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 ďDesigner VaginaĒ

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 youÖ

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 Toneģ 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-Lipoģ Introduction

Another Incontinence Success Story

Space Coast Daily:  Dr. Sprock Does I-Lipo  <external>

Previously Published by Category








Technical & Educational Info

All Published Articles

Is UTI a Major Health Problem?
by Marja Sprock, M.D., F.A.C.O.G.; F.P.M.R.S. Board Certified

In the community UTIís (Urinary tract infections) are among the most frequent infections encountered. Women are more susceptible to UTI than men, also some women are more susceptible to getting a UTI than others.

Genetic and familiar factors like blood type may play a role. Women of blood groups B and AB who in addition do not secrete certain blood substances are at higher risk. Nothing you can change about this.

Most UTIís are preceded by vaginal colonization with uropathogens or bacteria able to cause a UTI. Women with recurrent UTIís are more susceptible to these bacteria trying to inhabit their vagina.

In women before menopause the reasons for recurrent UTIís are different than in post-menopausal women. Before menopause sexual intercourse, use of spermicides, and a history of a mother with UTIís or having had UTIís in childhood are important risk factors.

In healthy women after menopause recurrence of UTIís often has to do with the ability to completely empty the bladder, lack of the protective effect of estrogen as well as the non-secretor status of certain blood substances. Obviously after menopause sexual intercourse can also play a major role, especially if there is no protective effect of vaginal estrogen.

Recurrent UTIís can be a frustrating problem. Ask Dorothy, 78 years old. Dorothyís UTIís are usually also more severe since she has diabetes mellitus. If your immune system is down because of certain diseases or medications you are also more prone to infections. Dorothy made sure her diabetes became better controlled, had given up on sex and started on vaginal estrogen. Since most of her infections were caused by the bowel bacteria: E. Coli, she had also started cranberry pills. Because of Dorothyís diabetes mellitus large amounts of sweetened cranberry juice would not have been a good idea. Cranberry juice and blueberry juice reduce some of the adherence of the bacteria. The usual dose for UTI prevention is one-two 8 oz glasses. It does not help for all bacteria and it definitely does not treat UTIís. However if UTIís keep on recurring as in Dorothyís case you have to pull out all the stops. Also some of these products were thought to make urine more acidic. We know estrogen makes the vagina more acidic and more resistant to the uropathogens or bacteria we do not like to live in the vagina. Also remember soap is alkaline, no matter if you buy it imported from the Amazon rainforest or unscented or just for babies. Baby wipes are clean if the anus is just touched, however vaginas do not like wipes. It again changes the acidity of the vagina, which changes which bacteria like to live in the vagina. We want lactobacillus to live there, not E.Coli and other friends like Klebsiella and Pseudomonas. Will Greek yoghurt or probiotics increase the amount of lactobacillus in your vagina? It may help with some of your resistance; all little bits may help.

Dorothy has pulled out all the stops and in addition gets some medications in the bladder every 2 weeks. Dorothy used to be admitted to the hospital regularly for recurrent complicated UTI, but has not been for the last year. She has not been totally infection free, however has not required any intravenous antibiotics and has had more energy in the last 1 year than the 5 years before that together. Also since she has UTIís now very infrequently they are much more susceptible to regular antibiotics by mouth. Not everybody will require all these measures, however UTI and recurrent UTI are a significant health problem and burden. At Central Florida UroGynecology in Rockledge, we can evaluate your specific reason for recurrence of the UTIís and assist you to either make UTI a thing of the past or significantly less often and less severe.

At Central Florida UroGynecology we have two female Board Certified Urogynecologists; Katrina Davis, M.D. & Marja Sprock, M.D. to help you.

Call 321-806-3929 or check us out at

"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