Fotona SMOOTH® Gynecology Laser Treatments
Four non-surgical Fotona laser treatments for bladder leaks, vaginal looseness, prolapse and dryness. Doctor-led, 20 to 30 minutes, no cuts and no anaesthetic. Our program is back with a new doctor and medical team. Book your free consultation online, or join the priority list and our team calls you.
Women's health is back with a new doctor.
Our Fotona SMOOTH® program has relaunched with a new doctor and a new medical team. Prefer a call first? Leave your details and pick your concern. Our team calls you to book, and your first consultation is free ($150 value). No commitment. Ready now? Book online.
Pick the treatment for your symptoms.
Not sure which one fits? Read about each concern or ask our doctor at your free consult.
IntimaLase®
Laser Vaginal Tightening
For vaginal looseness after childbirth or with age. The laser firms the vaginal canal so you feel tighter and regain sensation.
IncontiLase®
Stress Urinary Incontinence Laser Treatment
For leaks when you cough, sneeze, laugh or work out. The laser firms the support under your bladder.
ProlapLase®
Er:YAG SMOOTH mode Laser Treatment of Pelvic Organ Prolapse
For mild pelvic organ prolapse, the heavy or bulging feeling in your vagina. The laser tightens the vaginal wall to give more support.
RenovaLase®
Vaginal Atrophy Laser Treatment
For dryness, itching, burning and painful sex after menopause. The laser restores moisture and thickness to the vaginal wall.
IntimaLase® Laser Vaginal Tightening
Childbirth and age stretch the vaginal canal. You notice it as looseness, less feeling during sex, or vaginal wind. IntimaLase® warms the vaginal wall with Fotona's Er:YAG laser in SMOOTH® mode. Collagen tightens and your body builds new collagen over the next weeks, so the canal firms up. No cuts, no anaesthetic and no downtime.
IncontiLase® Stress Urinary Incontinence Laser Treatment
Stress urinary incontinence is urine leaking when pressure hits your bladder: a cough, a sneeze, a laugh, a jump. IncontiLase® targets the front vaginal wall and the area around the urethral opening. The tissue firms and gives your bladder more support, so you leak less. Best for mild to moderate stress or mixed incontinence.
ProlapLase® Er:YAG SMOOTH mode Laser Treatment of Pelvic Organ Prolapse
Pelvic organ prolapse happens when the bladder, uterus or bowel drops and presses into the vagina. Fotona notes it affects almost 50% of women who have given birth, to some degree. You feel heaviness, pressure or a bulge. ProlapLase® uses gentle SMOOTH® mode heat to tighten the tissue and contract the vaginal canal. Best for mild prolapse. Our doctor refers you on if surgery is the better fit.
RenovaLase® Vaginal Atrophy Laser Treatment
Lower estrogen after menopause, while breastfeeding or after cancer treatment thins and dries the vaginal wall. You feel dryness, itching, burning or pain during sex. RenovaLase® warms the vaginal canal to boost blood flow and new collagen, so the tissue gets thicker and moister. A good option if you prefer to avoid long-term hormone creams.
Gentle laser heat rebuilds collagen.
All four treatments use Fotona's 2940 nm Er:YAG laser in SMOOTH® mode. The laser warms the vaginal tissue in short pulses without breaking the surface. Collagen tightens right away and your body keeps building new collagen for weeks. Each treatment targets a different area: the vaginal canal, the front wall under your bladder, or the whole canal for prolapse and atrophy.
Vaginal canal before (left) and after (right) IntimaLase®.
From first visit to feeling like yourself again.
Free consultation
Our doctor checks your fit
You talk through your symptoms, your births, menopause and your health history in a private room. Our doctor confirms what is causing your symptoms and tells you which treatment fits your plan.
Your SMOOTH® session
About 20 to 30 minutes
You lie back and our doctor places a slim, smooth laser speculum in your vagina. You feel gentle warmth. No needles, no cuts and no anaesthetic.
