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 “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








Technical & Educational Info

All Published Articles


Minimally Invasive Robotic Laser Surgery for Incontinence
By Marja Sprock, M.D.

The medical technology advances rapidly. Great strides have been made in changing big abdominal surgeries to laparoscopic or robotic surgeries. The advantage is smaller scars, quicker recovery time.

Natural orifice surgery is another minimally invasive route. What it tries to accomplish is using natural openings like a mouth or vagina to perform surgery.

As a doctor in female pelvic medicine and reconstructive surgery, I will leave the access through the mouth to the real adventurers and will use the vagina as an access route, to perform surgery where scars can be nicely hidden. Recovery is also usually very fast.


  1. Robotic surgery leaves bigger scars than surgery by the laparoscope

  2. Robotic scars are around the navel and difficult to hide when trying to wear a two piece

  3. Most women who have undergone successful prolapse surgery wished they had done it a lot sooner

  4. Botox can be used in the bladder to help against bladder spasms and is covered by a lot of insurances

  5. Urinary and fecal incontinence can often be helped or cured by training the muscles of the pelvis

  6. Pelvic muscle training can be achieved by everybody, biofeedback works great

  7. A hysterectomy is usually not needed/recommended to achieve repair of a prolapse if done vaginally

  8. Prolapse repair with the robot or laparoscope can usually leave the cervix intact

  9. Excessive water drinking is not healthier and can lead to urinary retention and incontinence

  10. Retention is only good in a pond

Using the vagina to perform surgery will not need the robot and for incontinence surgery the laser is not helpful either. Neither of the two will make the vaginal access, minimally invasive surgery any better or faster.

If you are bothered by incontinence with coughing, sneezing, laughing, working out, walking around, lifting up the (grand) kids, you may have what is called stress incontinence. The first line of treatment should focus on your pelvic floor muscles. These muscles are often referred to as your Kegel muscles.

One of the most often heard comments are:” I tried the Kegels and they do not work”. This may be true and it may not be enough to cure your stress urinary incontinence, but other women have practiced by contracting every muscle in their body except the pelvic floor muscles. Biofeedback, where the contraction strength can be seen on a monitor, can be taught quickly to most women with excellent result.

As with any muscle you train hard to make strong you have to keep on exercising the muscle. For your pelvic floor muscles you do not have to go to the health club though and can train them almost anywhere.

If your pelvic floor muscles are up to par and you still have bothersome stress leakage and need to wear a panty liner or pad, you may want to consider a minimally invasive surgery that uses the natural orifice of your vagina as access. It leaves no visible scars. It is mostly performed as a quick outpatient surgery, but can even be done in the office. Obviously some anesthesia will be provided.

Success rates are between 85-90% and you may want to recuperate the day after to get the entire anesthesia out of your body, but then you are back to activity. I would not start with lifting heavy weights and give the sling some time to heal. Since the surgery is performed through the natural orifice called a vagina and has about two stitches, intercourse will have to wait for about six weeks.

The sling (pictured at the left) is made of open weave polypropylene, a naturally quite inert material and your own tissue will mostly incorporate it.

The surgery will take about 5 to 10 minutes, and the result may be life altering. Maybe the natural orifice surgery is too easy and we should convert the surgery to a minimally invasive robotic laser surgery.

Thinking about it ... guess not really an improvement over what we already have.

If you like more information about biofeedback or the minisling for stress urinary incontinence, please call for an appointment at 321-806-3929, send us a note or visit us online at  Dr. Sprock is affiliated with Central Florida UroGynecology in Rockledge.

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