Dr. Sprock is a Urogynecologist. She specializes in the diagnosis and treatment of pelvic floor disorders in women. We help women who have problems with their pelvic floor, which is like the support system for organs in your abdomen, such as the bladder, uterus, vagina, and rectum.
These disorders involve the muscles, ligaments, connective tissues, and nerves that support and control the pelvic organs, including the bladder, uterus, vagina, and rectum. Urogynecologists have extensive training in Gynecology and urology, allowing them to address a wide range of conditions related to the pelvic floor.
Urinary Incontinence
Accidentally leaking urine when you don't mean to — for instance, when you cough, sneeze, or laugh.
Fecal Incontinence
Difficulty controlling stool or gas, ranging from occasional accidents to a complete loss of control.
Overactive Bladder
Feeling like you always have to pee, with sudden urges that are hard to hold in or control.
Voiding Dysfunction
Difficulty starting to pee, stopping, or completely emptying your bladder.
Well Women Visits
Preventive care and health maintenance visits for women over 45, once established as a patient — tailored to your specific health needs.
Pelvic Organ Prolapse
When pelvic organs like the bladder or uterus begin to drop, causing a bulging feeling or pressure in the vagina.
Pelvic Pain
Constant or recurring pain deep in the lower belly or pelvis.
Interstitial Cystitis / Bladder Pain Syndrome
Pain or discomfort in the bladder area, especially when urinating.
Pelvic Floor Muscle Dysfunction
Muscles in the lower belly that become weak or too tight, leading to difficulty controlling urination or bowel movements.
Hormonal Replacement
Personalized hormone therapy to ease menopause symptoms, protect bone health, and improve vaginal comfort and urinary function.
Cosmetic Offerings - Pelvic Floor Enhancement and Clitoral Revitalization
Specialized treatments, including labiaplasty, to enhance pelvic floor strength and clitoral sensitivity, improving intimate wellness and confidence.
A Closer Look at Each Condition
Urinary Incontinence
Many Americans find leaking urine to be a source of embarrassment, yet urinary incontinence affects approximately 13 million people in the country for various reasons. Factors such as age, stress, and infections can significantly impact the strength of your urinary sphincter, leading to challenges in bladder control.
Fecal Incontinence
Losing control over bowel movements can deeply affect your self-esteem, impacting the joy in social gatherings with family and friends, as well as your engagement in favorite hobbies. If you experience unexpected leakage of fecal matter, whether it’s a minor amount or a complete loss of control, it might be due to several reasons such as diarrhea, chronic constipation, weakened muscles, or nerve damage. The control of your bowel is governed by muscular rings at the rectum’s end, with nerves that signal the need to use the bathroom and help manage the anal sphincter. Factors like aging, childbirth, spinal cord injuries, strokes, or consistent straining during bowel movements can lead to damage of these muscles and nerves, challenging your ability to maintain control.
Overactive Bladder
Overactive bladder causes a persistent, hard-to-ignore urge to urinate, often with little warning. You may find yourself needing to use the bathroom eight or more times a day, waking at night to urinate, or rushing to find a restroom before you can make it. It can happen with or without leaking urine, and it’s commonly linked to bladder muscle spasms, though the exact cause isn’t always clear. It’s a common, treatable condition — not something you have to simply live with.
Voiding Dysfunction
Voiding dysfunction describes difficulty with the mechanics of urinating itself — trouble starting your stream, a weak or interrupted flow, straining to empty your bladder, or a sense that you haven’t fully emptied even after going. It can stem from a variety of causes, including pelvic floor muscles that don’t relax properly, nerve issues, or physical obstruction, and it’s often more treatable than patients expect once the underlying cause is identified.
Well Women Visits
Well-woman visits are preventive check-ins that go beyond treating a specific complaint — they’re a chance to review your overall health, discuss any changes in urinary, bowel, or pelvic function, and catch small issues before they become bigger ones. We offer these visits for established patients over 45, tailored to where you are in life, whether that’s perimenopause, menopause, or beyond.
Pelvic Organ Prolapse
If you’re experiencing a sensation as if you’re sitting on a ball, pain in your lower belly or pelvic area, discomfort during intimate moments, the need to urinate often, or notice tissue protruding from your vagina, you might be dealing with a condition known as prolapse. This happens when weak muscles and ligaments, which usually keep your pelvic organs in place, become strained due to factors like aging, lifting heavy objects, obesity, pregnancy, childbirth, a chronic cough, or chronic constipation, leading these organs to bulge into your vagina. Fortunately, prolapse can be addressed through various surgical and non-surgical treatments, providing relief and improving your quality of life.
Pelvic Pain
Pelvic pain is discomfort felt in the lower abdomen or pelvis that is constant, recurring, or tied to specific triggers like intercourse, urination, or your menstrual cycle. It can originate from the bladder, reproductive organs, pelvic floor muscles, or nerves, which is why an accurate diagnosis matters — treatment looks very different depending on the underlying cause. We take the time to identify what’s actually driving your pain rather than treating symptoms in isolation.
Interstitial Cystitis / Bladder Pain Syndrome
Bladder Pain Syndrome, also known as interstitial cystitis, leads to discomfort and pain in the bladder and the surrounding pelvic area, coupled with an urgent and frequent need to urinate. The discomfort often intensifies as the bladder fills with urine or during the process of emptying, as well as during menstrual periods or sexual activity. While the exact cause of Bladder Pain Syndrome remains unclear, there are effective treatments available that can alleviate symptoms. These include medications, electrical nerve stimulation, and other non-surgical methods. For those who have not found relief from these approaches, surgery may be considered as a further option.
Pelvic Floor Muscle Dysfunction
Your pelvic floor is a group of muscles that support the bladder, uterus, and rectum, and that you rely on to control urination and bowel movements. When these muscles become too weak, they can contribute to incontinence and prolapse; when they become too tight, they can cause pain, difficulty emptying the bladder or bowel, and pain during intercourse. Because a weak pelvic floor and a tight one require different treatment approaches, proper evaluation is the first step toward relief.
Hormonal Replacement
Hormone replacement therapy (HRT) is a key part of care in Urogynecology for women going through menopause or who have had their ovaries removed. It helps ease symptoms by adding estrogen and sometimes progesterone to the body. HRT can make life better by reducing hot flashes, stopping bone loss, and helping with vaginal dryness and the urge to urinate often. Each treatment is customized to fit the patient’s health and needs, making sure it’s safe and effective.
Cosmetic Offerings - Pelvic Floor Enhancement and Clitoral Revitalization
Elevate your intimate well-being with specialized treatments aimed at enhancing pelvic floor muscles and clitoral sensitivity, separate from our cosmetic offerings located at a different site. Our expertly designed programs include labiaplasty and focus on improving Ladies’ G-Spot sensitivity, clitoral orgasms, reducing urinary incontinence, and strengthening pelvic floor muscles. Discover a renewed sense of confidence and sexual satisfaction through our targeted therapies, crafted to rejuvenate your intimate health and vitality.
Urogynecology or Urology?
Deciding whether to see a Urogynecologist or a urologist can be challenging if you're not familiar with the specific areas of expertise each specialty covers. Here's a quick guide to help you make an informed choice:
See a Urogynecologist for:
- Urinary problems (overactive bladder, stress incontinence)
- Prolapse / abnormal descent of genital organs (cystocele, rectocele, uterine prolapse, enterocele)
- Bowel incontinence
- Painful intercourse
See a Urologist for:
- Kidney stones
- Bladder and kidney cancer
- Male infertility
- Erectile dysfunction
