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  A Tighter Vagina - the Answer to Happiness

new  Do not Let Urine Loss Color the Golden Years

new  Small Box Can Fix Bowel Control Issues

new  Office Injection Procedure for Urinary Incontinence

new  Read a Magazine and Regain Urinary Continence

Position Statement on Mesh Midurethral Slings

Botox Covered by Insurance

Stress Urinary Incontinence in 2014

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

 

Stop Procrastinating in 2012
Marja Sprock, MD FACOG

Top 10 Urogynecology tips for 2012
  1. Fecal Incontinence is finally recognized as a significant problem affecting 11-17% of adults
  2. Nerve stimulation, Interstim, is FDA approved and Medicare covered to treat Fecal Incontinence
  3. Rectal bulking has been FDA approved and is an in office procedure
  4. Preventing liquid stool is paramount, since it is difficult to hold on to for most people
  5. Pelvic floor muscle training can provide benefit for fecal incontinence, prolapse and urinary incontinenc.
  6. Prolapse, descent of the vaginal tissues can give you a backache or feeling of pulling-fullness in the vagina; it can literally drag you down
  7. Not every vaginal prolapse requires surgery
  8. When bothered by vaginal laxity and pelvic muscle training is not enough, consider cosmetic surgical tightening for enhancing the pleasurable sexual experience
  9. Prolapse is a lot more than a vagina just being loose; it is giving in to gravity and showing itself inside out
  10. This website has a plethora of information available. 

We wish you a
Happy and Healthy 2012 !

Problems with holding on to or elimination of urine and or feces are usually not topics most people like to talk about. Prolapse of vaginal contents (the vagina giving in to gravity), is another problem that a lot of people try to hide. Most of these problems do not disappear as slowly as they were brought on, but gradually start taking over your life.

Prolapse for example literally drags you down. Most prolapses are much better after a night of rest, however during the day they usually start falling down again.

Also if the bladder is prolapsed, it may get rest at night and empty better, however you will not. It will keep you up most of the night and will make you feel dragged down for the rest of the day.

It is amazing how much better women feel once they have taken the step to do something about their prolapse.

Taking care of your prolapse can be done by exercising and strengthening of your pelvic floor muscles, a pessary (support shelf placed in the vagina) or surgery. What will be done depends on the degree of the prolapse; not all of them peek through the opening of the vagina, not all give trouble with urinating or having a bowel movement. And it depends on the owner of the prolapse, you. Are you happy with the result after training your muscles, are you happy with a pessary or do you rather have it taken care of potentially permanently?

Prolapses come in different degrees of severity and you can’t compare yours to your neighbors or best friends, however you are not the same people either and may have totally different desires, wishes and fears.

In July of 2011 the FDA issued a warning which imposed a lot of fear into women who had chosen to have their large prolapse repaired with a permanent vaginally placed mesh.

Also the lawyers were and are jumping on the issue of the vaginally permanently placed mesh. Hopefully in 2012 we can put it all in perspective and women will not have to procrastinate out of a misplaced fear.

The FDA warning has not served women with severe prolapse well and also the media have taken the warning out of proportion. If surgery is chosen to repair a large prolapse or a prolapse that has recurred, a mesh will diminish the chance that it will come down again.

In a recent article in the December issue of Obstetrics and Gynecology it is clearly shown that the anatomic success rate is higher to correct an anterior wall prolapse with a permanent polypropylene mesh than without it. Realizing that the failure rate of surgically repairing the prolapse of the front wall of the vagina, is quoted up to 40%, you may at least want to consider it.

Erosion of mesh: the mesh material is coming through the vaginal wall and visible

Numerous women are now procrastinating their prolapse treatment and in the mean time, they get no sleep at night, can’t evacuate their bowel movement without manual help or have a continual dragged down feeling of the vagina and lower backache.

Sometimes you’ll have to take some action and get properly informed, not just scared by assumptions.

Pelvic floor muscle training will never worsen the condition and may help some women enough; you may want to get some instruction (available in our clinic) to assure you get the most benefit out of it. A pessary is a little non-permanent shelf inserted in the vagina, which can hold the organs up. It does require cleaning at least once every 3 months in the clinic, or sometimes you can take care of that yourself.

“Are you still placing meshes” , I was asked by a friend not too long ago and the answer is yes I am. After every repair for prolapse there is risk of pain, infection, bleeding, pain during intercourse, perforation of organs like bladder or bowel or ureter and urinary problems, the only problem unique to meshes is erosion (showing of the material inside the vagina). The risk of mesh erosion is there (less than 10% chance), no matter if we place the mesh through the vagina or through the abdomen with the robot or laparoscope. I agree, sounds scary and may want you to procrastinate again. Everything in life we do has potential risks, not sleeping well at night and feeling dragged down the whole day is not a solution. Also more than half of the showings of the mesh in the vagina are without symptoms and if needed a lot of them can be dealt with in the office. There is no free lunch, but a mesh erosion is usually easier to take care of than another surgery for prolapse.

Prolapse: the descend into the vagina of bladder, bowel, uterus or rectum

The FDA reported vaginally placed mesh problems are less than 1% of all vaginal mesh surgeries performed. In reality if your repair did not work out well without a mesh, you have no FDA to report to. If you are younger and quite healthy a laparoscopic or robotic repair which is always done with a mesh may be your answer. However if you are a little older and like to have outpatient surgery and you have a large debilitating prolapse, you may have to stop procrastinating and get a vaginally placed mesh to hold up your prolapse and enhance the chance that it will stay up and in.

Like I asked sarcastically of one of my employees who is leaving to go back to school: “are you going to tell everybody how bad the meshes are?” Are you kidding me, she replied: “they do wonders for people”

If you are ready to stop procrastinating in 2012 and are ready to take care of your vaginal prolapse, urinary or fecal incontinence or trouble with emptying see Central Florida UroGynecology in Rockledge. We are your “go-to center” for urogynecologic and cosmetic gynecologic surgery needs and questions.

Call 321-806-3929 for an appointment or leave a note.


Central Florida Urogynecology Associates

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

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updated:  May 15, 2013