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

Are You Leaking ?
by: Katrina Davis M.D., F.A.C.O.G.

Do you leak urine when you cough or sneeze? Have you stopped jogging or playing your favorite sport out of embarrassment of wet clothing when you finish? Are you afraid to leave the house without wearing a pad? If this describes you, then you may have stress urinary incontinence.

More common in women than in men, there are a few different types of urine leakage. Urinary incontinence effects 1 in 3 female adults and becomes more common as women get older. Stress urinary incontinence or SUI means that you leak urine when the pressure within your abdomen increases and therefore pushes down on the pelvic floor including your bladder and urethra (tube through which we urinate). Sometimes the urethra is too mobile or can’t clamp down and therefore you leak.

Women who are overweight, smoke cigarettes, do a lot of heavy lifting or have had children are more likely to develop it. Also women who have conditions that make their muscles weak, like the disease Myasthenia , have an increased chance of having this problem.

Symptoms of SUI can be mild with occasional accidents or severe with daily leaks. Over time, accidents tend to become worse and more frequent. Fortunately, there are several ways to treat this problem.

One thing that can be done is to make the muscles in the pelvic floor stronger. A professional can work with you to show you exactly how to squeeze the pelvic muscles to get the best results. This usually takes several treatment sessions in the clinic setting and then a home program is eventually prescribed.

Another treatment is a small object called an incontinence dish. The dish is a plastic ring that when placed inside the vagina rests beneath the urethra to hold it steady during activities. It has to be removed every so often to be cleaned and then needs to be replaced to continue to work.

A third treatment is a procedure called urethral bulking. This can be performed in the office with no downtime. After the urethra is numbed, a camera for the bladder called a cystoscope is used to guide the injection of a material into the wall of the urethra. Since the urethra is like a tube, the material causes the opening to narrow and makes it less likely that urine will leak.

An additional option is placement of a sling. This is usually an outpatient surgery. There are several types of sling available. They typically involve an incision inside the vagina but depending on the type of sling placed, may also require additional incision(s) in the groin or low on the abdomen near the pubic bone. A small strip of permanent material called mesh is placed under the vaginal skin to give support to the urethra like a hammock.

A final and more recent treatment available is vaginal laser. This can be performed in the office with no downtime. After numbing, a metal tube is placed in the vagina and used to direct laser energy. The laser energy heats the vaginal skin under the urethra and makes it grow and become stronger.

Carol is a 45 year-old who leaked urine when she exercised. She spoke with her doctor and decided on vaginal laser treatment. She had the laser procedure performed one morning before work and continued to the office to complete her day.She is now able to exercise again without fear of accidents or need for a pad.

There are many options for women diagnosed with SUI. Each has its place depending on the patient and her circumstances. The important thing is to speak with your doctor about this to determine which is best for you.

Call Central Florida UroGynecology in Rockledge 321-806-3929 or check us out at

Marja Sprock, M.D and Katrina Davis M.D. are board certified in OB/GYN and Female Pelvic Medicine and Reconstructive Surgery (Urogynecology) and are offering academic level medicine in a private practice setting.

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

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

Copyright 2009-2016 Central Florida Urogynecology.  All Rights Reserved.


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updated:  January 11, 2016