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


Read a Magazine and Regain Urinary Continence
By Marja Sprock, M.D. FACOG, FPMRS board certified

It sounds like another scam but do not stop reading yet. One of the tertiary treatments for overactive bladder (OAB) is called Percutaneous Tibial Nerve Stimulation (PTNS) and is administered while you are seated, with just your bare ankle showing.

You may not be aware that the tibial nerve, which runs close to your ankle, has a connection with the sacral plexus, which innervates the bladder. While you are reading your ankle will receive a non-painful stimulation of the nerve with the documented potential to improve OAB in about 70 to 80% of people.

One of the tertiary treatments for overactive bladder (OAB) is called Percutaneous Tibial Nerve Stimulation (PTNS) and is administered while you sit down, with just your bare ankle showing.

The standard protocol is 12 treatments of 30 minutes each. An evaluation of effectiveness is usually made after 6 sessions, making sure you are benefitting from the treatment. After the 12 treatments, the stimulation can be continued on a less frequent basis.

So what does that mean in real life? Well, meet Grace, age 64, who has tried several medications for OAB. She used to be able to hold her urine for hours. As a nurse she often skipped her bathroom breaks. Grace started having gradually worsening leakage of urine. She had seen her mother go through that and did not want to end up in diapers. Grace is very active in the community and likes taking her grandchildren places. Grace made sure she emptied on a regular basis, urge or no urge, 3 hours was her maximum during the day. She had always been good at contracting her pelvic floor muscles and keeping them strong. In other words the first steps of treating OAB had been implemented already.

Grace had tried anticholinergic medications which worked well for some of her patients, but she could not tolerate the side-effects. Anticholinergics are medications used for OAB, very effective and a life-saver for some people, but as always not for all. Reviewing her options: sitting in a chair with weekly visits and a good chance for improvement, injections with Botox® in the bladder or a more permanent nerve stimulator (Interstim®), Grace chose the comfortable chair treatment. After 12 PTNS treatments which have helped Grace out of her pads, she is now on a maintenance treatment. She had a treatment 1 month ago and continues to do well.

During the PTNS treatment an extremely small needle electrode is used to stimulate the tibial nerve just above the ankle, which connects to the nerve innervating the bladder. After several 30 minute treatments symptoms of urinary urgency, frequency and urge incontinence may disappear or improve. The risks are low and limited to infrequent mild pain or skin inflammation near the ankle. PTNS is not a new treatment. It has been extensively studied worldwide for 15 years.

PTNS is another option available to treat OAB. Even though it is administered while you relax in the office for 30 minutes and read, we still do expect you to walk your mile a day. It can’t all be that easy!

For information on some of the equipment we use to treat overactive bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence, check out the website of Uroplasty, Inc. 

Marja Sprock, MD at Central Florida UroGynecology in Rockledge, is board certified in OB/GYN as well as FPMRS (Urogynecology).  She is the go-to-person for urinary and or fecal problems as well as prolapse issues.

Call Central Florida UroGynecology in Rockledge 321-806-3929 or visit for more information. 

"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