Overview
There is a quiet version of stress urinary incontinence that rarely gets discussed out loud: the cough that has to be planned around, the trampoline you’ve stopped getting on with your kids, the second pad packed “just in case.” At Rose MD Aesthetics in Troy, MI, a leak is treated as a medical condition with a real, evidence-backed solution, not as something you’re simply supposed to live with. Every IncontiLase treatment here is performed by a board-certified physician, and it begins with the right question, which is not which laser setting but what is actually causing this leak. As part of our Physician-Led Women’s Wellness & Intimate Health program, your plan is built around your anatomy and the life you want back, not a fixed protocol.
What Is IncontiLase®?
IncontiLase is a non-surgical, non-ablative Er:YAG laser therapy built on Fotona SMOOTH® technology, designed for mild to moderate stress urinary incontinence and for the stress component of mixed incontinence. Rather than cutting, removing, or implanting anything, it works with your body’s own repair response. A slim handpiece delivers precisely controlled, gentle pulses of heat along the front wall of the vaginal canal and the tissue surrounding the urethra. That warmth signals the body to lay down fresh collagen, which thickens and tightens the support beneath the bladder so it no longer gives way under everyday pressure.
What sets this IncontiLase treatment apart is that it rebuilds structure instead of masking a symptom. There are no incisions, no mesh, no general anesthesia, and nothing to recover from. For women who want more than Kegels but aren’t ready for surgery, it occupies a genuinely useful middle ground.
What Your IncontiLase® Appointment at Rose MD Actually Looks Like
Your Consultation A physician reviews your history, listens to exactly when and how you leak, and confirms that what you’re dealing with is stress incontinence rather than another cause. You leave the conversation knowing whether IncontiLase is genuinely the right fit for you, and why.
The Treatment The laser is delivered internally through a specially designed handpiece in a visit that usually takes 15 to 30 minutes. There is no anesthesia and no numbing required, and most patients describe a mild, tolerable warmth rather than pain.
Your Recovery There is no downtime. Light spotting or a gentle warm sensation tends to settle within a few hours, and you can return to work, exercise, and the rest of your day immediately.
Your Results Many women notice an improvement after the very first session, with the fuller effect building over the following weeks as new collagen forms. Most plans involve two sessions about a month apart, and a brief once-a-year maintenance visit typically helps preserve the result.
Why Physician-Led IncontiLase® Produces a Different Outcome
At many med spas across Troy and the wider Detroit metro, intimate laser treatments are run by a technician following a fixed protocol, with a physician’s signature on file and little more. That arrangement does not exist at Rose MD, and for this treatment in particular it matters more than most people realize.
A leak is a symptom, not a diagnosis. It can stem from stress incontinence, an overactive bladder, overflow, a prolapse, or even an untreated infection, and IncontiLase is the right answer for only one of those. Sending a patient to the laser before sorting out which type she actually has is how people end up disappointed. Dr. Rose Natheer and Dr. Aiman Mahmood bring a combined 38 years of practice grounded in internal medicine and preventative care, which means your treatment starts with a real clinical assessment, not an intake form. For the women who drive in from Birmingham, Bloomfield Hills, and Rochester Hills, that physician judgment, applied before anything else, is consistently the reason they chose to begin their IncontiLase in Troy, MI here.
How IncontiLase® Fits Into the Bigger Picture at Rose MD
IncontiLase addresses the structural side of stress incontinence: the strength and support of the tissue holding up the bladder. But that tissue does not exist in isolation. Estrogen has a direct effect on the health and resilience of the vaginal wall, and for many women in perimenopause and beyond, thinning tissue is part of what allows a leak to develop in the first place. Where it’s relevant, the physicians may discuss how hormone optimization can support and reinforce your results over the long term.
None of this is a reflexive upsell. It is raised only when a physician genuinely believes a combined approach will produce a meaningfully better and more durable outcome for your specific situation. Just as often, the honest recommendation is that IncontiLase on its own is exactly what you need.
Serving Troy, MI and the Detroit Metro Area
Rose MD Aesthetics is located at 5877 Livernois Rd, Suite 105 in Troy, MI 48098, inside the Troy Corners Office Center. We welcome patients from Birmingham, Bloomfield Hills, Rochester Hills, Rochester, Royal Oak, and across the broader Detroit metro area.
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What our patients say
Frequently Asked Questions About IncontiLase® in Troy, MI
Is it normal to leak urine in your 40s?
It’s common, but common and normal aren’t the same thing, and it is not something you simply have to accept. Stress urinary incontinence affects roughly one in three women, and it often surfaces in the 40s as natural collagen production slows and pelvic support tissue that was strained by pregnancy or childbirth weakens further. The encouraging part is that because this is fundamentally a tissue-strength issue, it responds well to treatment, which is exactly what IncontiLase is built to address.
Is bladder leakage after childbirth permanent?
Not necessarily. Pregnancy and vaginal delivery stretch the pelvic floor and the tissue supporting the urethra, and for some women that resolves on its own within the months after birth. When it lingers well beyond that, it usually means the support structures haven’t fully regained their strength on their own, and a treatment that actively rebuilds collagen, rather than just managing the symptom day to day, can make a meaningful difference.
Why do I leak when jumping or running?
That specific pattern is the signature of stress urinary incontinence. Jumping, running, sneezing, or lifting all create a sudden spike in abdominal pressure that pushes down on the bladder, and if the tissue and sphincter support around the urethra isn’t strong enough to hold against that spike, a small amount of urine escapes. IncontiLase works by strengthening that exact support, so the pressure of a workout no longer forces a leak.
I've had two kids and now I leak when I laugh - what can a med spa do for this?
This is one of the most common stories we hear, and it has a straightforward explanation: two pregnancies have stretched the tissue supporting your bladder, and a good laugh briefly spikes the pressure on it. At Rose MD, a physician first confirms that what you’re experiencing is stress incontinence, then can treat it with IncontiLase, a non-surgical laser that prompts your body to rebuild collagen in the vaginal wall and restore the support that was lost. No surgery, no recovery time, and a treatment aimed at the actual cause rather than the symptom.
How can I fix a leaky bladder without surgery?
For mild to moderate stress incontinence there are several real non-surgical options: pelvic floor (Kegel) training, pelvic floor physical therapy, and energy-based treatments like IncontiLase. IncontiLase uses gentle, controlled laser heat to stimulate new collagen in the tissue supporting the urethra, tightening and strengthening it from the inside with no incisions, no mesh, and no downtime. For a lot of women it’s the appealing step between exercises alone and a surgical sling.
Is laser incontinence treatment safe?
IncontiLase has a strong safety profile. It is non-ablative, meaning it heats tissue to stimulate collagen without cutting or removing anything, and clinical studies of the treatment have reported no serious adverse events. The most common after-effects are mild and short-lived, typically a little warmth or light spotting that settles within hours. As with any medical treatment, the single biggest safety factor is who performs it, which is why every IncontiLase treatment at Rose MD starts with a physician confirming you’re a suitable candidate.
How many IncontiLase sessions do I need?
Most patients need two sessions spaced about a month apart for mild to moderate stress incontinence, though your physician may recommend a third depending on your symptoms and how your tissue responds. A single maintenance session roughly once a year usually helps preserve the result. Because IncontiLase cost is tied to how many sessions your treatment actually calls for rather than to a flat package, your physician will give you a clear, honest estimate at your consultation, and it’s worth knowing that IncontiLase is an elective treatment that is not covered by insurance.