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

Surgical Treatment of Stress Urinary Incontinence
By Marja Sprock, M.D. FACOG, FPMRS Board Certified

The answer to: what is the worldwide standard of care for the surgical treatment of stress urinary incontinence (SUI) is ………

You may be surprised after hearing and seeing numerous lawyer ads about slings and meshes, to hear that the worldwide surgical standard of care for stress urinary incontinence is the polypropylene midurethral sling . Read it well though it states the recognized worldwide standard for surgical treatment, which does not mean it is the very first method of treatment which should be entertained.

Caroline is 42 and has young kids, who like to play games outside or activity games in front of the computer. Ever since the birth of her last child 7 years ago, Caroline has had leakage with jumping, running, coughing, sneezing and sometimes sex. She has done her Kegels and I definitely agreed with her they were quite strong. Despite this Caroline could not perform activities without feeling urine squirting out. Caroline read on the internet that the AUGS (American Urogynecological Society) and SUFU (Society of Urodynamics, Female pelvic Medicine &Urogenital Reconstruction) came out with a statement about the sling as being the preferred surgical treatment choice for SUI. Caroline became confused about the controversy between what she was hearing in ads on TV and the information from 2 reputable organizations. Neither of these organizations are manufacturers of slings.

Caroline had heard about the sling, in fact her older sister had one inserted and had been quite happy with it, however she had experienced so much negative publicity.

After hearing and seeing numerous lawyer ads about slings and meshes, it may be surprising to hear that the worldwide surgical standard of care for stress urinary incontinence is the polypropylene midurethral sling and is endorsed as such by AUGS and SUFU.

The midurethral sling was developed in the mid-nineties and is inserted through a small incision in the vagina to treat urine leakage with coughing, sneezing, laughing and activities. Debilitating and bothersome leakage can lead to a significant decrease in quality of life and the sling has helped a significant number of women regain their quality of life. On the FDA website it reads: “The safety and effectiveness of multi-incision slings is well-established in clinical trials that followed patients for up to one year” In the scientific medical literature there are multiple studies showing the effectiveness and safety of slings more than 10 years after insertion.

The negative publicity surrounding the sling has become worrisome for women who have tried conservative measures like muscle training and monitoring their liquid intake, since it has taken away the solution to a life free of pads and insecurity. In fact when Caroline had finally made the decision to move ahead and have the sling implanted, she had to tolerate all the lawyer ads making her doubt her decision till the day of surgery. At her follow up visit after surgery, she told me she had cried after her surgery out of happiness and sadness she waited so long. The family had been playing computer games and the kids had challenged mom Caroline to a game of computer bowling and tennis about 3 weeks after sling surgery. Caroline realized after playing for an hour that she had not leaked and had not had any inhibitions from fear of leakage. Instead, she had had real fun. She had moved and laughed without requiring a pad, without feeling squirts of urine coming out.

AUGS and SUFU have reiterated the polypropylene midurethral sling to be the worldwide surgical standard of care for treatment of stress urinary incontinence. You will still have to make sure your muscles are strong and work on this as a first round of treatment. The FDA also mentions a pessary to reposition the urethra and bulking agents to make the space around the urethra thicker as non-surgical options. The FDA states erosion of the mesh sling in the vagina is the most reported complication, approximately 2% at 1 year of surgery.

Caroline is able to laugh this off, she has her freedom back and is planning for a hiking trip with the kids, no more need to pack pads.

Enjoy life without pads, call Central Florida UroGynecology with 2 female board certified urogynecologists to assist you achieving continence. Surgical and non-surgical treatments are available dependent on your desire and needs. Call 321-806-3929 and schedule an appointment with Katrina Davis, MD or Marja Sprock, MD.  or check us out at

"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