How many treatments will I need?

MonaLisa Touch® Noticeable results occur after only 1 session but to be fully effective a series of 3 sessions are necessary. Some patients may require 4-5 treatments depending on the severity of their condition. Each treatment session is 30 minutes and scheduled 6 weeks apart. Maintenance includes an annual MonaLisa Touch ® up. As the aging process continues symptoms will gradually return. An annual touch up will protect your initial investment by avoiding repeating all 3 treatments. Individual results may vary. O-Shot Many women achieve significant improvement with just one O-Shot treatment. However, depending on the severity of your incontinence and your response to the initial procedure, we may recommend a second treatment after 8-12 weeks for optimal results. Annual maintenance treatments can help preserve the benefits long-term.

Stress Incontinence Bellevue - Bladder Control Solutions Seattle

Q: Are there any side effects or downtime?

MonaLisa Touch® Most women experience very little downtime after MonaLisa Touch®. Mild redness, swelling, or a light “sunburn-like” sensation can occur for a short time, but these effects usually fade quickly. Providers often recommend avoiding intercourse for a few days while the tissue settles. Overall, the treatment is well-tolerated, and most patients return to normal daily activities right away. O-Shot The O-Shot has an excellent safety profile since it uses your body’s own natural growth factors. Temporary side effects may include mild swelling or sensitivity at the injection sites, which typically resolves within a day or two. There is no downtime—you can return to normal activities immediately after the procedure.

Regain Control and Confidence

Innovative non-surgical therapies to reduce bladder leakage and strengthen pelvic support without medication, surgery, or downtime.

The Benefits of Treating Stress Incontinence

Stress urinary incontinence can significantly impact your quality of life, limiting activities and causing embarrassment or anxiety. At Pacific Clinic in Bellevue, our non-surgical approach addresses the underlying causes of bladder leakage with numerous benefits:

Reduced leakage when coughing, sneezing, or exercising

Improved bladder control during daily activities

Enhanced pelvic floor strength and support

No surgery or medication side effects

No downtime

Long-lasting results

Greater confidence in social and intimate settings

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What is Stress Incontinence?

Stress urinary incontinence (SUI) is the involuntary leakage of urine during physical activities that put pressure on the bladder. This common condition affects many women, particularly after childbirth or during menopause, though it can occur at any age.

Stress incontinence happens when the pelvic floor muscles and tissues that support the bladder and urethra become weakened. This weakness allows urine to leak when pressure is placed on the bladder during everyday activities such as:

Coughing or sneezing

Laughing heartily

Exercising (especially running or jumping)

Lifting heavy objects

Standing up from a seated position

While stress incontinence is common, it isn’t something you have to accept as an inevitable part of aging or motherhood. Modern, non-surgical treatments can significantly improve or resolve these symptoms, allowing you to live confidently without the worry of unexpected leakage.

Our Stress Incontinence Solutions

MonaLisa Touch® for Bladder Support

If you’re struggling with laxity, vaginal dryness, pain during intimacy, or frequent UTIs and want relief without hormones or surgery, the MonaLisa Touch® is the solution you are looking for.

This gentle, in-office laser treatment stimulates collagen and blood flow, improving tissue health, hydration, and function without the use of hormones.

In fact, the MonaLisa Touch® is a breakthrough laser treatment designed to restore vaginal health and function by stimulating collagen production within the vaginal tissues. It is a minimally invasive therapy that uses fractional CO₂ laser energy to safely stimulate collagen production and restore the vaginal tissue. The procedure feels similar to a routine gynecological exam and takes less than 5 minutes. Most patients report no pain — only a mild vibration.

The result? A thicker, more hydrated, more elastic vaginal wall — leading to improved comfort, confidence, and quality of life.The result? A thicker, more hydrated, more elastic vaginal wall — leading to improved comfort, confidence, and quality of life.

Why Women Choose MonaLisa Touch®:

Hormone-free & non-surgical

Painless, 5-minute in-office procedure

Enhances elasticity and circulation

Increases hydration and reduces vaginal dryness

Reduced discomfort during intercourse

Results typically last 1-2 years

Greater sexual satisfaction

Who Can Benefit from the MonaLisa Touch®?

