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


Talking about Slings and Meshes.  There is a difference!
By Marja Sprock, M.D.

Currently there is a lot of talk about vaginal slings and meshes, however most people have some difficulty with the concept and the difference between them. They are often used interchangeably and are definitely a different entity and mostly used for different indications

Both can be made from a “mesh/lace like“ or biologic material, however shape, size and indication for use can be quite different. Slings also called tapes, and meshes are both very important in urogynecologic/pelvic reconstructive surgery. Often patients will tell me they had a mesh implanted for stress incontinence and in reality they mean a sling or the other way around; “the doctor put in a sling” and they had a large prolapse repaired with a mesh/graft. In short: slings are usually used for stress urinary incontinence (SUI) and are quite small. The size of meshes used for prolapse can vary, however it is usually more material than a small sling.
Adjustable minisling for SUI, still with the adjuster arm attached, in place. The small amount of sling will provide stability to the urethra and treat the incontinence. The adjuster arm will be removed.

There is currently not a lot of discussion about the sling used for stress urinary incontinence (SUI), the leakage of urine when you cough, sneeze, walk and laugh. Most people will agree that insertion of a sling after conventional therapy like pelvic floor training-Kegels-has failed, is a good treatment for stress urinary incontinence. No, I am not going to make it more difficult now and discuss all the different slings that are currently on the market. The picture in this article is of an adjustable “minisling”; however there are other options, still with a small amount of artificial material. Treatment success of the surgery for stress incontinence quoted in the literature varies from 65-90%. My experience with the mini adjustable sling has been closer to the latter. Another great benefit of this mini piece of sling is the almost immediate return to regular activity. Only sex will have to wait 6 weeks.

Now let’s discuss the mesh, often used for large vaginal prolapses. Prolapse is when some of the vaginal walls fall down and pull the bladder, rectum, small bowel and/or uterus closer to or through the vaginal opening. Remember the sock being turned inside out. Usually weak tissue and lots of pressure on the prolapse are encountered and often the vagina will need some extra support to prevent it from falling down again.

To end all the confusion: meshes/grafts are used for repair of prolapse and a sling/tape is used for stress urinary incontinence.

Turn on the TV nowadays and meshes in the vagina get treated like an unwanted child. The fact that the vagina in which it is used, is broken, gets overlooked. The vagina which will get a large piece of mesh for support is a vagina turning inside out or falling down significantly. The inside–out vagina can be causing pressure, discomfort, difficulty to have bowel movements or urinate or keeping you up urinating the entire night. It has been proven that the chance that the front wall of the vagina comes down again after surgery is less

A mesh on the left and a sling on the right.

The difference in size of material is striking. 

with a mesh. A mesh, the larger piece of material will recreate support for prolapse. Even though it is definitely a more invasive surgery than a sling/tape, it can often still be done as an outpatient and return to activities like walking is recommended. I am always amazed how quickly people recuperate and how little pain they have after surgery. Sometimes I get a phone call asking if it is normal 3 days after surgery to have some minimal spotting, since patients otherwise feel normal and have no pain. People quickly forget they had surgery and some incisions are required to do the work. Most people are very pleased with their mesh; they often did not realize how the prolapse literally “dragged them down” over the years. As with everything we do in life, there are risks involved. The discussion on TV where some people try to make meshes look bad is not good for the patients with large parts of their vagina protruding down or out.

To have your surgery performed by an urogynecologist who has experience with the use of meshes for prolapse, to diminish the chance of unwanted side effects like material coming through in the vagina-extrusion of mesh, is a prudent decision.

A urogynecologist like Dr. Sprock in Rockledge can offer you not only these vaginal prolapse repairs with mesh and/or sling repair for SUI, but also minimally invasive repairs of vaginal prolapse with meshes brought in through the abdomen with tiny incisions, the sacrocolpopexy. This procedure always requires a mesh, since it will elevate the vagina from above. Dr. Sprock has performed this procedure abdominally, robotically and laparoscopically. Nowadays if a sacrocolpopexy, which will use a mesh, not a sling, is needed, it is done in a minimally invasive way. Just realize that there is mesh and the incisions are smallest in the laparoscopic repair; the robot leaves larger scars and they are in the upper abdomen. To end all the confusion: meshes/grafts are used for repair of prolapse and a sling/tape is used for stress urinary incontinence.

Marja Sprock, MD FACOG, is a fellowship trained urogynecologist in Rockledge, Fl. She trained under Dr. David Richardson at Henry Ford Hospital in Detroit and brings years of experience and a high surgical expertise.  Dr. Sprock will be happy to explain the difference between slings and meshes.

Please call for an appointment 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

Copyright 2009-2016 Central Florida Urogynecology.  All Rights Reserved.


Please send Web Site Comments and Suggestions to RayDWebs

updated:  January 11, 2016