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


New Treatments for Overactive Bladder in 2011
By Marja Sprock, M.D.

As published in Florida Today, HEALTH & MEDICINE, January 17, 2011

Medicine evolves on a daily basis and new treatments get added. As we get older, overactive bladder syndrome, the "got to go" with or without urinary incontinence increases.  Women as well as men can be bothered by overactive bladder. The prevalence increases with age and 1 in 6 people over age 40 are bothered by overactive bladder, men and women.

There are several FDA approved treatments for overactive bladder, varying from pelvic floor training and biofeedback to medications and neuromodulation. Neuromodulation can be achieved by a permanent implanted electrode or by a temporary one. No new medications have been added to the list for 2011.

Percutaneous tibial nerve stimulation (PTNS) is a minimally invasive temporary nerve stimulation that will be used a lot more again in 2011. It is easily applicable and well tolerated to treat overactive bladder and urinary retention. Even though it was FDA approved in 2000, it is more or less new again for 2011.

PTNS, stimulation of the nerve to the bladder via the leg, while you relax. Sacral nerves and Tibial nerves and their relationship to the bladder and its function.

New Year’s Resolutions

  1. I will no longer rush to the bathroom

  2. I will reach the toilet every time without wetting my pants

  3. I will not be up most of the night to urinate

  4. I will restart my exercise program without leaking urine

  5. Laughing will no longer mean, changing my pants

  6. I will sit through dinner, without getting up to urinate

  7. I will go out and be confident not to lose urine or stool

  8. I will no longer need manual help to have a bowel movement

  9. I will no longer spend my money on maxi-pads or diapers

  10. I will visit Dr. Sprock at Central Florida UroGynecology in Rockledge

During the last 2 years Medicare has been struggling to find the correct payment formula for PTNS and starting in 2011 will be covering it again. Most other insurances usually will follow Medicare’s example, some like Aetna have continued to cover the procedure over the years.

It is performed via a stick-on electrode and a minute needle that will get inserted above the ankle. The treatment session will continue for about 30 minutes and it will take up to 6 sessions before it can be judged if the treatment is helpful. After 10-12 sessions, results will be more noticeable. For the first 12 sessions, the frequency will be weekly, than it will be slowly spaced out to maintain the achieved benefit. Patience to see results is indicated to treat symptoms like inability to get to the bathroom in time, completely empty (retention), going frequently without having a lot to urinate and getting up at night more than once.

Neurostimulation helps for overactive bladder, be it permanent like the Interstim® or temporary like the percutaneous tibial nerve stimulation.

Since the Interstim®, has documented results with fecal incontinence, it not unthinkable that patients who are bothered with urinary as well as fecal incontinence will find improvement both with PTNS.

The Interstim® treatment for fecal incontinence can currently only be used if women also have severe urge incontinence or retention of urination. It has been documented to work for all of the above; however the FDA has been taking a very long time for approval for the fecal incontinence part. Sad but true; to be able to receive neuromodulation treatment for fecal incontinence, you will need to also be bothered by urinary incontinence or retention. Maybe later in 2011, I can tell you that the Interstim will be approved for fecal incontinence, which would be a move forward.

Stimulation of the nerves that are connected with control of our pelvic organs like bladder and rectum has proven to be very beneficial for lower urinary tract problems as well as fecal problems.

Medicare patients will be able to have PTNS treatments reimbursed again in 2011. Make sure to take care of your pelvic health in 2011, it influences the quality of life more than what you may realize. Pelvic floor muscle training is often additive and will enhance results for incontinence, frequency, emptying and urgency issues of urine and stool. Remember, like a biceps muscle needs training, so does the pelvic floor. Proper use of the pelvic floor muscles can bring enormous improvement.

Pelvic floor muscle training requires muscle contraction; for tibial nerve stimulation all you have to do is sit in a chair. It will require more visits than the muscle training and you will not have any “homework” to practice. So for 2011, some pelvic floor muscle training and sitting in a chair while receiving percutaneous tibial nerve stimulation can bring great improvement in quality of life.

Happy and dry 2011 from Dr. Sprock at Central Florida UroGynecology in Rockledge. Call for an appointment 321-806-3929,

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  January 11, 2016