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


Urinary Incontinence and the Robot
By Marja Sprock, M.D.

There has been a lot of talk about robots in medicine over the last few years. Is there any magic robot that can solve urinary incontinence?

Currently there is robotic surgery which is very similar to laparoscopic surgery (small incisions are made in the abdomen and instruments used through them.) The treatment for overactive bladder is non-surgical usually, therefore the robot as we know it in the operating room, will not be of any use.

However there is a device, smaller than a matchbox, and definitely smaller than a pen, that can give the impression of having a robot controlling your bladder for you.

A week after implantation of her little "robotic" device, my patient returned for a follow up visit. The first thing she asked me was: "why doesn't everybody have an implant like this? I am normal again, I have my dignity again, I played golf without bathroom breaks. I can not begin to tell you how happy I am with my implant."

Another patient had overactive bladder and had failed every other treatment except for the Interstim device, our little "robotic/magic" device. Like a lot of patients she was hesitant about an implant." I am not sure if I really want something inserted just above my buttock", she said. "I know it is like a pacemaker for the bladder, but I'll wait." She came back after a month: "this is no life, the overactive bladder rules my life, I'll try it." This same patient, who had been so hesitant, has sent me numerous of her girl friends to have the Interstim device implanted. She absolutely loves it and like my other patient, thinks "everybody should have one."

The Interstim device, much smaller than a pen, can be inserted just above the buttock

The Interstim stimulates the third Sacral nerve, a nerve that has a lot to do with urine and bowel control. It can cause tremendous improvement for patients with urinary urgency and frequency as well as urinary incontinence and retention. It also will help some people with fecal incontinence, however implantation for this indication is awaiting FDA approval. The Interstim will intermittently give a small impulse to the nerve, that when you focus on it can be felt in the vagina. Obviously you are not "being shocked" the whole day. You only feel it by really focusing on it.

Another misunderstanding is that you would have to change settings or press buttons. It is all programmed and if it works fine, no change is necessary.

The Interstim is for people who have failed numerous other treatments and is definitely not the first treatment.

The advantage of the Interstim is that you can "test-drive" it. A temporary stimulator can be inserted in the clinic under local anesthesia and can be tried for a week. After a week of trying, it is removed in less than a minute and then it can be decided if it is the right solution. Even the regular Interstim device implantation requires only local anesthesia and possibly some slight sedation if desired and is inserted in a hospital.
If you call it your "bladder pacemaker, little robot, or Interstim", does not matter, it can definitely improve your quality of life.

Even though for a lot of patients the Interstim device has been proven to be their magic robot, it is not the first step to treat overactive bladder.

If bothered by an urgency to go, losing urine before getting to the bathroom and frequency of urination, the first step is pelvic muscle control and nerve stimulation. For starters this can have a tremendously positive effect, and is not the same as "I have tried Kegel exercises at home".

Central Florida UroGynecology, in Rockledge, has a personalized computer enhanced, biofeedback program to teach you how to control and contract your muscles as well as some passive stimulation of the muscles and nerve. Medications can aid and add to the treatment of overactive bladder, but the muscle training should usually come first. Tibial nerve stimulation, which indirectly also works on the nerves controlling the bladder, is a next step up and is non-permanent nerve stimulation. This was recently covered by Medicare again.

The Interstim device, "your bladder pacemaker, little robot", is a permanent device. If your overactive bladder is so severe that it rules your life and you have tried other treatments, you may want to listen to my patients who wonder why: "everybody does not have a device implanted?" The short answer is : not everybody will need one. However for some people it will be a life saver.

A robot for overactive bladder? No not really, but we have come really close and definitely should not be scared of them.

Marja Sprock, MD is a fellowship trained urogynecologist who will be able to assist you in the best choice of treatment for your bladder, bowel or vaginal prolapse problems. Also your specialist for cosmetic vaginal surgery.

Call our Rockledge office at 321-806-3929, send us a note or visit us online at 

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  January 11, 2016