Right after
Back to your day
Most women go back to work the same day. Expect light discharge or spotting for a few days. Our doctor tells you how long to wait before sex and heavy workouts, usually about a week.
Your full course
2 to 3 sessions
Most women book 2 to 3 sessions about 4 to 6 weeks apart. Collagen keeps building for months, and a yearly touch-up helps you hold your results.
18 published studies on Er:YAG laser for women's health.
Newest first. These studies tested the same Er:YAG laser technology Fotona uses for IntimaLase®, IncontiLase®, ProlapLase® and RenovaLase®, including 4 randomized trials since 2024 that compared laser with a sham treatment (2 found laser worked better, 2 found no significant difference). You see the strong results and the trials where laser did no better, so you decide with the full picture. Tap any card to read the original.
IntimaLase® + IncontiLase® · Prospective study · 163 women · Fotona
Objective pelvic support and patient-reported outcomes after non-ablative vaginal Er:YAG laser therapy in women with pelvic floor dysfunction
Using Fotona IncontiLase® and IntimaLase® protocols, the vaginal opening narrowed from 3 cm to 2 cm and front and back wall prolapse scores improved after 2 sessions. No clinically relevant side effects.
Blanco-Ratto et al. · Healthcare · 2026
Find the study →RenovaLase® · Prospective study · 47 women · Fotona
Anatomical and patient-reported outcomes after non-ablative Er:YAG laser therapy for genitourinary syndrome of menopause
In postmenopausal women treated with a Fotona laser, the vaginal opening narrowed from 2.5 cm to 2.0 cm and stage 3 bladder prolapse dropped from 12.8% to 6.4% of women. Side effects were mild.
Kauffmann et al. · Healthcare · 2026
Find the study →IncontiLase® · Meta-analysis · 6 studies
Laser therapy for stress urinary incontinence in women: a systematic review and meta-analysis
Pooled across 3 randomized trials and 3 prospective studies, laser lowered ICIQ-UI SF leak scores by 2.15 points. Results varied widely between studies.
Alkhamis · International Journal of Community Medicine and Public Health · 2025
Find the study →IncontiLase® · Randomized sham-controlled trial · 144 women
Double-blind, randomized, sham-controlled trial of Er:YAG laser for stress urinary incontinence
Quality of life scores favoured laser at 6 weeks. At 6 months, leak outcomes were similar in the laser and sham groups.
Lee et al. · American Journal of Obstetrics & Gynecology · 2025
Find the study →IncontiLase® · Randomized controlled trial · 75 women
Vaginal laser treatment on stress urinary incontinence: a randomized controlled trial
Stress leak scores in the laser group dropped from 41.7 to 25.0 at 12 months. The difference from the sham group was not significant.
Yim et al. · International Urogynecology Journal · 2025
Find the study →IncontiLase® · Randomized sham-controlled trial · 79 women
Vaginal erbium laser for the treatment of mild-to-moderate stress urinary incontinence: a multicentre randomised sham-controlled trial
6 months after 3 sessions, 62.7% of the laser group were cured (pad test cut by at least half) versus 18.2% of the sham group. Leak and sexual function scores also improved with laser only.
Phillips et al. · BJOG · 2025
Find the study →IncontiLase® · Randomized controlled trial · 60 women
Vaginal erbium laser versus pelvic floor muscle training for stress urinary incontinence: a randomised controlled trial
Laser matched pelvic floor physio for symptom improvement at 4 months with fewer visits (4.25 versus 10.04). Full cure was rare in both groups and most women wanted more treatment by 24 months.
Page et al. · International Urogynecology Journal · 2025
Find the study →IntimaLase® · Comparative study · 242 women
Efficacy of transvaginal erbium laser treatment for vaginal relaxation and its impact on vaginal microenvironment indicators
At 3 months, 130 women treated with erbium laser had better pelvic floor strength, lower vaginal atrophy scores and more frequent orgasm than 112 women treated with estrogen. Side effects were fewer with laser.
