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

 

FDA Public Health Warning: Vaginal Mesh Use

In October 2008 the FDA issued a notification regarding complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence.

This is a mouthful, however it relates to the frequently used polypropylene or xenograft (animal or human tissue) pieces of material, to strengthen the weakened vaginal wall.

The FDA describes the problems they have encountered on their website.  Click here

The main problem is exposure of the mesh, which means, some part of the mesh is not covered by vaginal tissue. Dependent on the material used, this mesh exposure can be removed or delayed healing awaited with the help of vaginal estrogen. Vaginal estrogen is used to prevent the complication of mesh extrusion also.

I agree that mesh extrusion can be encountered by every surgeon using vaginal mesh implants. A significant amount of women prefer a mesh extrusion over their vaginal organs hanging out. The mesh, not being covered by vaginal tissue is often treatable in the office, or with a small outpatient surgery.

Remember not everybody with pelvic organ prolapse will need surgery, there are other treatment options. Also not everyone requiring surgery will need transvaginal mesh placement.

The FDA describes problems with pain, recurrence of prolapse, urinary problems and perforation of organs during insertion.

Even though it is stated in the medical community that “the only surgeon who has never had a complication does not operate”, it is well known that experience with the procedure diminishes the risk of complications.

Sometimes vaginal scar formation can not be controlled, however most patients who had pain after mesh placement that were referred to me, had their mesh placed too tight, by inexperienced surgeons. The good news is, I was able to relieve all of them from their pain and their prolapse has not returned.

It needs to be remembered that transvaginal mesh placement is not the best procedure for all and some women may be better off with a laparoscopic sacrocolpopexy ( the use of mesh with the help of a scope placed through the belly button) or a vaginal repair without mesh.

It needs to be emphasized that the use of mesh is permanent and as with any procedure there are downsides.

The general failure rate of pelvic organ prolapse repair is 30%. It has been scientifically proven that the use of mesh for a condition of prolapse called cystocele (bladder prolapse), diminishes the rate of recurrence.

What to do if you have pelvic organ prolapse and your surgeon has discussed the use of mesh? The FDA website describes questions that you should ask your surgeon pertaining to the need for the mesh, experience of the surgeon and how the surgeon will deal with possible complications.

The best recommendation I can give to you is to go on the FDA website and choose your surgeon wisely. Ask questions and make sure your surgeon is an urogynecologist or gynecologist/urologist with extensive experience with the use of vaginal mesh. If you are postmenopausal use your vaginal estrogen as prescribed.

Dr. Sprock is fellowship trained in urogynecology and has an extensive experience in the use of mesh. She is at the forefront of development of new techniques for vaginal prolapse repair and has worked closely with industry in the development of some mesh products, to improve the outcome. She continues to improve techniques and products and has instructed hundreds of surgeons in the safe use of vaginal meshes to improve the outcome of pelvic organ prolapse repair.


Please come for a consultation to Central Florida UroGynecology, which is located just off of US 1 in Rockledge, on 1009 Harvin Way, Suite 110, the building with the red roof. The phone number is 321-806-3929.

We offer a friendly professional atmosphere to treat all your urogynecologic and cosmetic gynecologic needs. Treatments offered range from exercises, nerve stimulation, medication, diet instruction to surgical intervention.

Please contact us at 321-806-3929 today.


Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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

 

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updated:  January 11, 2016