Rockledge, Florida

Marja Sprock, M.D., FACOG, FPMRS Board Certified
Fellowship Trained Urogynecologist

Now Accepting New Patients

info@CFUroGyn.com      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

URINARY ISSUES

FECAL STOOL ISSUES

SEXUAL HELP

COSMETIC GYNECOLOGY

I-LIPO

PROLAPSE

OVERVIEW


Technical & Educational Info


All Published Articles

Stool or Bowel Incontinence
By Marja Sprock, M.D. FACOG, FPMRS Board Certified

“You are a genius”. That is great to hear, I certainly do not get that compliment at home, however more important is the 42 year old patient, who complimented me, has her dignity back.

Carolyn used to have a bowel movement 4-5 times a day, without much or any warning. She had very frequent incontinence episodes. Helped by modern technology she had made pictures on her I-pad for her initial consultation showing me how she had spoiled herself the day before. Definitely not something she planned on putting on Facebook.

It is already difficult enough to hide an accident with urine, let alone with feces. The color and the smell, will not allow much time and dignity.

It is hard to believe, there are millions of people battling this problem. It has been estimated to affect 1-2% of the population over 40 years. Recently we have made progress in not only recognizing the problem, but also the treatments available.

There are numerous causes of fecal incontinence, which also makes the treatment vary.

Some people are impacted with stool and are bothered by spurious diarrhea. They often exacerbate their problem by ingesting anti-diarrhea medication. Once the real problem is treated by changing diet and or adding daily medications securing regular normally formed bowel movements, there suddenly is no more diarrhea. Just because you have never been regular and “naturally” have a bowel movement twice a week, does not make this a normal, healthy habit; you are without a doubt constipated. Unless you eat twice a week, you should strive for daily bowel movements.

Diseases as diabetes or excessive alcohol consumption can be associated with autonomic neuropathy, or trouble with the nerves holding and recognizing the presence of stool. Alcohol also tends to make the stool looser, which makes it more difficult to hold.

Injury to the internal or external anal sphincter, important in recognizing and holding stool may be caused by trauma, childbirth or anorectal surgery. Injury to the internal anal sphincter often leads to leakage of mucus and fecal staining, requiring the use of a pad and never feeling quite fresh and clean.

Neuropathy of the sphincter and pelvic floor muscles, which was one of the reasons Carolyn had limited control over her stool can be caused by spinal diseases or injury, stroke or childbirth.

Some cancers can also be a reason for sudden fecal incontinence and it is a good idea to have a colonoscopy done as part of the work-up of the stool loss problem. Radiation treatment or surgery of some colorectal cancers may invoke involuntary stool loss.

Irritable and inflammatory bowel diseases are also common reasons for incontinence.

Multiple causes require a thorough work-up and numerous different treatment options. Also every patient is different and brings a unique situation. Often patients have more than one reason for their bowel incontinence.

There are treatments available which may make me look like a genius, others are just common sense and would require a small adjustment or therapy. The experience of bowel incontinence is often embarrassing and causes anxiety and apprehension for a future episode to occur. Do not hide inside your home; seek help, so you can continue to enjoy life. Some treatments only require several office visits, others use of medication, surgery or nerve stimulation. Also visit the bathroom 30 minutes after breakfast; it is the best time to try to have a bowel movement. Have a cup of coffee on me with your breakfast, it may not be the suggestion you expect of a genius, but it does help.

Marja Sprock, MD is board certified in female pelvic medicine and reconstructive surgery (urogynecology) and treats numerous women for involuntary loss of stool. Call 321-806-3929 for an appointment or check us out at www.CFUroGyn.com  

"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