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Center for Vaginal Surgery and Urogynecology

Urogynecologists located in St. Louis, MO

Urinary incontinence can be annoying, frustrating, and even life-altering. It can control your daily activity and keep you from doing the activities you love. At Center for Vaginal Surgery and Urogynecology in St. Louis, Dionysios Veronikis, MD, is an expert urogynecologist who offers evaluation and treatment for your condition. Call the office or schedule an appointment online to learn how to find relief from urinary incontinence.

Incontinence Q & A

What is urinary incontinence?

If you unintentionally leak urine, that’s incontinence. Incontinence can be temporary, sometimes as a result of bladder stimulation from alcohol or caffeine, but it can also be chronic. 

Incontinence that benefits from treatment includes:

  • Stress incontinence: leakage that occurs with pressure, such as coughing or laughing
  • Urge incontinence: a sudden, involuntary loss of urine
  • Overflow incontinence: frequent dribbling due to a bladder that hasn’t emptied completely

As a result of urinary incontinence, you may get frequent urinary tract infections, a disrupted social or work life, and irritation of the tissue around your genitals.

Why does incontinence develop?

Women’s pelvic floor muscles weaken due to aging and childbirth. As you get older, the decreased production of estrogen that occurs with menopause or after a hysterectomy often causes incontinence. Obesity or injury to the pelvic floor in an accident can also be to blame.

How is urinary incontinence treated?

Sometimes exercises, such as kegels, and dietary changes, such as reducing caffeine, can alleviate mild symptoms of incontinence. But, sometimes, lifestyle changes are not enough.  We have a variety of treatment options available to you.  


Depending on the type of incontinence that you have, there are various medications that can help bladder control.  A few medications are found over the counter but most are prescription strength.

Sacral neural stimulation

This reversible treatment uses a small device to send electrical impulses to nerves in your lower back. These sacral nerves are responsible for the muscles and organs that control the bladder, sphincter, and pelvic floor muscles – all of which are intrinsic in bladder control. The electrical stimulation often successfully eliminates or reduces bladder control problems in many women.


Botox®, the well-known wrinkle reducer, is also an effective treatment for incontinence. It temporarily helps with urinary incontinence by decreasing the muscular contractions of the bladder when injected into key areas. Botox is effective if you have an overactive bladder or bladder irregularities due to neurological disease or injury.


Some women benefit from the insertion of a removable device called a pessary that pushes up against the vagina and urethra. This supports your pelvic floor muscles and alleviates the symptoms of stress incontinence.

Surgical procedures

Other surgical procedures are helpful in treating urinary incontinence. These include sling procedures, in which a mesh-like piece of tissue (sometimes derived from your own body) is inserted to hold your bladder in place.

If you’re affected by leaking urine, don’t hesitate to call the Center for Urogynecology and Pelvic Reconstructive Surgery or book an appointment online.