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


Getting Rid of Adult Diapers
By Marja Sprock, M.D.

Diapers for adults are a larger industry than for infants. Diapers for adults can be used for urinary, fecal incontinence or both. Incontinence for either significantly affects the quality of life. Most ask that fecal incontinence gets treated first even when severe urinary incontinence is also present.

Incontinence limits socializing, visiting family and friends and your self-confidence; it may be time that you start doing some about it.

Incontinence becomes more common when we get older, but that does not mean it should be something you just take for granted and start with changing underwear a couple of times a day, to wearing panty liners, to heavy pads to diapers.

Diapers will be hard to avoid in some people with declining mental abilities, however most people do not fit this category; meaning there is something you can do.

Incontinence becomes more common when we get older, but that does not mean it should be something you just take for granted and start with changing underwear a couple of times a day, to wearing panty liners, to heavy pads to diapers.

Tina, a 68 year old who likes to walk and climb the trails, has to put on a diaper, not because there are no toilets available, but because she can get a stool accident anywhere, anytime and it messes up her active life. Tina has tried about anything, from surgery to muscle training and knows everything in her diet that will predispose her to accidents. Tina also has a problem with sudden urine loss, but can control that mostly by keeping track of the clock and voiding within a 3 hour time span. Tina, did not like the feel of the diapers and the cost, however was mostly scared that other people would notice the smell.

Tina came to Central Florida UroGynecology for help. After her successful treatment, in her situation with a small nerve stimulator/pacemaker (Interstim ®), she told me, “You have no idea how great it is to have clean underwear; I am buying all new fancy ones!  Also, do you remember when a young child has a BM successfully in the potty and everybody starts clapping? I looked at it the first couple of times and was dancing in the bathroom”. It is unbelievable how the dependence on diapers, and the never knowing when you will evacuate, influences your life and confidence.


At Central Florida UroGynecology, we understand that you are looking for results. Most women who come in wearing a diaper, would love to just use a pantyliner, even though we strive for regular underwear. If you come in wearing a pantyliner, obviously your goal will be in regular underwear.

Be it accidental urine loss, stool loss or both, dependent on the severity and the duration of the problem as well as which work-up of the problem has been done before, some testing will be performed first. Other people will receive treatment right away.

Normal sphincter appearance in an adult female (mid anal canal).

  1. internal anal sphincter;

  2. longitudinal muscle;

  3. external anal sphincter.

BK medical has developed a very high- tech probe with crystals that will move around for you, so that the probe will only have to be brought into the anus and the results will become available without moving the probe up and down. Available at Central Florida UroGynecology.

Some of the fecal incontinence testing uses an ultrasound machine. BK® has developed a highly sophisticated probe with rotating crystals to assess if your muscles are intact. It gets inserted into the rectum and will show you the mostly circular muscles. It will do the moving for us, so once the probe is in, it will not have to be moved back and forth. The endoanal ultrasound showed that Tina’s muscles were intact and had the proper thickness. Anal rectal manometry had tested the strength of Tina’s well trained muscles also. Even her nerve connection was intact. Tina had trained her muscles, adjusted her diet and still had this terrible secret of having to wear diapers 24/7. For Tina, the answer was the Interstim® device, but for other people it is adjusting the diet, fiber therapy, muscle training or fecal bulking or surgery.

Fecal bulking (Solesta®) is a gel that is similar to natural starches, sugar and tissue in your body, which will be inserted into the wall of the anal canal, in the clinic, without the need for anesthesia.

For the incontinence of urine there are also multiple options and obviously multiple reasons why people lose urine. Some women are aware of when they leak and can just not make it, others have no sensation and it "just happens."

Whatever the reason, at Central Florida UroGynecology we are prepared to help you out of your diapers. Most people consider them to be very uncomfortable and not lady-like, however others will point out the cost. Whether you would like to save on the cost of diapers or have had enough of incontinence diminishing your quality of life, see Dr. Sprock at Central Florida UroGynecology in Rockledge for a consultation. Dr. Sprock has years of experience treating incontinence and has helped many ladies, like Tina, back into regular clean underwear.

Call us at 321-806-3929 for an appointment or leave a note here.

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  January 11, 2016