There’s help for incontinence

There are 4 types of urinary incontinence that are most common in women:

  • Stress urinary incontinence (SUI): Leakage of urine during physical activity such as coughing, sneezing, laughing and exercise.
  • Urge incontinence: Experiencing a strong, intense urge to urinate, followed by leakage of urine. This can occur even after just going to the bathroom.
  • Mixed incontinence: When women have symptoms of both stress and urge incontinence.
  • Overflow incontinence: Leakage occurs because the bladder never completely empties.

What causes SUI?

SUI affects women of all ages – young mothers, women in menopause, and senior citizens. It is important for you to know that SUI is not an inevitable part of aging. It can be related to a number of factors:

  • Pregnancy and natural childbirth: Pregnancy and natural childbirth put some degree of stress on a woman’s pelvic muscles and ligaments, and the impact of this stress may become more evident with aging, sometimes resulting in the condition of SUI.
  • Strenuous activity or exercise: Vigorous exercise or any form of physical straining can put additional stress on the pelvic area, resulting in SUI if the pelvic and urethral muscles are already somewhat weakened.
  • Menopause hormone changes: As a woman’s hormone balance changes through the various stages of menopause, this can lead to a weakening of the muscles that control urine leakage.
  • Prior gynecologic surgeries: Certain types of gynecologic surgery may have an effect on the overall strength of pelvic and urethral muscles, leading to a woman having difficulty holding urine when pelvic muscles are strained or stressed.

What Treatment Options are Available?

Treatment for SUI is determined by a number of factors, including the severity of the incontinence you suffer from and your general state of health.  Your doctor’s goal is to determine which treatment approach is best suited to your specific condition.

  • Muscle Retraining/Behavioral Therapy – A series of exercises is sometimes used to help strengthen and learn to control the muscles involved in urination.
  • Medication – In most cases, SUI is not effectively treated with medication. This option is usually reserved for other types of incontinence.
  • Bulking Agents – This involves the injection of a “bulking” agent (such as collagen) into urethral tissues to maintain closure of the urethra and, thereby preventing accidental leakage. This can be effective for those who are not good candidates for surgery.
  • Surgery – Surgery is performed to help restore the body’s natural functioning of the urinary tract. Many of today’s surgical procedures are minimally invasive and offer reliable, lasting results with few complications.


We're located at: 715 Horizon Drive, Suite #200, Grand Junction, CO 81506
Monday – Thursday 8:30am – 5:00pm* *We close from noon to 1pm Monday – Thursday Friday 8:30am – 2:00pm If you are going into labor or experiencing an emergency after-hours, call 970.242.2429. Our answering service will call the doctor on duty to alert him of your emergency. If you think you’re in labor, please go directly to St. Mary’s Hospital Labor & Delivery unit and they will contact your physician for you.
Call us at 970.242.2429. If it's after-hours, our answering service will call the doctor on duty to alert him of your emergency. Or, go directly to St. Mary’s Hospital Labor & Delivery unit and they will contact your physician for you. Good luck!
We offer a broad range of OB/GYN services, including: Advanced surgical treatments Contraception Counseling Hormone Replacement Therapy (HRT) Treatment of gynecological problems, including incontinence and pelvic pain Ultrasounds in-office Well-woman checks


Monday – Thursday | 8:30am - 5:00pm
Friday | 8:30am - 2:00pm
Weekends | Closed


What is Pelvic Organ Prolapse?

The vagina and its surrounding structures (bladder, rectum, etc.) are attached to the pelvis by connective tissues. These tissues help form walls around the vagina, and ensure that normal urinary voiding and bowel movements can occur. As the pelvic muscles become weak the connective tissues can fail, allowing pelvic structures like the bladder or rectum to bulge into the vaginal wall. This can cause the following symptoms:

  • A feeling of vaginal fullness, heaviness, or even pain
  • Pain or discomfort during intercourse
  • Loss of bladder and/or bowel control
  • Involuntary urination or inconsistent urinary stream
  • Difficulty with bowel movements
  • Recurrent urinary or bladder infections

What causes pelvic organ prolapse?

Pelvic muscles and connective tissues which have been weakened with age are the primary cause, but many other factors may play a role. These may include vaginal childbirth, previous vaginal surgeries, menopause, smoking, diabetes, obesity, repeated heavy lifting, chronic coughing, and chronic constipation. Sometimes pelvic organ prolapse can be caused simply by aging or genetic factors.

What are the different types of pelvic organ prolapse?

When vaginal prolapse occurs, an organ has dropped out of its normal position and can sometimes even protrude from the vagina. The definition of pelvic organ prolapse is different depending on which organ has prolapsed, and it is common to have more than one type of prolapse at a given time.

incontinence -normal-pelvic-anatomy

Cystocele (pronounced “sis’tO-sël”)

A cystocele is a hernia of the bladder into the vagina. As the connective tissue in the front wall (sometimes referred to as the roof) of the vagina fails, its attachment to the pelvis may be lost, allowing the bladder to drop into the vagina. This is the most common form of pelvic organ prolapse, and is often called a “dropped bladder”.

incontinence -cystocele-prolapse

Enterocele (pronounced “eWtër-o-sêl”)

An enterocele is a prolapse of the small bowel, which pushes the back of the vagina towards the opening. Find more information about women’s services here.

incontinence -enterocele-prolapse

Rectocele (pronounced “rek’tô-seI”)

A rectocele is a hernia of the rectum into the vagina. Similar to the cystocele, when the connective tissue in the rear wall (the floor) of the vagina fails, the rectum can then bulge into, or even out of, the vagina. As the rectum bulges upward, this can cause difficulty or pain during bowel movements.

incontinence -rectocele-prolapse

Uterine Prolapse

For women who still have a uterus, the support structures holding the uterus in place can also be compromised, allowing the uterus to distend down into the vagina. This is called uterine prolapse.

incontinence-uterine prolapse

If you need help with incontinence issues, call us at Grand Mesa Women’s Health Care to get you on the road to recovery.

Vaginal Vault Prolapse

In women who have had a hysterectomy and no longer have a uterus, the natural support structures in the vagina provided by the uterus no longer exist. The top portion of the vagina can then push down into the lower vagina, causing vaginal vault prolapse.

incontinence -vaginal-vault- prolapse

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