• Persistence Pays off When it Comes to Jane Humble's Health
    Persistence Pays off When it Comes to Jane Humble's Health

    Jane Humble of Fremont has rarely been sick, so when she came down with a bug that kept her in bed for a month, her family knew it was serious. “I went t…

    Continue Reading
  • Making the Switch to MHP was Perfect Choice For Stice Family
    Making the Switch to MHP was Perfect Choice For Stice Family

    When Sarah and John Stice of Ottumwa found out they were pregnant with their first child, the obvious choice for obstetrical care was local. “We originally b…

    Continue Reading
  • BJ Bowie Appreciated Faster Recovery Time After Robotic Hernia Repair
    BJ Bowie Appreciated Faster Recovery Time After Robotic Hernia Repair

    When BJ Bowie needed a hernia repaired, there was no question where he wanted to go for care. He didn’t realize the surgery could be done robotically; h…

    Continue Reading
  • Dean Strawn Credits MHP Physical Therapy for Getting Him Back on His Feet
    Dean Strawn Credits MHP Physical Therapy for Getting Him Back on His Feet

    D is for Determination! Without it, Dean Strawn and his wife, Jane, along with his Physical Therapists at MHP, say he wouldn’t be walking, talking and m…

    Continue Reading
  • Larry Spoelstra Gets to the Bottom of Health Concerns with Collaborative Care at MHP
    Larry Spoelstra Gets to the Bottom of Health Concerns with Collaborative Care at MHP

    When it comes to healthcare, being able to continue working without interruption is a common concern for many, Larry Spoelstra is no different. “I’ve liv…

    Continue Reading

Provider Focus

JohannesHD2016SmallTonya Johannes, ARNP-BC

Tonya Johannes, ARNP-BC, is a Family Nurse Practitioner at MHP who treats patients of all ages and has a special interest in skin care. 

Read More


Take the Community Health Needs Assessment

WebHomepageImageNov2016

Latest News & Events

08 December 2016
When it comes to your diet, you’re always looking for the best way to squeeze in those good for you items, right? We all want to be healthy and mindful of what we put into our bodies, but sometimes there are nutritional gaps due to our body’s inability to absorb certain nutrients or a personal disdain for vegetables on the dinner table.Whatever your reasons, it may be time for a check-up in the nutritional department. Family Practice Physician Va...
01 December 2016
Whether you’re a woman in need of her yearly mammogram or bringing your child in for an X-ray of a possible broken bone, radiation can be a concern. Do you know what radiation really is?MHP Director of Radiology does! In fact, her entire department would be lost without it! Radiation is used in various medical imaging tests to help determine the best treatment option for patients without extreme measures such as exploratory surgery. The ionizing ...

Urinary Incontinence

Mahaska Health Partnership OB/GYN Educates on Urinary Incontinence

In his medical practice, Mahaska Health Partnership OB/GYN Specialist Dr. Jeffrey Fowler educates women on urinary incontinence.

“Adult women often suffer from symptoms of urinary incontinence which may happen without warning and can become worse as they become older,” Dr. Fowler said.

According to the US Department of Health and Human Services, urinary incontinence, also known as loss of bladder control, is when urine leaks out before you can get to the bathroom.

“Millions of women lose a few drops of urine when they laugh or cough,” Dr. Fowler explained. “Others may feel a sudden urge to urinate and can’t control it. This is caused by problems with the muscles and nerves that help hold or pass urine.”

Urinary incontinence is more common in women and is often caused by pregnancy, childbirth and menopause. “When a woman is pregnant, the baby puts a great deal of pressure on the bladder and pelvic floor muscles,” Dr. Fowler described. “Childbirth can further weaken the muscles of the pelvis making it harder for women to control leaking of urine.”

There are many types of urinary incontinence, including stress incontinence which causes loss of urine with pressure such as when you cough, sneeze or during exercise. Urge incontinence is the sudden, intense urge to urinate while overflow incontinence results in frequent dribbles and an inability to empty your bladder.

Dr. Fowler says that regardless of the type of incontinence a person suffers from, there are treatments available. Urinary incontinence is not a disease but a symptom which can often be treated by modifying your behavior.

“After more serious medical conditions are ruled out, urinary incontinence can be treated through bladder training, fluid and diet management, physical therapy, medication and other interventions. In some cases, surgical procedures are needed to correct certain incontinence conditions,” Dr. Fowler explained.

“A constant need to use the bathroom can have a big impact on the choices a person makes. A person shouldn’t miss out on every day activities with friends and family over this treatable issue.”

Dr. Fowler is an OB/GYN Specialist practicing full time on the MHP campus in Oskaloosa. For an appointment, call 641.672.3360.