MonaLisa Touch® is ideal for women experiencing:

Dryness or irritation

Pain or discomfort during intimacy

Recurrent UTIs, bladder infections

Mild urinary incontinence

Post-menopausal changes or estrogen loss

Laxity after childbirth

Many women choose MonaLisa Touch® because they want results without hormones like estrogen or systemic HRT. Whether you’re experiencing dryness, irritation, or mild urinary incontinence, MonaLisa Touch® offers an effective solution with long-lasting results.

The O-Shot® for Bladder Support

How the O-Shot® Works for Incontinence: The procedure begins with drawing a small amount of your blood, similar to a routine blood test. This blood is processed in a centrifuge to concentrate the growth factor. After applying a topical anesthetic to ensure your comfort, this concentration of growth factors is precisely injected into specific areas of the vaginal tissue that support the urethra and bladder. Our clinic uses the current top of the line kit to process your blood & achieve the highest quality & concentration of growth factors.

The O-Shot® is a revolutionary non-surgical procedure that uses naturally occurring growth factors derived from your own blood to strengthen the tissues that support the urethra and bladder. While widely known for its benefits to sexual function, the O-Shot® has proven remarkably effective for treating stress incontinence by stimulating tissue regeneration and improved muscle function in the pelvic region.

The growth factors and bioactive proteins stimulate:

Tissue regeneration and strengthening

Increased collagen production

Improved blood flow to the treated areas

Enhanced muscle tone and function

Restoration of urethral support

Key Benefits of the O-Shot® for Stress Incontinence:

Non-surgical solution with no downtime

Uses your body’s natural healing mechanisms

May provide both immediate and progressive improvement

Addresses the underlying cause of leakage

Single treatment often provides significant relief

Results typically last 1-2 years

May simultaneously improve sexual function

Comprehensive Bladder Support Approach

At Pacific Clinic, we understand that stress incontinence can be caused by multiple factors. Our physicians take a holistic approach to your treatment, which may include:

Thorough assessment of your specific symptoms and triggers

Customized MonaLisa Touch® or O-Shot® treatment based on your unique anatomy

Follow-up care to ensure optimal results

Integration with other treatments if needed

This comprehensive approach ensures that we address not just the symptoms but the underlying causes of your stress incontinence for the best possible outcome.

The Treatment Process

1. Confidential Consultation

Your journey begins with a private consultation with one of our physicians (female physician available upon request). In a comfortable, judgment-free setting, you’ll discuss your symptoms, medical history, and how incontinence is affecting your life. Our physicians will explain the MonaLisa Touch & O-Shot procedure, expected results, and answer your questions.

2. Preparation for Treatment

MonaLisa Touch® requires minimal preparation. You’ll need to arrive with clean, dry skin in the treatment area and avoid using creams or lubricants beforehand. Your provider may also suggest pausing intercourse for a short period before your appointment so the tissue is calm and comfortable.

On the day of your O-Shot® procedure, we begin by drawing a small sample of your blood. While this sample is being processed to concentrate naturally occurring growth factors, a topical anesthetic cream is applied to ensure your comfort. For patients who experience anxiety about medical procedures, we offer Nitronox (medical nitrous oxide) to make the experience more relaxing.

3. The Procedure

During a MonaLisa Touch® session, the device delivers quick, gentle pulses of CO₂ energy, and most women describe the sensation as mild. The appointment is usually brief, and you can continue your day right after.

The O-Shot® procedure itself is quick, typically taking only about 30 minutes. Our physicians will carefully administer the growth factors using a very fine needle. Most patients describe feeling only mild pressure or minimal discomfort during the procedure.

4. Recovery and Results

After the procedure, you can return to normal activities immediately—there’s no downtime required. Most women notice improvements in bladder control within days of treatment. With the O-Shot®, the regenerative benefits continue to develop over several weeks as the growth factors stimulate tissue regeneration and enhanced muscle function.

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Common Causes of Stress Incontinence

Understanding the factors that contribute to stress incontinence can help you make informed decisions about treatment.

Common causes include several underlying issues that weaken supportive tissues. The MonaLisa Touch and/or O-Shot treatment at Pacific Clinic addresses these causes by strengthening and regenerating the supportive tissues, rather than merely masking the symptoms.

