Stress urinary incontinence occurs when an activity, such as coughing or sneezing, causes a small amount of urine to leak from the urethra. Stress incontinence is most commonly suffered by women who have given birth, but it is also a natural result of aging.

We offer two treatment options to alleviate stress urinary incontinence: O-Shot Treatment and the Juliet Feminine LaserTreatment

As a board certified urologist, Dr. Ibrahim has over 25 years experience treating problems such as urinary incontinence. He is the only physician in Western North Carolina who is now doing this procedure using the patient’s own growth factors. The results have been truly stunning!


The Juliet Feminine Laser is a groundbreaking medical procedure to treat the symptoms of vaginal atrophy and dryness, vaginal relaxation syndrome (VRS), and stress urinary incontinence. The procedure is a fast, painless, hormone-free (no HRT) treatment to improve gynecological health and is beneficial for women of different ages and with different experiences related to sexuality and intimacy. This treatment has proven to be more powerful than competitors, as the laser encourages blood flow and improves the mucosa on vaginal walls by reaching the deep submucosal layers, thereby increasing hydration and function. No other feminine laser can claim such efficacy.

What Women Tell Us After Having the O-Shot Treatment

Although each woman’s experience can be different, here’s a list of some of the things our patients have told us they experience after having the O-Shot Treatment and rejuvenating the Orgasm System.

  • Decreased urinary incontinence
  • Greater arousal from clitoral stimulation
  • Younger, smoother skin of the vulva (lips of the vagina)
  • A tighter introitus (vaginal opening)
  • Stronger orgasms
  • More frequent orgasms
  • Increased sexual desire
  • Increased ability to have a vaginal orgasm
  • Decreased pain for those with dyspareunia (painful intercourse)
  • Increased natural lubrication
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