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


It's No Laughing Matter
Original Article as Published (PDF)

The Types of
Urinary Incontinence

Stress: Leakage of small amounts of urine during physical movement (coughing, sneezing, exercising).

Urge: Leakage of large amounts of urine at unexpected times, including during sleep.

Functional: Untimely urination because of physical disability, external obstacles or problems in thinking or communicating that prevent a person from reaching a toilet.

Overflow: Unexpected leakage of small amounts of urine because of a full bladder.

Mixed: Usually the occurrence of stress and urge incontinence together.

Transient: Leakage that occurs temporarily because of a condition that will pass (infection, medication).

It may happen when you laugh, but it’s not funny. Millions of women experience the discomfort and embarrassment of stress urinary incontinence, leakage of urine that occurs when you laugh, cough, sneeze or exercise.

There are several types of urinary incontinence. Stress urinary incontinence (SUI) is the most common. Women experience SUI more often than men, largely because pregnancy, childbirth, menopause and the structure of the female urinary tract, with a short outlet from the bladder, contribute to the condition.

Urologist Marko Gudziak, M.D., St. Joseph Mercy Oakland, explains that the condition often develops in women during their mid-40s, although younger women also can have it. It’s caused by a weakness of the urethral sphincter muscle and/or a weakness in the support structure of the bladder. The depletion of estrogen at menopause is a contributing factor.

One well-known treatment for stress urinary incontinence that Drs. Sprock and Gudziak don’t recommend is Kegel exercises. These exercises to strengthen the pelvic floor and sphincter muscles were developed in the 1960s by a California doctor who claimed high success rates. “Dr. Kegel’s success has not been duplicated,” Dr. Gudziak said. “It’s easy to do Kegels incorrectly,” Dr. Sprock explained. “If women learn to do them correctly, Kegel exercises may help you manage a mild case of stress incontinence, but it’s not going to cure you,” she said.

“Women have two big misconcep-tions about SUI,” says Marja Sprock, M.D., a Henry Ford Health System gynecologist. “A woman may feel she’s the only one who has the condition. Many also believe there’s nothing that can be done about it. Maybe they’ve tried Kegel exercises (see sidebar) without success. So they think they have to suffer with the condition.”

“Women are embarrassed to talk to their doctor about incontinence,” Dr. Sprock says. “But they needn’t be embarrassed. The condition is very common. Their neighbor probably has the same problem.”

It is important to have an evaluation by your PCP or OB/GYN so that other problems, such as an infection, are ruled out. Once the type of incontinence is diagnosed, there are many treatment options, including medications and surgery.

A 44-year-old HAP Wise Woman who had a surgical procedure to correct SUI advises other women to talk to their doctors. “Women don’t have to suffer with this. Don’t let it go. It’s not going to get any better without treatment.”

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  January 11, 2016