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

Accidental Bowel Loss or Fecal Incontinence
By Marja Sprock, M.D. FACOG, FPMRS Board Certified

ABL or accidental bowel loss causes a significant quality of life disturbance. Despite the impact on quality of life, only about a third of people suffering from ABL have discussed this with a healthcare provider. These statistics are more favorable for urinary incontinence, which can disturb life significantly also. Even though an estimated 1 in 12 people suffer from ABL, the disease remains mostly hidden. ABL is the same as FI or fecal incontinence but may be an easier term to use and enable more people to seek help.

ABL has more and better treatments available and at Central Florida UroGynecology has resulted in wedding invitations, pad donations, hugs and happiness. Nancy, 62, was trying to hold off on retiring from her teaching job; however, this became more and more difficult. Nancy would perceive an urge and almost immediately have a bowel movement, which was a problem with a class full of high school students. Young and bright, they are usually not the most understanding group when it comes to ABL. In all fairness to our young students, most people are totally unaware of how common and debilitating ABL is.

1 in 12 people suffer from ABL (Accidental Bowel Loss) and 40% also have urinary incontinence

The reasons for ABL are numerous; obstetrical or surgical trauma to the rectum or anus or back surgery, irritable bowels, constipation, diseases involving the nerves as diabetes mellitus or multiple sclerosis, muscle weakness and dietary allergies or sensitivities.

ABL can result from dysfunction of the anal sphincter, abnormal compliance of the rectum, decreased rectal sensation or any combination of the above. If your mind stars dazzling now, so did Nancy’s. She always thought she was one of the few ABL sufferers and had no idea that at least 1 in 12 people suffer from this.

Nancy had urinary incontinence also and figured she would start getting some help for this even though the real problem was the accidental bowel loss. Nancy was too embarrassed to talk about her ABL and denied admitting to it. While performing muscle training and biofeedback for her urinary incontinence, she noticed it started helping her ABL. Nancy learned later that in addition to muscle training and biofeedback, dietary changes, constipating medications or conversely sometimes laxatives can have great results.

To Nancy’s surprise her neighbor told her she had liquid stool loss in addition to very hard stool once a week. The obstruction causing severe constipation only allowed liquid stool to pass, leading to ABL. Her neighbor had the constipation treated with diet change and some laxative type medications, achieving continence. Nancy still a silent sufferer, was happy for her neighbor who instead of a weekly hard painful bowel movement with daily liquid loss, changed to daily bowel movements without ABL.

Nancy had Peripheral Tibial Nerve Stimulation (PTNS) for her urinary incontinence and became hopeful that there would be a treatment for her fecal incontinence. She had noticed improvement of her fecal symptoms with the nerve stimulation and wondered if she would maybe need slightly more frequent or intense nerve stimulation and be able to continue the teaching job she had loved for so many years.

Nancy decided to reveal her secret. She also learned that 40% of people not only have ABL, but also urinary incontinence. The latter she had taken care of and now she finally decided to admit to ABL and have some studies to evaluate the reason.

An ultrasound can be performed in the clinic looking at structural abnormalities of the anal sphincter, the rectal wall and the puborectalis muscle. Anorectal manometry checks the function of the anorectal complex, ultrasound checks the anatomy. The anatomy of Nancy’s sphincter was not intact. The injury likely occurred years ago with the birth of her daughter; however, she did not develop ABL till a couple of years ago. Studies have shown that repairing the sphincter years after the initial injury has a high failure rate. Nancy evaluated several options: surgical repair, nerve stimulation with an Interstim® device and bulking. Bulking means injection of a substance in the rectum to make it smaller, surgical repair has a large failure rate and nerve stimulation sounded better to Nancy. She had noticed a significant improvement with the temporary nerve stimulation for her urinary incontinence and had become highly motivated to test for an Interstim®.

Nancy started talking to people about the debilitating effects of ABL and has become an ambassador for ABL awareness. She never told her classroom; she can teach without worrying about ABL. She has become one of the about 60% of people who regain 100% continence with an Interstim® and will share her story to help other people to seek treatment sooner than she did.

ABL is more common and more treatable than you think. Central Florida UroGynecology is a specialist clinic with 2 board certified urogynecologists; we have a extensive experience in treating ABL as well as urinary problems, prolapse and cosmetic gynecology.

Call 321-806-3929 and schedule an appointment with Katrina Davis, MD or Marja Sprock, MD. 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