Rockledge, Florida

Marja Sprock, M.D., FACOG, FPMRS Board Certified
Fellowship Trained Urogynecologist

Now Accepting New Patients      Phone:  321-806-3929

Recently Published

new  New Treatments for Vaginal Atrophy

new  The Healthy Weight Lifestyle Formula

new  Small Battery Can Fix Bowel Control Issues

new  Laser and the Vagina

new  Fecal Incontinence  - More Common Than You Think!

new  Overactive Bladder

new  Painful Bladder Syndrome / Interstitial Cystitis

new  Stress Urinary Incontinence

new  The Thrill is Gone

new  Chronic Constipation

Laser Treatment for Vaginal Atrophy

Have You Had Your Pap Smear?

Resources for Pelvic Floor Disorders

The Uterine Fibroid Dilemma

Are You Leaking ?

New Non-Surgical Laser Solution for Stress Urinary Incontinence

New Treatment Option for Stress Urinary Incontinence

Non-hormonal Vaginal Atrophy Treatment -- Non-painful Sex Without Estrogen

In-Office Painless Laser Vaginal Tightening

Central Florida UroGynecology Announces LASER 4D Aesthetics

Accidental Bowel Loss - A Socially Hidden Problem

Nerve Stimulation to Treat Urinary and Fecal Problems

Is UTI a Major Health Problem?

It Appeared to be an Overactive Bladder

Pessary Treatment of Prolapse

Overactive Bladder Evaluation Chart

Accidental Bowel Loss or Fecal Incontinence

Overactive Bladder Guidelines

Vaginoplasty and the “Designer Vagina”

Surgical Treatment of Stress Urinary Incontinence

Recurrent UTI - Urinary Tract Infection

Pads are "Out of Style"

Stool or Bowel Incontinence

Pain with Sex

Nightime Urination

A Tighter Vagina - the Answer to Happiness

Do not Let Urine Loss Color the Golden Years

Office Injection Procedure for Urinary Incontinence

Read a Magazine and Regain Urinary Continence

Position Statement on Mesh Midurethral Slings

Botox Covered by Insurance

Walk to Guard Against Disease!

Estrogen Treatment Possible Side-Effects Often Overstated -- Consider the Benefits!

What the doctor does not tell you…

Tips from Dr. Sprock
September 2013

Health and Feeling Good About Yourself

I have to Go All the Time

Treatments for Fecal Incontinence

Third Generation i-Lipo Xcell now available!  FIRST IN U.S.A.

Central Florida UroGynecology Opens Its New Facility on Eyster in Rockledge

Tips from Dr. Sprock
 March 19     March 10

But I don't have to go ...

Pelvic floor muscle training and the In Tone® device

Jessica Alba had i-Lipo, Would you?

Take Action in the New Year !!

InTone Home Device to Treat Urinary Incontinence

Regenlite Skin Tightening and Collagen Stimulation

New Options for Incontinence

Sexy Meshes ???

Control Incontinence.  Enjoy Being a Senior!

A Happy Patient Testimonial - Swimming Again After Bladder Procedure  <external>

Getting Rid of Adult Diapers

Nocturia, Nighttime Voiding

Dr. Sprock Connects with her Patients

Inches Off Where You Want Them Off - I-Lipo® Introduction

Another Incontinence Success Story

Space Coast Daily:  Dr. Sprock Does I-Lipo  <external>

Previously Published by Category








Technical & Educational Info

All Published Articles

A.B.L., Accidental Bowel Loss, a Socially Hidden Problem
by: Katrina Davis, M.D., F.A.C.O.G.
      and Marja Sprock M.D., F.A.C.O.G. FPMRS board certified

Accidental bowel loss or “A.B.L.” can be a debilitating disorder. Women with this problem can have trouble controlling stool and/or passage of gas. Some can control solid stool, but not when it becomes liquid such as with diarrhea. Some can control fecal matter, but not gas. Others can control both, but have to rush to reach the bathroom and can have “near misses”. Still others find themselves with smears, pellets or seepage in their underwear. All can dramatically affect your life and lead to social isolation.

These disorders may affect up to 24% of women in this country. This is likely to be less than the true number as many are too embarrassed to report their symptoms. This is an even bigger problem in nursing homes where as many as 78% of residents are estimated to have the condition. Very common, however not accepted. If you would see someone with stains on their clothes or stool dripping from their pants, your first response is likely not “that poor woman”. So you can easily understand how A.B.L leads to social isolation. Also, you do not easily share it with friends: “imagine what they would think?”

Accidental Bowel Loss may affect up to 24% of the women in this country.

The cause in women is highly linked to trauma during child birth. Episiotomies (cut to create more room to deliver the baby), tears and use of vacuums and forceps all are associated risk factors for development of accidental bowel loss. Other associated conditions include hemorrhoids, irritable bowel syndrome (IBS), pelvic prolapse (vaginal organs descending in or protruding out of vagina), and anorectal cancers.

By now you must conclude that control of bowels is a complex process with many components. Pelvic floor muscles, sensation provided by pelvic nerves, and stool consistency (i.e. loose, hard, soft, etc.) all help us prevent accidents.

Many tools are used to evaluate and diagnose the cause of issues surrounding bowel control including ultrasound, nerve evaluations, physical exams, and history. Each provides a piece of the puzzle to figure out the exact problem, in order to provide you with the most specialized and effective treatment for you.

The treatment can be very simple or more involved, dependent on the cause of the problem. Sometimes it is as simple as a change in what we eat or adding a daily medication to our lives. Other times, procedures to either help the nerves in the pelvic area work better; exercises to strengthen pelvic muscles, and/or surgery to fix damaged muscles can be the answer or intermittent or permanent nerve stimulation.

Sarah, 55, had been living with the inability to control her bowels for a number of years. She was avoiding social gatherings for fear of having an accident. She made sure that a bathroom was always near; wore pads; and never wore light-colored garments. She finally sought assistance from Central Florida UroGynecology. A detailed history revealed that her issues were mostly related to liquid stools and her co-existing diagnosis of IBS. Proper diet, medication, and pelvic floor muscle training achieved control of A.B.L. for Sarah. She now is able to go without pads, attend parties, and wear whatever color she wants. “You have no idea how you changed my life, thank you”

There is help available if you are living with A.B.L. Remember each person is unique and at Central Florida UroGynecology, we can find the treatment that is best for you.

Call us at 321-806-3929 or check us out at

"Central Florida UroGynecology where high tech and common sense meet"

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  January 11, 2016