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

 

Treatments for Fecal Incontinence
By Marja Sprock, M.D.

Fecal Incontinence is the medical term for losing control over the bowels. Leakage may be for solid bowel movements, liquid ones and gas or all of the above. Fecal incontinence is a socially disabling disease and about 50% of people hide it from their health care provider. Conservative estimates are that 2-7% of the general adult population have fecal incontinence.

Even though fecal incontinence is more common with advancing age, it is by no means a normal part of aging.

By conservative estimates 2-7% of adults have fecal incontinence.

There are many causes and different levels of severity of fecal incontinence. No matter if it bothers you a couple of times a day or once every 2 weeks, it is still difficult to leave the house if you are never sure when your fecal loss will happen.

Reasons for fecal incontinence vary from nerve damage and injury during childbirth to inflammatory bowel disease to neurologic disorders as multiple sclerosis, diabetes mellitus, spinal cord injuries and after radiation of the rectum or anus for cancer.

Even hard stool which fills the anus can cause incontinence for liquid stool; it is very important to treat constipation since this can contribute to leakage of liquid stool.

Diarrhea or liquid stool is difficult to control and this often requires making the stool slightly more solid to create continence. More fiber and or medications as Imodium® or Lomotil® are often helpful, also some medications like hyoscyamine can slow the contractions of the bowel. Make sure you are not in fact constipated and the liquid stool is just passing the big stool plugs.

Ms. Margaret at 78, had been healthy her whole life till she got diagnosed with rectal cancer. She underwent radiation therapy and did well conquering the cancer. She was left however with the inability to hold her stool. She would no longer get the sensation and even though her bowel movements were well formed, she would often not make it to the bathroom. Since Margaret tended to be a socially very active and involved person, this was definitely a dark secret, impacting on her quality of life.

Her bowel movements were normally formed, but she did not sense them at all and there was no rhyme or reason to when they were coming.

Anna, age 43, had had fecal incontinence for 10 years and had looked for help everywhere. She had tried extensive treatments and had severe anal muscle spasms from trying to hold her liquid stool. After talking with Anna it was clear that not all treatment has to be very extensive or complicated. She started forming liquid stool after her gallbladder had been removed. A medication to make her stool less liquid was given and made Anna in control of her stool and life again.

Ms Margaret underwent some testing since her solution was less simple.

An ultrasound examination of the rectum can reveal problems with the anal sphincter, rectal wall or pelvic muscles. Central Florida UroGynecology has a special high tech rectal probe available.

As shown with Anna it is very important to get a good history and put some facts together. It can reveal pertinent information that has been overlooked for years.

The gastroenterologist often has already performed a colonoscopy to look for tumors or inflammation in the bowel causing incontinence.

Anal manometry is an office test and performed at Central Florida UroGynecology which can reveal a poor sphincter tone, rectal sensation and reflexes. You have to be able to sense the stool and have enough muscle to hold it. Muscle training is very important and will cure numerous people once it is learned correctly and the muscle gets stronger.

Sometimes the tissue needs to be built up with the help of a bulking agent like Solesta®. Solesta® is a gel composed of naturally made materials called dextranomer and sodium hyaluronate. The injection usually does not cause pain, and can be done in the office. It is one of the options available to regain more control over the bowels.

Important in the work-up of what can be done to make your fecal incontinence a thing of the past is the ultrasound. Central Florida UroGynecology has a special probe available to evaluate the rectum without having to move the probe so the discomfort is minimal. There are crystals in the probe doing the work of moving around and showing a 3D picture of the internal and external anal sphincters.

Ms Margaret lost solid stool and had intact muscles as seen by ultrasound with normal thickness. Her muscles were initially trained, which improved the incontinence, but not to where she felt comfortable going out without fear of incontinence. As muscles are the basis of all continence, making them strong can’t be skipped.

Sacral nerve stimulation is highly effective for fecal incontinence. There are extensive successful studies available from Europe and the FDA has approved the nerve stimulator for fecal indications in the USA.

Before insertion of this small pacemaker above the hipbone with stimulation of the sacral nerve, a test is done to confirm it is the right choice for your kind of fecal incontinence.

Ms Margaret has a nerve stimulator or Interstim® now and is very pleased. She never lost her sense of humor and happy demeanor, but she told me that I had no idea how much I had improved on her quality of life. No more worries about losing stool in line at the grocery store or sitting in a restaurant. She can enjoy life again.

Seek help for your fecal incontinence. More treatments than ever are available. Central Florida UroGynecology has helped many women regain control; give yourself the present of fecal control.

Central Florida UroGynecology in Rockledge. Call 321-806-3929 and schedule a consultation or leave a note here.

"Where common sense and high tech interact!"


Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  January 11, 2016