CMH Urology Surgical Clinic staff diagnose and treat patients with a wide range of urologic conditions and male reproductive issues.

Watch these videos to learn more about common urinary issues from CMH's board certified urologist, Mark Walterskirchen, M.D.

We know you’d rather live with it than talk about urinary issues. If it’s starting to interfere with your quality of life, it might be time to see a specialist.

Benign Prostatic Hyperplasia

Do you have frustrating urinary problems like a frequent and urgent need to urinate, especially at night? Trouble starting a urine stream or feel like you have to urinate even after you just did?

Benign prostatic hyperplasia (BPH) is a common condition in which an enlarged prostate gland causes problems with the urinary tract. In fact, about 50% of men have symptoms of BPH by age 60, and about 90% have symptoms by age 85.

How severe are your symptoms? Take the BPH symptom questionnaire and find out. Note: Your score is not meant to provide medical advice or replace your doctor's expert opinion and care.

Relief is possible for BPH and other male urological conditions. Learn more about available treatment options by calling 417-326-2550 and scheduling an appointment at CMH Urology Surgical Clinic in Bolivar. The providers are experts in treating patients with urological issues and are accepting new patients.

Erectile Dysfunction

Erectile dysfunction can have many causes, including medical conditions or medications, and has several treatment options available.

Traditional treatments are medications such as Viagra® or Cialis®, a vacuum device or injection therapy. Penile prosthesis implant is an outpatient surgical procedure that takes about an hour and has a four- to six-week recovery period. Patient satisfaction is about 85%.

Urinary Incontinence

As many as 15% of men suffer from urinary incontinence. But you don't have to live with it. Treatment options include behavioral techniques, medications, medical devices, surgery and other interventions.

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:

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

Incontinence Treatments

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

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

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