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

Stress Urinary Incontinence
by: Marja Sprock, M.D., F.A.C.O.G., F.P.M.R.S board certified

Stress Urinary Incontinence (SUI) is the involuntary leakage of urine with activity, sneezing or coughing. In other words leakage when you are trying to walk or do jumping jacks to get your weight under control. It has nothing to do with the stress of keeping the family happy or all your work done, unless it involved a lot of running and jumping.

SUI affects 4-35% of women to varying degrees. A leak once a year when you forgot to empty your bladder and your family makes you laugh very hard, may not be desirable, but usually does not make you think of requiring treatment. If you can’t walk without leaking in your pants or do an exercise class without putting on a pad or needing a pad on a daily basis, it becomes a more pressing matter.

Continence is usually achieved when the urethra, which is the tube connecting the bladder to the outside, has a stable base to rest on. When the intra-abdominal pressure increases, for example with coughing, the urethra should be compressed against the stable base, thereby closing and preventing leakage from the bladder.

Loss of the support of the urethra could be because of aging, pregnancy, childbirth, genetic factors and stresses on the pelvic floor, like a chronic cough (time to quit smoking), obesity or repetitive heavy lifting.

The pelvic floor or pelvic support muscles are important muscles pertaining to continence as well as support of the pelvic organs. Pelvic floor muscle training is often the first recommended treatment for stress urinary incontinence, however may not be enough for your particular severity of incontinence. Studies show about 60 % of patients will be significantly improved with pelvic floor muscles exercises and about 90% with surgery; however there is little risk to training muscles and it should be the first focus.

When pelvic floor muscle training is taught with biofeedback, in other words you see and feel what to do, it works a lot better than someone telling you to squeeze harder. You can’t squeeze harder if you do not know what to squeeze. Central Florida UroGynecology has short effective pelvic muscle instruction courses, with often very striking results.

The sling and mesh controversy of the last couple of years has given the surgical treatment for SUI some negative publicity. The American Urogynecologic Society (AUGS) and Society of Gynecologic Surgeons (SGS) state that the sling is the preferred surgical treatment for stress urinary incontinence. Different materials can be used as a sling; most often it is polypropylene, which is permanent gauze/tulle like band. Slings are inserted underneath the urethra, to recreate the base/support and prevent the unwanted leakage of urine. Different options are minislings (incision only in the vagina), Trans obturator tape (incision also in the groin) or retropubic (insertion also above the pubic bone).

Slings have been around since the end of the last century and are the recommended surgical treatment for SUI. Other options are pessaries with an incontinence knob or urethral inserts, which are less effective. In women who have a stable urethra or in whom the surgery has not achieved total cure of the SUI, urethral bulking (insertion of a material in the urethra) may help to achieve continence. Recently a modified tampon has also been introduced, which has not been a real help. Medications are not effective for SUI, however if you have mixed incontinence or urgency it may make a difference.

Central Florida UroGynecology has the Incontilase® laser available for SUI and has excellent results with this office based, non-invasive treatment. The Incontilase® reinvigorates the collagen and elastase and reinforces your own tissue. We are one of the few advanced urogynecology clinics to have this option available.

Pelvic floor muscle training should be the start to treat SUI if necessary followed by other treatments. The sling has been around for a long time and is the recommended surgical choice.

If you want to join Central Florida UroGynecology in walking a mile a day and improve your health, remember there are no excuses. If leakage prevents you from walking or exercising there’re non- and minimally invasive treatments available. Also remember there are different forms of incontinence as well as mixed forms; your incontinence may not be SUI. It may be a good idea to start treatment for your incontinence and start getting your confidence back.

Marja Sprock is a board certified urogynecologist as well as a board certified obstetrician and gynecologist and practices in Rockledge at Central Florida UroGynecology. Call us at 321-806-3929 or

"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