Expert care for women's urinary issues.

Mark Walterskirchen, M.D., FACS

CMH Urology Surgical Clinic

Mark J. Walterskirchen, M.D., FACS, is accepting new patients and the clinic accepts most major insurance plans including those for Mercy and CoxHealth. Call 417-326-2550 for more information.

Jesse Larbey, PA-C

CMH Urology Surgical Clinic

Help is possible. Dr. Mark Walterskirchen and Jesse Larbey, PA-C with CMH Urology Surgical Clinic in Bolivar are experts in treating patients with urological and overactive bladder issues.

Call 417-326-2550 for more information or to schedule an appointment.

Did you know there are effective treatment options for overactive bladder and female urinary incontinence?

Are you afraid to cough, sneeze or exercise because of urine leakage? Do you use the bathroom a lot, day and night, because you have an urgent need to pee?

You are not alone. In fact over 25 million adult Americans have urinary incontinence and women are twice as likely to have it as men.

4 Types of Incontinence

According to the American Urological Association, women can experience four types of urinary incontinence:

1. Stress urinary incontinence. This can happen when physical pressure is put on your bladder, such as when you sneeze or exercise.
2. Urgency urinary incontinence. Also called Overactive Bladder, this can happen when you feel a strong need to urinate and you leak urine on the way to the bathroom.
3. Mixed incontinence. This is when you have both types of incontinence.
4. Overflow incontinence. This can happen when your body makes more urine than the bladder can hold or the bladder is full and your bladder muscle may not “squeeze” like it should. Another symptom is constant dribbling.

There is Help

You don't have to live with leaks. Effective treatments are available.

• Medications. Several medications are available to treat stress and urgency incontinence such as oxybutynin and myrbetriq.
• Surgery. A simple surgical procedure where medication is injected into bladder neck or bladder muscle may help, including Coaptite® and Botox® injections. Synthetic mesh slings can be inserted to provide support for your urethra (the tube you urinate through). In the right patient then can be 85% successful.
• Implants. InterStim™ therapy uses an implantable device into your tailbone, like a pacemaker for your bladder, as an effective treatment for urinary incontinence and overactive bladder.

NEW! CMH Urology Surgical Clinic now offers patients Pro-Nox™ Nitrous Oxide Delivery System for in-office urologic procedures including Botox® bladder therapy or any procedure with pain and anxiety.