Female Incontinence Treatment in Asheville, NC

Treat Incontinence with a Board-Certified Urologist

Eliminate or dramatically reduce urine leaks from coughing, laughing, exercise, etc.







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Alleviate Stress Urinary Incontinence

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.  As a board certified urologist, Dr. Ibrahim has over 25 years experience treating problems such as urinary incontinence. Multiple treatment options are available to reduce, if not eliminate, pesky leaks.

Some treatment options include:

Why Choose Dr. Ibrahim for Urinary incontinence?

Dr. Ibrahim is the only urologist who is certified to do the O-shot and who has the Juliet™ laser! You can’t get better treatment for incontinence anywhere in the Western NC area. 

The O-Shot® procedure is an in-office, non-surgical procedure that uses the growth factors each woman has in her own body to stimulate vaginal and clitoral rejuvenation. Utilizing your own growth factors in a specific way, The O-Shot® rejuvenates the vagina to enhance your sexual experience, and also mitigates stress incontinence.

The O-Shot® procedure works! To date, hundreds of women have experienced its benefits. While results vary from patient to patient, each one has reported some level of increased function and sensation- many cite significant increases.

All-natural and virtually painless, The O-Shot® procedure cultivates a woman’s own healing agents (called Platelet Rich Plasma) and applies them to specific areas such as the G-spot and clitoris.

Once injected, the platelets immediately activate and begin rejuvenating and revitalizing vaginal and clitoral function. This results in increased sensitivity and improved overall sexual response, almost immediately! Full results may take up to three months to fully manifest.

The Juliet Feminine Laser™ can be used to treat a number of symptoms including vaginal atrophy and dryness, vaginal relaxation syndrome, but also Stress Urinary Incontinence. It too is an in-office procedure that can even take place during your lunch break if you’re strapped on time.  The treatment requires no anesthesia and is non-invasive. A probe is inserted into the vagina that administers thermal heat to the deep submucosal layers of the vaginal wall. This solution works to increase collagen growth and blood flow, hydrating the vagina and returning it to its youthful state without using hormones or lubricants.

Here is a short video that addresses how the O-Shot can help incontinence


  • Eliminate or dramatically reduce urine leaks from coughing, laughing, exercise, etc
  • Enhanced orgasmic response, lubrication

Why do this at Biltmore Restorative Medicine and Aesthetics?

  • Only urologist between NYC and Miami who is certified in the “O Shot” Platelet Rich Plasma therapy, and owner of a Juliet Vaginal Rejuvenation Laser
  • Only physician in WNC allowed to certify other providers in this procedure
  • Decades of Duke surgical experience in female incontinence

How is it done:

  • Platelets from your own blood are concentrated-Platelet Rich Plasma (PRP) and placed around the urethra, painlessly! Dr. Ibrahim has 30 years of experience!
  • Laser energy is applied around the urethra to stimulate and strength the tissues in this area
  • Combining the laser with the O-Shot produces the most effective result!

How long until results noticeable?

  • Most women report immediate results!
  • Some may need a few weeks for the body’s tissue regeneration process to fully activate

How long will it last?---

  • Some report the results last a lifetime
  • Most will do a maintenance treatment yearly

Is it painful?-

  • No, most report no pain and at most minimal and brief discomfort

What is the downtime?

  • Minimal

What does it cost?

  • Investments start around $1,600
  • Most patients combine treatments for better and longer lasting results
  • What is the value of not leaking urine at any moment?
  • Not being embarrassed by those leaks is priceless!

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Why Choose Dr. Ibrahim?

Dr. George Ibrahim is the go-to doctor for the most effective non-invasive, aesthetic procedures on the planet.

He specializes in hormone balancing, anti-aging, and sexual health.

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