Oleta White, 61, of
Cocoa, Florida is a very happy and satisfied patient of
Dr. Marja Sprock, 12 months after receiving a
life-changing surgery performed by the
fellowship trained Urogynecologist, Dr. Marja Sprock.
“Thanks to Dr. Sprock,
I am once again able to lead my very active lifestyle,”
“I am an avid gardener
and am always on the go. Thanks to the great surgery
that Dr. Sprock performed on me, I am now back to being
a “Tom boy” again.”
During surgery, Dr.
Sprock installed a mesh system which provided critical
support creating an environment where the muscles of the
vagina and rectum could work more effectively for Mrs.
Sprock took her time with me to really see what was
going on,” said White.
“Dr. Sprock performed
very effective and accurate testing on me over about 12
weeks prior to deciding that surgery was necessary. The
testing was not uncomfortable and I was up and about
almost immediately after the surgery. The pain was no
worse than typical menstrual pains or tummy cramps.”
In a recent study, one
third of women aged 54 to 79 years, who reported urine
leakage once monthly at baseline progressed to leaking
at least once a week over a two-year follow-up. Daily
incontinence was reported in 12 percent of American
women between the ages of 60 and 64 years, and in 21
percent of women 85 years and older
Daily incontinence or
leakage a couple times a week, or just the fact that you
never know what to expect can severely influence quality
Influence of Stress and Age
In general, urinary
incontinence is caused by stress incontinence in about
half of women with incontinence, with combined stress
and urge, also called mixed incontinence, next common,
and urge incontinence least common.
These estimates change
with age, with urge incontinence more common in the
Testing & Treatment
incontinence makes adequate treatment more challenging,
because both the stress as well as the urge incontinence
must be recognized and treated. If not diagnosed as a
mixed cause incontinence, treatment will probably be
A thorough history with
focused physical exams and specific diagnostic testing
is imperative to accurately identify the etiology or, in
the case of mixed incontinence, etiologies of
(bladder filling and trying to mimic what causes the
leak) and cystoscopy (examining the bladder through a
scope) in the office can aid in making a correct
Once an accurate
diagnosis has been made, treatment specific to the
etiologies can be discussed and initiated.
Urinary incontinence is caused by stress
incontinence in about half of women with
incontinence, with combined stress and urge,
also called mixed incontinence, next common,
and urge incontinence least common.
of mixed incontinence consists of two stages. Whether
the stress or the urge component of the mixed
incontinence is treated first depends on the severity of
each. Each patient needs a customized approach depending
on the diagnostic testing.
In stress incontinence,
the urethral area closest to the bladder stays open.
Treating the stress incontinence closes “the open door”
from bladder to urethra (the tube through which urine
gets expelled), and treating bladder spasms/urgency
addresses the overactive bladder.
“I am so impressed with
the professionalism of her staff and the talent and
bed-side manner of Dr. Sprock,” said White.
“She really knows what
she is doing and I urge all ladies out there with any
sort of female issues to make an appointment to see Dr.
Marja Sprock. She will help you a lot and she is also a
lot of fun and a hoot.”
Dr. Marja Sprock
Sprock is a board-certified obstetrician and
gynecologist (FACOG) with fellowship training in
Sprock, who has two decades of experience as a
physician, trained as an obstetrician-gynecologist at
Henry Ford Hospital in Detroit, and always gravitated
toward the gynecological side of the specialty.
“I think a lot of
people need help in that area,” she says.
She completed her
fellowship in urogynecology at Henry Ford Hospital and
has practiced in the field for the past ten years.
Central Florida UroGynecology is entirely dedicated to
urogynecology and cosmetic gynecology.
A Dutch native, Dr.
Sprock moved to the United States to do her OB/GYN
residency training at Henry Ford Hospital in Detroit.
She continued her training in Urogynecology at Henry
Ford Hospital, one of the major teaching hospitals in
the United States, under Dr. David Richardson.
Spending more than a
decade at Henry Ford, Dr. Sprock also served as the
assistant program director of the OB/GYN residency
program for five years and as the director of the
Urogynecology section. She has been honored with
numerous awards during her career, from excellence in
laparoscopic surgery to excellence in patient care.
Recognized by Henry Ford Hospital for her commitment to
excellence in women’s care and resident education.
MEMBERSHIPS/AFFILIATIONS: As a member of the
International UroGynecological Association (IUGA), Dr.
Sprock has traveled the world; nationally she is a
member of the American UroGynecologic Society (AUGS) and
the American Association of Gynecologic Laparoscopists
ACHIEVEMENT: Always striving for excellence and
PROFESSIONAL ACHIEVEMENT: Making personalized and
caring urogynecologic and cosmetic services available to
women. Many women suffer with urinary, fecal or vaginal
“They always think
they’re the only one,” Dr. Sprock says.
“I can make people
feel a lot better. They look 10 years younger. They
get their self-confidence back.”
This makes the
specialty particularly rewarding for her as a
Sprock has contributed to the development of several
mesh and incontinence sling products as well the
development of new surgical procedures. In addition she
has taught numerous physicians the latest techniques and
helped them improve their surgical skills and knowledge.
WHAT SETS HER APART:
Dr. Sprock is one of the few female urogynecologists in
the country. She is down to earth and has a great sense
of humor, which makes discussing these sensitive
problems a whole lot easier. Do not feel embarrassed to
discuss any urine, fecal, or vaginal prolapse problem—
there are solutions and options out there.
Florida UroGynecology in Rockledge, keeps you dry,
day and night.