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

Nerve stimulation to treat urinary and fecal problems
by Marja Sprock, M.D., F.A.C.O.G.; F.P.M.R.S. Board Certified

Neurostimulation of the nerves innervating the pelvis often leads to clinical improvement of overactive bladder (OAB), urinary retention (inability to empty the bladder partially or completely), accidental bowel loss (ABL also called fecal incontinence) or constipation. The latter is a FDA non-approved indication; often a welcome side effect though and used in Europe. Nerve stimulation can be done on an intermittent basis or more permanent with an implant like a pacemaker, called Interstim®.

Intermittent nerve stimulation, no pills, sit in a comfy chair, read a book or watch T.V. and your bladder or bowel symptoms improve. It has been proven that a treatment called P.T.N.S. (peripheral tibial nerve stimulation) increases the capacity of the bladder, while delaying bladder overactivity. On the other hand it also improves emptying. Not bad to have a non-painful treatment, lasting about 30 minutes improve OAB or non-obstructive urinary retention. Initially the treatments are weekly and are then spaced out. Eventually they will be continued on an intermittent basis or stopped.

Sara 72, had OAB and ABL, (overactive bladder and accidental bowel loss) and under no circumstance did she desire a small pacemaker inserted. She was not a good candidate for some bladder medications and another had not provided the desired result. Sara came in weekly for her P.T.N.S., was surprised and happy with the good result and currently has a once a month 30 minute treatment.

Intermittent non-invasive neuromodulation or implanted nerve stimulation can be a great asset in the control of urine and bowel issues

Nerve stimulation is being performed for more disease indications than ever before. Pain control is one of them and several of my chronic back patients with urinary or fecal problems, have had the “side-effect” of less or no more pain, when they had a more permanent nerve stimulator implanted. Not bad for a small, less than 2 inch implant.

Even though a nerve implant as an Interstim ®, has been a life saver for many, less invasive methods to cure the urine or fecal problems ought to be tried first. Also before an interstim is placed, office testing or testing in the OR to assess if it works for you, is performed. One of my patients; Sandra 63, presented after her testing for accidental bowel loss. The medical assistant who had escorted the patient to the room told me that she was ecstatic. Nothing had ever helped and this was ”phenomenal and a life changer”. When I came into the room, she told me that with the tester she had had an hour of diarrhea on Thursday. I was confused, since I had been told she was very pleased with the result and asked her: “they told me you were very pleased with it, however it sounds like you still had problems”. “Dr. Sprock, I usually have diarrhea for 5 hours every day, even if it were an hour every day, it would be better. Ever since the implant, Sandra has had no problems at all, which is pretty rewarding. A small wire and nerve stimulator/pacemaker can change the quality of life significantly. Nerve stimulation works for a lot of patients to achieve bladder and/or bowel control. It can be done intermittently in a non-invasive manner like the P.T.N.S or implanted like a pacemaker, but in the buttock.

Nerve stimulation is a great clinical tool to finally get OAB, ABL or urinary retention under control. Please contact Central Florida UroGynecology for an appointment; 321-806-3929 or check us out at . Katrina Davis M.D. and Marja Sprock M.D., are experienced female doctors, board certified in Female Pelvic Medicine and Reconstructive Surgery.

"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