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 Options for Treatment of Urinary Incontinence
By Marja Sprock, M.D.

Leakage of urine, sounds simple, is highly annoying and often embarrassing but in reality has numerous different causes.

The incontinence your neighbor just told you about made her go to seek help, may not be at all why you are losing urine.

There are women who lose urine as soon as they get the urge to go, others do not get an urge and just leak. Some leak at night, others only when they open their own front door.

Some put on clean underwear when they leak, while others need to bring a change of clothes despite wearing diapers.

Some drink a lot of fluid, while others torture themselves by not drinking for hours at a time. Some people get up from a chair and leak; others get up from a chair and then notice the urge and cannot make it in time, while others just leak while sitting in the chair. Doing jumping jacks makes some people leak, while others leak while walking or running.

Treatments for different forms and combinations of incontinence are not the same and it is important to assess the underlying reason for your urinary incontinence.

Urinary incontinence is a common problem and since it becomes more common with increasing age, we may soon be at epidemic levels. Commercials on TV address the overactive bladder, the type of incontinence where you visit bathrooms whenever you can find one, “the toilet tourist”

Numerous different medications are available and that may be your answer if you are bothered by an overactive bladder.

A good instruction in how to perform your pelvic floor exercises should be the basis though before you start taking medications.

There is a new medication on the market for overactive bladder which has a different mechanism of action. Some of you may be very pleased with the medications for overactive bladder and have noticed a significant improvement, or have no bother anymore. Others cannot tolerate the side effects of dry mouth or constipation and had to stop the medication. The new FDA approved medication called Myrbetriq®, may be helpful. It will relax the detrusor muscle of the bladder while the other medications work through stopping the bladder contractions. The new medication has more interactions with medications like Coumadin® and Digoxin®, so there is no free ride.

Botox® in the bladder can stop contractions also, but like Botox® in the face, you have to get repeat injections.

Often I get the question: “doctor if you have something left over, can you put it in my face? That would not be proper to your insurance company and in addition we have a painless FDA cleared laser for reduction of lines and wrinkles in the office: the Regenlite®.

Some people are not only bothered by an overactive contracting bladder, but in addition it does not empty completely. You guessed right: your chance of having this abnormality increases with age. It also often will give you bladder infections that keep on recurring. No medication or muscle exercise will usually improve this. Nerve stimulators, implanted pacemakers like an Interstim® are your saving grace often with this condition.

There are women who lose urine as soon as they get the urge to go, others do not get an urge and just leak.

“Doctor, you inserted a sling in my neighbor and she is completely dry, could you please give me one also?” Slings are quite small pieces of material to support the urethra (tube between the bladder and vagina) and are surgically inserted. Slings are inserted for stress incontinence. Some people have stress and urge incontinence (“toilet tourist”) and are lucky; they get a sling and it takes care of the bladder over activity in about 40% of people. It cures the stress incontinence or incontinence that you get when you cough, sneeze, run or do jumping jacks with at least 85%.

If you have the feeling now that you are lost in all these different mechanisms of incontinence and have no idea why you are leaking, just that you are and nothing you have tried up till now has worked, do not get frustrated.

Recently a new medication for overactive bladder was approved by the FDA. The mechanism of action on the bladder is different than the current medications on the market.

At Central Florida Urogynecology in Rockledge we can put it all in perspective. After we understand your problem and the severity, we may do some testing like urodynamics, where we fill your bladder with some fluid and have you cough and bear down while we have the bladder activity on a monitor. This and a very short mostly minimally uncomfortable look in the bladder will often give us a good idea how to start your treatment. Most people actually like the test where they can see the inside of their own bladder and find it quite interesting and informative.

You do not have to suffer with your incontinence.  Seek help and make it a thing of the past before the new year starts.

Call us at 321-806-3929 for an appointment or leave a note here.  We look forward to start putting an end to your incontinence. 

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