Qi et al. · American Journal of Translational Research · 2025
Find the study →ProlapLase® · Retrospective study · 91 women
Non-ablative erbium laser treatment for women with diverse colorectal anal disorders associated with mild or moderate anatomic pelvic organ prolapse: a pilot study
Average prolapse stage (POP-Q) improved from 1.60 to 0.67. Bowel symptom scores (CRADI-14) dropped by about two thirds.
Pustotina et al. · European Gynecology and Obstetrics · 2024
Find the study →IncontiLase® · Randomized sham-controlled trial · 110 women
Vaginal erbium laser treatment for stress urinary incontinence: a multicenter randomized sham-controlled clinical trial
Treatment success at 6 months was 59% with laser versus 36% with sham, more than 3 times the odds. Quality of life and sexual function improved more with laser.
O'Reilly et al. · International Journal of Gynecology & Obstetrics · 2024
Find the study →IncontiLase® · Prospective study · 43 women · 3 sessions
Vaginal erbium laser for treatment of stress urinary incontinence: optimization of treatment regimen for a sustained long-term effect
Pad tests, voiding diaries and ICIQ-UI SF scores all improved. The effect faded by 18 months and came back with a single maintenance session every 6 months.
Gaspar et al. · Lasers in Medical Science · 2022
Find the study →IntimaLase® · Randomized placebo-controlled trial · 42 women
The efficacy of erbium-doped yttrium aluminum garnet (Er:YAG) laser in the treatment of decreased sexual sensation: a randomized, placebo-controlled trial
After 2 sessions, satisfaction with vaginal tightness and overall satisfaction rose in the laser group at 1 and 3 months, compared with placebo. The effect lasted about 3 months.
Sathaworawong et al. · Lasers in Medical Science · 2022
Find the study →IntimaLase® · Case series · 2.5 years of patients
Treating vaginal laxity using nonablative Er:YAG laser: a retrospective case series of patients from 2.5 years of clinical practice
92.7% of patients reported better sexual gratification. Independent reviewers saw a tighter vaginal opening in before and after photos for 20 of 29 women (69%). Side effects were rare.
Mitsuyuki et al. · Sexual Medicine · 2020
Find the study →ProlapLase® · Randomized controlled trial · 30 women
Can pelvic organ prolapse in postmenopausal women be treated with laser therapy?
Women with stage 2 or 3 prolapse who had chosen surgery had 3 monthly laser sessions or no treatment. Prolapse stage and symptoms did not improve and did not differ from the no-treatment group. No adverse events.
Athanasiou et al. · Climacteric · 2020
Find the study →IncontiLase® · Randomized controlled trial · 114 women
Non-ablative Er:YAG laser therapy effect on stress urinary incontinence related to quality of life and sexual function: a randomized controlled trial
Three months after one session, bladder leak scores (ICIQ-UI SF) and sexual function scores improved more in the laser group than in the sham group.
Blaganje et al. · European Journal of Obstetrics & Gynecology and Reproductive Biology · 2018
Find the study →IncontiLase® · Prospective study · 35 women
Vaginal erbium laser for stress urinary incontinence: 6-month results
Average pad weight fell from 14.0 g to 3.1 g six months after one session. Quality of life and sexual function scores also improved.
Tien et al. · International Urogynecology Journal · 2017
Find the study →RenovaLase® · Prospective study · 65 women
Short-term effect of vaginal erbium laser on the genitourinary syndrome of menopause
After 3 monthly sessions, vaginal dryness and pain during sex dropped and Vaginal Health Index scores rose (P<0.01). In the 21 women with stress leaks, leak scores also improved. Under 2% stopped because of side effects.
