An erbium laser that we use to improve urinary incontinence, as well as the symptoms of urgency and frequency. Laser energy is delivered to the vaginal mucosa in the smooth setting to help increase support of the bladder neck. Also when combined with Intimalase allows treatment and rejuvenation of vaginal walls for improved intimacy. Three 15 minute in office treatments are performed 4 weeks apart. Again yearly maintenance may be required.