a common outcome of the menopause. These conditions can also be brought on by childbirth and other health issues that weaken the pelvic floor or damage nerves that control the bladder function.

Oestrogen is the hormone that maintains a healthy vaginal environment and also keeps the bladder and urethra healthy. When estrogen levels drop during and after the menopause, this can cause pelvic muscles to weaken, reducing bladder support and your ability to hold in urine. This hypo-oestrogenic state can also bring on overactive bladder (OAB) symptoms, like frequent and strong urges to urinate.

Women experiencing UI, may also suffer burning with urination and vaginal and bladder infections linked to changes to the pH and bacterial flora in the vagina.

Other possible causes of urinary stress incontinence include:

  • hormonal changes resulting from pregnancy and childbirth
  • obesity
  • smoking
  • excessive consumption of caffeine or alcohol
  • high-impact sporting activity
  • frequent coughing or sneezing
  • the effects of aging


Whatever the cause, at The Women’s Clinic we have treatments that can help deal with these issues, and enhance your comfort and confidence.

The CO2RE Intima laser treatment has been demonstrated to significantly restore the normal vaginal architecture and environment as if the oestrogen was still there; thereby improving many of the unpleasant consequences of low oestrogen states. Most women also report significant improvement in sexual function after the very first treatment and less leaking during intercourse and exercise.

We also offer a new, lasting and effective treatment using the highly advanced Urolon injectible, a minimally invasive and bioresorbable product designed to treat stress incontinence. Urolon is injected around the urethra and stimulates the formation of new tissue and collagen. Urolon should remain effective for around 2 years before retreatment is required.

Urolon treatment is administered on behalf of The Women’s Clinic by Dr Eliana Castañeda, Dr Valda Porcionato and Dr Nabil Elmahdawi in Dublin, London and Yorkshire as well as by Dr Hala Elgmati in Glasgow.



CO2RE Intima treatment for urinary stress incontinence and overactive bladder


  • Urinary Stress Incontinence

  • Constant urge to urinate

  • Bladder not emptying fully

  • Sudden Urge to Urinate

  • Inability to stop wanting to urinate

  • Urinating during sex


Per Treatment

A woman stands with her hands between her legs. The image represents urinary stress incontinence, one of the conditions treated at The Women's Clinic
A woman stands with her hands between her legs. The image represents urinary stress incontinence, one of the conditions treated at The Women's Clinic


Urolon treatment for urinary stress incontinence


  • Urinary Stress Incontinence

  • Constant urge to urinate

  • Bladder not emptying fully

  • Sudden Urge to Urinate

  • Inability to stop wanting to urinate

  • Urinating during sex

  • Constant leaking
  • Wearing incontinence garments frequently


Per Treatment


Questions you may have about urinary stress incontinence, and OAB treatment

Intima for vaginal symptoms

Intima treatment can provide long-term reversal of the vaginal atrophic (degenerative) changes such as thinning of the mucosa associated with discomfort, dryness, painful intercourse, sensation of burning and urinary incontinence. It has been proved to be a successful way of treating chronic vaginal pain not responding to other forms of treatment.

Intima for bladder symptoms

Intima treatment aims specifically to tighten and firm the anterior vaginal wall, thus restoring support to the base of the overlying bladder and urethra thereby improving the symptoms of urinary incontinence. There is also evidence showing that restoring bladder support reduces frequency of recurrent urinary tract infections.

How is the Intima treatment done?

The laser produces safe pulses of laser energy delivered via a tube shaped individual and sterile vaginal probe. These pulses generate laser beams which create microscopic channels of 0.7mm (700 microns) into the vaginal mucosa at closely spaced intervals. The process causes a mini–defect in the collagen making it shrink while stimulating new collagen and elastin to grow thus bulking and rejuvenating this layer.

Rotation of the probe at 360° allows treatment of the entire vaginal canal. This leads to an overall tightening of the lax vaginal walls including the upper part of the vagina producing added support for the base of the bladder and urethra.

The initial shrinkage and secondary regeneration also causes stretching of the internal bulbs and crura (structures) of the internal portion of the clitoris resulting in enhanced sexual sensation within the vagina.

The outcome of Intima treatment

The outcome of this procedure is the complete remodelling of the vaginal mucosa and the underlying collagen structure as well as the re-establishment of robust “younger-feeling” vaginal tissue enriched in thick and long collagen fibres. A clinical study showed that, at the three-month follow-up after the third treatment, 100% of women reported satisfaction with the treatment and 94% would recommend it to others. Additionally, 82% of women showed a statistically significant improvement in the vaginal health index.

What is Urolon?

Urolon is an innovative bioresorbable product used to treat Urinary Stress Incontinence (USI) in women. It’s made from microparticles of polycaprolactone (PCL) suspended in a gel carrier – all elements of which are FDA approved. The treatment, which is injected, stimulates the production of collagen which can replace lost tissue and thus counteract USI.

What is PCL?

PCL is a well-known medical grade bioresorbable polymer used in many medical devices, such as dermal fillers, drug delivery devices, scaffolds for bone regeneration and resorbable sutures.

What is Bioresorption?

Bioresorption means that the body naturally breaks down and disposes of the materials used and produced by a treatment substance (in this case PCL) over time. This does mean that the effects of the treatment last only for a limited time before requiring a renewal. However it has the safety advantage that, should there be any negative effects, or simply a desire to change to an alternative treatment, the Urolon treatment is not permanently retained in the body and will gradually fade away, reducing the chance of long-term complications or of unwanted interactions with alternate treatments.

How long will Urolon treatment last?

Although it varies for every person, Urolon should last for around 2 years until the bioresorption process removes it from your system.

Is Urolon safe?

After a thorough investigation and a clinical study Urolon was approved for use in Europe, with a CE certification. No serious complications occurred during the study, and the technology of this product is already being used in aesthetic dermatology, where over 1 million patients have been treated without significant issues.

Other regulatory processes are ongoing including the US FDA (although as noted above the elements of Urolon’s carrier gel are all regarded as safe by the FDA).

Is Urolon treatment painful?

Urolon is injected into the Urethra, which will first have local anesthetic applied to minimize discomfort, as well as being a very quick 15-20 minute procedure, with the patient able to leave the clinic immediately post procedure.

Discover our other services…

Vaginal Laxity & Vaginal Prolapse Vaginal Dryness & Painful Intercourse

Aged Labia, Large Labia & Large Clitoral hood correction

Surgical Labiaplasty

Painful vulva & vaginal opening (Introitus)

Vaginal Fillers

Rediscover the younger you


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The Women's Clinic
2nd Floor,
Central Chambers
11 Bothwell St,
Glasgow, G2 6LY

0141 222 2503

20 Calthorpe Rd,
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