Pregnancy and Childbirth

Pregnancy puts pressure on pelvic floor muscles, and vaginal delivery can stretch or damage these muscles and supportive tissues. Many women experience temporary incontinence after childbirth, but for some, these issues persist if the tissues don’t fully recover their strength.

Menopause and Hormonal Changes

Decreasing estrogen levels during menopause can lead to thinning and weakening of the urethral tissues, contributing to stress incontinence. These hormonal changes can affect the strength and elasticity of the pelvic floor.

Aging

As we age, the muscles in the pelvic floor naturally lose some of their strength and elasticity, potentially leading to reduced bladder support and control.

Pelvic Surgery

Certain surgeries, such as hysterectomy, can sometimes affect the supporting structures of the bladder and urethra, contributing to incontinence in some women.

High-Impact Activities

Over time, repetitive high-impact activities like running or heavy lifting can put strain on the pelvic floor, potentially weakening the supportive tissues.

Weight Gain

Excess weight puts additional pressure on the bladder and surrounding muscles, which can exacerbate incontinence issues.

What Our Patients Say

Frequently Asked Questions

It’s generally used for mild stress or urgency-related leakage rather than severe cases. Women whose symptoms are tied to menopause-related tissue changes often benefit the most. While it may not replace other treatments for more advanced leakage, it can still support overall comfort and tissue health. A full evaluation helps determine whether your symptoms fall within the range that typically responds well.

Patient comfort is our priority. We use topical anesthetic cream and offer Nitronox (medical nitrous oxide) to ensure a comfortable experience. Most patients report minimal discomfort—typically just a mild pressure sensation during the injections. The procedure is quick, usually completed in about 30 minutes, and performed by our physicians with care and precision.

Many women notice improvements in bladder control within days of treatment. However, the full regenerative benefits develop over several weeks as the growth factors stimulate tissue regeneration and enhanced muscle function. Some patients experience continued improvement for up to 3-4 months after the procedure. Results typically last 1-2 years, though this varies based on individual factors.

MonaLisa Touch®

Noticeable results occur after only 1 session but to be fully effective a series of 3 sessions are necessary. Some patients may require 4-5 treatments depending on the severity of their condition. Each treatment session is 30 minutes and scheduled 6 weeks apart.
Maintenance includes an annual MonaLisa Touch® up. As the aging process continues symptoms will gradually return. An annual touch up will protect your initial investment by avoiding repeating all 3 treatments. Individual results may vary.

O-Shot

Many women achieve significant improvement with just one O-Shot treatment. However, depending on the severity of your incontinence and your response to the initial procedure, we may recommend a second treatment after 8-12 weeks for optimal results. Annual maintenance treatments can help preserve the benefits long-term.

Most insurance plans currently do not cover the MonaLisa Touch® or O-Shot procedure, as they are considered elective treatments. However, we offer various payment options, including CareCredit financing with special terms, to make this treatment accessible. Our team will discuss all costs and payment options during your consultation.

MonaLisa Touch®

Most women experience very little downtime after MonaLisa Touch®. Mild redness, swelling, or a light “sunburn-like” sensation can occur for a short time, but these effects usually fade quickly. Providers often recommend avoiding intercourse for a few days while the tissue settles. Overall, the treatment is well-tolerated, and most patients return to normal daily activities right away.

O-Shot

The O-Shot has an excellent safety profile since it uses your body’s own natural growth factors. Temporary side effects may include mild swelling or sensitivity at the injection sites, which typically resolves within a day or two. There is no downtime—you can return to normal activities immediately after the procedure.

Some women who didn’t gain enough relief from exercises alone notice improvement after adding MonaLisa Touch®. If thinning or dryness is contributing to your symptoms, better tissue hydration and support can make a meaningful difference. This may create a stronger foundation for pelvic floor work to be more effective. Your provider can evaluate whether this combination fits your situation.

Take Control of Your Bladder Health Today

Don’t let stress incontinence limit your activities or dampen your confidence. At Pacific Clinic in Bellevue, our physician-led, non-surgical approach offers a path to improved bladder control and peace of mind. Our physicians provide compassionate, discreet care in a comfortable environment where your concerns are taken seriously.

Schedule a Consultation

Stress Incontinence in Bellevue