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

 

Office Injection Procedure for Urinary Incontinence
By Marja Sprock, M.D. FACOG, FPMRS Board Certified

Sharon, a New York state “snowbird” walked into the office with a sense of urgency. She did not have urgency of urination; however she desired the urine leakage to stop every time she tried to swing her golf club. “Do you have any idea how embarrassing it is to have the urine showing through your pants” she asked me.” I need something fast, I do not want any surgery and I do not want any pills”. I read about Botox in the bladder, it helped my girlfriend very well, so would that help me also?

There are several injections for incontinence which can be given in the office. Sometimes bladder infections can cause incontinence and could be treated with an injection of an antibiotic. Here we will be discussing injections in the bladder or urethra (tube urine goes through to the outside).

Botox in the bladder may work if you can’t hold the urine till the bathroom at the ninth hole, however is usually not indicated when you leak with activity.

Sharon agreed to be examined and have some testing done. She was in good shape and her vagina and urethra were well supported. When Sharon underwent urodynamic testing, a test where the bladder is filled and being monitored and challenged, even the smallest cough or exertion caused leakage of urine.

Also on cystourethroscopy, where the inside of the bladder and urethra can be viewed in the office, the opening to the urethra from the bladder stayed wide open.

Since the exit from the bladder entering the urethra stayed wide open, urine was allowed to escape when Sharon would get up from a chair, walk or try to hit her famous golf swing.

Even though a surgery, inserting a small piece of polypropylene, a sling, would have been an option for Sharon, she was adamant about not desiring surgery and getting it fixed quickly before another embarrassing moment at the club.

Macroplastique® is a hypoallergenic agent used to bulk the urethra in the office, so you can get up without leaking urine 

Peri-urethral (meaning around the tube you urinate from) injection therapy can bulk or decrease the diameter of the upper urethra. In other words the tube connecting the bladder to the outside world now has shutters which do not completely close. When the urethral opening from the bladder stays wide open and is without any urine holding power, peri-urethral bulking can make a big difference. If the urethra is also very mobile, a sling would work better.

The most common complications from peri-urethral injection or bulking therapy are UTI (Urinary Tract Infection) and urinary retention.

There are several materials that can be used. Macroplastique® is a cross-linked polydimethylsiloxilane and has been used for years without major complications and with a good success rate. Macroplastique® is hypoallergenic. At a 6-8 month follow up 37% of patients reported a cure and 65% an improvement.

Sharon was cured with her office injection and can now comfortably swing her golf club without having to worry about leaking through her pants.

If you have trouble staying dry and spending lots of money on pads or time worrying about leakage and smell either urine, fecal or both, call for an appointment at Central Florida UroGynecology in Rockledge. Dr. Sprock will guide you through your options. Dr. Sprock is the only female board certified in urogynecology (Female Pelvic Medicine and Reconstructive Surgery) and OB/GYN in Brevard and has years of experience.

Call Central Florida UroGynecology in Rockledge 321-806-3929 or visit www.CFUroGyn.com 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

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

 

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updated:  January 11, 2016