Rockledge, Florida

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

Now Accepting New Patients      Phone:  321-806-3929

Recently Published

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Previously Published by Category








Technical & Educational Info

All Published Articles

Do not Let Urine Loss Color the Golden Years
By Marja Sprock, M.D. FACOG, FPMRS Board Certified

The occurrence of incontinence increases with age. Mistakenly people think incontinence is inevitable and that nothing can be done.

The cost of incontinence, not only in $$, but also emotionally is high. People do not dare to go out or go on an overnight trip. Pads are expensive and studies show that women with stress incontinence use on average 34 pads a month, while patients with urge and other incontinence use 59 pads per month on average. You may add, “I am using more than that” and it eats away my money. Not only does it cost money and limits the enjoyment of life, it also increases the chance of sustaining a fall. Not getting too far away from the subject of urinary incontinence, breaking a hip is a very significant problem leading to morbidity and mortality. It has been proven that incontinence increases the chance of falling.

A good rule of thumb is: during the day, even if there is no urge to urinate, go to the bathroom at least every 3 hours.

Before you start counting the pads you use per month and conclude you have either stress or urge incontinence, realize there are many reasons for incontinence. Simple measures can often make big differences. Even though drinking water is healthier than drinking soda, it does not mean the more the better. Women come to my office with a 20 oz. bottle of water in their hand , of which they try to drink 4 a day, in addition to their coffee and other drinks and wonder why they have to go to the bathroom all the time or start leaking urine. A normal bladder holds about 10-12 oz. and a lot of women comfortably go for 6-8 oz.; usually 20 oz. will cause some discomfort or leakage. Prevention of an excessive input is important for maintaining or achieving continence.

Your friend can play 4 hours of cards, drink 2 glasses of water and a cup of coffee and not go to the bathroom once. Doing the math, she has too much volume to comfortably hold. Even though there are numerous reasons for this to happen, one of them is lack of sensation of fullness. Lack of sensation can be caused by age, a history of bladder overstretching or nerve damage. A good rule of thumb is: during the day, even if there is no urge to urinate, go to the bathroom at least every 3 hours.

For some people the sensation to go to the bathroom is when the bladder starts leaking; if this is the case, you will always be too late and will be dribbling or emptying on your way.

Kegels or pelvic floor muscle training does not work, or does it? There are several studies supporting the use of pelvic floor muscle training for the treatment and prevention of incontinence as well as pelvic organ prolapse. The key is to contract the muscles correctly and with the right intensity and to keep up with the exercises. A short session at our office could change your life and opinion about the usefulness of strong muscles. Also some women while thinking they pull up the muscles are actually pushing and worsening their leakage.

Not everybody can come out of diapers with assuring a normal fluid intake, with regular (at least every 3 hours during the day) bladder emptying and keeping the pelvic floor muscles active and strong. However it is a step in the right direction and does not involve any surgery and could prevent a fall trying to get to the bathroom quickly, while leaking through your pad.

Simple measures can make a big difference; make sure to get your incontinence evaluated at Central Florida UroGynecology in Rockledge.

I have heard multiple times that I should not believe getting older brings the golden years. I do know however they do not have to come with pads and incontinence. I’ll be happy to help you with your incontinence issues. Remember simple measures can sometimes make a big difference.

Marja Sprock, MD has more than 15 years of experience, is board certified in OB/GYN as well as Female Pelvic Medicine and Reconstructive Surgery (Urogynecology). She the only female Board Certified Urogynecologist in Brevard and one of a few nationwide.

Call Central Florida UroGynecology in Rockledge 321-806-3929 or visit for more information. 

"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