Rockledge, Florida

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

Now Accepting New Patients

info@CFUroGyn.com      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

URINARY ISSUES

FECAL STOOL ISSUES

SEXUAL HELP

COSMETIC GYNECOLOGY

I-LIPO

PROLAPSE

OVERVIEW


Technical & Educational Info


All Published Articles

 

Fecal Incontinence -- More Common Than You Think!
by: Marja Sprock, M.D., F.A.C.O.G., F.P.M.R.S board certified

Fecal incontinence or Accidental Bowel Loss (ABL) is an embarrassing problem few people would admit to. An estimated third of patients suffering with the condition has discussed this with their physicians. ABL is a frequent, distressing problem with often a devastating impact on people’s lives. In epidemiologic studies, at least 2% of us are estimated to be bothered by fecal incontinence. Since it is still quite taboo, the real number is presumably much higher.

Severity of incontinence, reason for incontinence and treatment options are various. Several medical specialties treat different aspects of ABL. The primary care physician, gastroenterologist, colorectal surgeon and urogynecologist can all work together to eliminate or attenuate the problem.

There is a difference between fecal incontinence, involuntary loss of a bowel movement, or fecal soiling.

Soiling can be due to inadequate hygiene, prolapse of hemorrhoids and or rectum. With ABL., lack of hygiene is usually the last problem, since the awareness of the smell and the chance of discovery of the debilitating problem, makes for extra vigilance. People usually carry clean underwear or diapers and wipes anywhere.

The sign to eliminate often comes on quickly and will demand a run, cut in line to get on the toilet, similar to urinary urgency or overactive bladder. Some are not even that “lucky” and are caught by surprise.

Do not think ABL happens in your grandmother and great aunt, it may just as well be the problem of the college professor or student in the class or maybe your closest friend.

Some have an urge to go and awareness when they are going to have a bowel movement, others are caught by surprise. For some the problem occurs daily, for others once a month. Generally, it is very difficult to hold liquid stool for a long time, just remember your last diarrhea attack. It often helps to attempt to make stool more solid with the help of medications and/or food. A colonoscopy, an exam of the colon with a small camera, is often indicated with incontinence due to diarrhea or sudden change in bowel habits.

General health questions and diet questions, like use of coffee, fiber, milk products, sweets, gluten etc. are important, in addition to questions about stool consistency, frequency and urgency. You can expect an exam of the abdomen, anal, perineal (between vagina and rectum) and vaginal area. Diet usually has more influence on our stool habits and consistency than we would like to admit. Lactose intolerance or sensitivity as well as gluten sensitivity can be a factor or a diet too high in sweets. It often requires an honest look at your diet. Those chocolate donuts on sale may be a ticket to uncontrollable bowel movements for 2 days.

Diseases like diabetes mellitus, multiple sclerosis inflammatory bowel diseases, dementia, stroke, gallbladder removal, traumatic birth experiences, back problems can all have an impact. ABL occurs often because of multiple reasons, often after the compensation mechanism of the broken part gives out. Some people have had radiation in the area for a different disease or have had a hemorrhoid removal or surgery on the anal sphincter.

Sensation in the area will also be checked, since nerve injury can have occurred with childbirth, trauma or back injury. The main nerve providing innervation to the anorectum (anus and above) originates in the lower back and can also cause urinary problems.

Pelvic floor/support exercises, anal tightening, “Kegel exercises”, are all terms to strengthen the muscles in the lower gastro-intestinal/urogenital area and achieve more control. Training and biofeedback for ABL often takes more time investment than for urinary incontinence, however can bring significant improvement. It is often amazing what pelvic muscle training with biofeedback can achieve.

Vaginal delivery could cause a tear in the anal sphincter and if immediate repair was not optimal or came apart, can lead to problems years later. Later repairs are less successful and especially if problems occur 30 years later, nerve stimulators have a higher success rate. A large bulge of the rectum into the vagina or rectocele is often cause for incomplete emptying and stool loss and can be repaired.

The FDA approved Interstim® device for fecal incontinence has expanded the treatment options and chance of successful treatment significantly. The sacral nerves are involved in the sensation and passive and active muscle control of the anorectum. Interstim® has brought a completely new realistic treatment option for the patient with ABL and has been used successfully for years in Europe and the United States. The Interstim is inserted to intermittently stimulate the sacral nerve and establish enhanced control. The insertion is minimally invasive, like a pacemaker, and a tester device can be inserted in the office.

ABL, debilitating as it is, can be improved or cured, depending on the cause. There is usually more than one reason for the incontinence and it often manifests when the compensation mechanism fails. Sometimes there is an underlying disease contributing and cannot be cured.

Careful evaluation and indicated testing should be performed before therapy is started. If your ABL is only with liquid stool, it is difficult for anybody to hold the extreme urge and low consistency of liquid. Some will benefit from diet changes, others from muscle training and surgery or nerve implantation devices may be the answer.

Fecal incontinence, ABL -- more common than you think, but nowadays with good successful treatment options at your pelvic floor health center: Central Florida UroGynecology in Rockledge

Marja Sprock, MD trained under former AUGS president David Richardson, MD at the renowned Henry Ford Hospital in Detroit. She is board certified in OB/GYN and Female Pelvic Medicine and Reconstructive Surgery.

Katrina Davis, M.D. trained at the academic center in Arkansas, UAMS and is board certified in OB/GYN and Female Pelvic Medicine and Reconstructive Surgery.

Central Florida UroGynecology in Rockledge, FL offers academic level care in a private practice setting.

Please call for an appointment at 321-806-3929, send us a note or visit us online at www.CFUroGyn.com.

"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