Gambacciani and Levancini · Minerva Ginecologica · 2015
Find the study →IntimaLase® · Pilot study · 30 women
Treatment of vaginal relaxation syndrome with an Erbium:YAG laser using 90° and 360° scanning scopes: a pilot study and short-term results
30 women who had given birth had 4 sessions. All showed tighter vaginal walls on a pressure test (perineometer) at 2 months. 76.6% of partners reported a tighter feel and 70% of women reported better sexual satisfaction. No adverse events.
Lee · Laser Therapy · 2014
Find the study →Results vary by person and number of sessions.
Questions women ask before booking.
About Fotona SMOOTH® treatments
What is Fotona SMOOTH® gynecology?
A group of non-surgical Fotona Er:YAG laser treatments for women's intimate health: IntimaLase® for vaginal laxity, IncontiLase® for stress urinary incontinence, ProlapLase® for pelvic organ prolapse and RenovaLase® for vaginal atrophy. All use the same gentle SMOOTH® mode heat with no cuts.
Which treatment is right for me?
It depends on your symptoms. Many women have more than one concern, for example leaks and looseness after childbirth. Our doctor examines you at the free consult and builds one plan, which sometimes combines two treatments in the same visit.
Is it painful?
Most women feel warmth and mild discomfort. No anaesthetic is needed. Tell our doctor during the session and the settings are adjusted.
Who performs the treatment?
Our new medical team, led by a doctor, performs every treatment in a private room at 1086 Hornby Street.
Does laser treatment work for bladder leaks?
Results vary. Several studies show fewer leaks and better quality of life after IncontiLase®-type treatment, including a 2018 randomized trial of 114 women. Two 2025 sham-controlled trials found improvement in the laser groups that was not significantly different from sham. Our doctor gives you an honest view of your odds at the free consult. See the 6 studies.
Your treatment
How long does a session take?
About 20 to 30 minutes. Plan for about 45 minutes at the clinic.
How many sessions do I need?
Most plans are 2 to 3 sessions about 4 to 6 weeks apart, then a yearly touch-up. Our doctor sets your plan at the consult.
Is there downtime?
Most women go back to work the same day. Expect light discharge or spotting for a few days. Skip sex and heavy workouts for about a week, or as our doctor advises.
Who should not have these treatments?
They are not done during pregnancy, with an active vaginal or urinary infection, or with undiagnosed bleeding. Our doctor checks your health history first.
Cost and booking
How much do Fotona SMOOTH® treatments cost in Vancouver?
Your price depends on your plan. Book a free consultation ($150 value) and our doctor gives you a clear quote before you pay for anything.
How do I book?
Book online any time or call 604-620-1772. We are open Monday to Saturday 10am to 7pm and Sunday 12pm to 4pm. You need 24 hours' notice to cancel or reschedule.
Meet our new doctor. Your consult is free.
Book online now, or join the priority list and our team calls you to find a time. Your first consultation is free ($150 value) and private, at 1086 Hornby Street.
More ways we treat your skin.
16 skin and body concerns we treat with Fotona laser in Vancouver. Swipe to find yours.
Dehydrated Skin
Restore glow to tired, dull skin
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Eyes
Soften crow's feet and eye bags
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Nasolabial Folds
Smooth smile lines, no fillers
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Lips
Fuller lips without fillers
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Unwanted Hair & Ingrown Hair
Smooth skin, fewer ingrown hairs
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Loose Skin
Tighten and firm face and body
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Stretch Marks
Fade marks, firm the skin
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Veins
Clear visible spider veins
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Stubborn Fat & Cellulite
Contour and firm, no surgery
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Acne & Acne Scars
Calm breakouts, soften scars
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Melasma
Even out dark patches
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Rosacea
Calm redness and flushing
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Toenail Fungus
Clear stubborn fungal nails
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Warts
Fast laser wart removal
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Chronic Muscle Pain
Laser therapy for chronic pain
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Women's Intimate Health
Leaks, laxity, prolapse and dryness
Learn more →