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


Botox® Treatments Covered by Insurance
By Marja Sprock, M.D. FACOG, FPMRS board certified

Insurance covered Botox® treatment available at Central Florida UroGynecology in Rockledge, Florida.

What a great eye-catching headline. Not only that, it is true. Caveat: it is in the bladder and not in the face. Botox® is FDA approved for the treatment of overactive bladder for non-responders to medications in the group anticholinergics. Anticholinergics are medications like Oxybutynin, Tolterodine (Detrol®),Fesoterodine (Toviaz®), Darifenacin (Enablex®), Trospium (Sanctura®). These medications are taken in pill form, patches or creams dependent on the specific medication used.

Botox® has been FDA approved for overactive bladder since January 2013 and for bladder problems in people with certain neurologic conditions as spinal cord injury and multiple sclerosis since August 2011.

Overactive bladder (OAB) is a condition in which the bladder squeezes too often and or without warning. Patients suffering from OAB often know all the bathrooms on their way to work or map them out. There is often a sudden urge/desire to urinate, which sometimes leads to urine leakage. It is the familiar you have the keys or doorknob in your hand and notice urine escaping or you start leaking on your way to the bathroom. Urination can also be frequent due to a persistent urge feeling.

Like Botox® (onabotulinumtoxin A) in the face, which paralyses some of the wrinkle forming muscles, Botox in the bladder relaxes the Detrusor muscle. In overactive bladder, the detrusor muscle is often overactive.

Injection of the bladder with Botox is often done in an office setting using a cystoscope. A cystoscopy is a procedure which allows visualization of the inside of the bladder. Most patients choose the convenience of the office to have their Botox injected. They receive numbing medication for the bladder and some antibiotics to prevent a urinary tract infection (UTI). Risks of the procedure are: UTI, that is the reason antibiotics are given and a chance of retention. The chance of procedure induced urinary retention is about 6%, which is in the case of Botox®, a temporary inability to completely empty the bladder.

The duration of the effect of Botox® on the urinary incontinence in patients with bladder overactivity is up to 10 months. Even though there should be at least 12 weeks in between treatments, it is usually between 6-9 months.

Botox can be used in adults of any age. Edith, a very active, full of life and activity 93 year old, had a debilitating overactive bladder with leakage problem. Despite numerous treatments, she required pads which she despised. Edith came in after her Botox® injection for follow up. She had done well and was emptying her bladder completely at the correct time. “Guess what” she said, smiling ear to ear; “I am just wearing panties.”

Dr. Marja Sprock, one of the nation’s few board certified urogynecologists (FPMRS) has treated numerous patients successfully with Botox® in the bladder. If you have overactive bladder and are not being helped by anticholinergic medications, Botox may be an option for you.

Call Central Florida UroGynecology in Rockledge 321-806-3929 or if you prefer to wear panties instead of pads.

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  January 11, 2016