Vaginal weights for assessment and training of the pelvic floor

Perkins, Janice M

doi:10.1016/s1071-5754(98)90065-1

Cited by 3 publications

(1 citation statement)

References 40 publications

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“…The ability to hold the cone with the correct weight in an upright position while walking is to lead to the correct contractions of the pelvic floor muscles. Cone exercises should be considered as supplementary to training and should only be used when clearly indicated [60,61]. Weights can be an effective training aid for women with mild to moderate stress urinary incontinence, especially in the absence of severe pelvic organ prolapse.…”

Section: Karaman Et Al 2020 [43]mentioning

confidence: 99%

The Application of Physiotherapy in Urinary Incontinence

Wójcik¹,

Placek²,

Goździewicz³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Objective:The problem of urinary incontinence affects half of the adult female population, impacting adversely on their comfort of life and significantly hindering ordinary life activities (laughing, sneezing, coughing, physical activity); it also affects the quality of their sexual life. Physiotherapy is an increasingly common method for the conservative treatment of genital static disorders and stress urinary incontinence. Mechanism: In this article, the authors consider the following aspects: the use of various physiotherapy interventions as adjunctive treatment for urinary incontinence. The authors reviewed the literature databases in PubMed, Medline and Embase to identify links between the applied physiotherapeutic treatment and its effectiveness. Findings in Brief: The applied physiotherapeutic treatments and their effectiveness in urinary incontinence are presented. Conclusions: Physiotherapy treatments are effective and supportive of the treatment process in women of all age ranges with urinary incontinence, thus improving their quality of life.

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Section: Karaman Et Al 2020 [43]mentioning

confidence: 99%

The Application of Physiotherapy in Urinary Incontinence

Wójcik¹,

Placek²,

Goździewicz³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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A 60-Year-Old Woman With Sexual Difficulties

Potter

2007

JAMA

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Ms B is a 60-year-old woman with diabetes, hypertension, hyperlipidemia, and asthma who has noted sexual difficulties since entering menopause. She wonders whether this is normal or whether anything can be done.Ms B had menarche at 12 years of age. She has been happily married for 38 years and has had 3 pregnancies and 3 children. She reports a diagnosis of endometriosis when she was younger but had no difficulty conceiving. She had regular menses until age 58, when she underwent simultaneous bladder suspension surgery for incontinence and hysterectomy for uterine fibroids. Several months postoperatively she began noticing vaginal dryness, decreased sexual desire, and more difficulty achieving an orgasm. She was treated with esterified estrogen (0.625 mg) and methyltestosterone (1.25 mg) at the time with resolution of her symptoms. She continued this regimen for a couple of years, after which it was stopped due to concerns about adverse effects. More recently she has been treated with estradiol vaginal tablets and subsequently switched to an estradiol vaginal ring because of its ease of use. Ms B found that both of these helped with the vaginal dryness but not her other symptoms. She was recently seen by a new primary care physician who suggested trying bupropion (100 mg daily). Her last Papanicolaou test was done a couple months ago and her last mammogram was done about a year ago; results of both were normal.She was recently diagnosed with diabetes and is now treated with metformin (500 mg daily), with a hemoglobin A 1C value of 7.6%. She was also recently noted to have hyperlipidemia and was prescribed pravastatin (40 mg daily) for a total cholesterol level of 307 mg/dL (7.95 mmol/L), high-density lipoprotein (HDL) cholesterol level of 57 mg/dL (1.48 mmol/L), and a calculated low-density lipoprotein (LDL) level of 229 mg/dL (5.93 mmol/L). Her blood pressure has been well controlled with lisinopril (20 mg daily). She has allergic asthma that is well controlled with montelukast (10 mg daily). She notes occasional back pain for which she takes cyclobenzaprine (two 10-mg tablets at bedtime) with good relief. She is allergic to ciprofloxacin with development of a rash.She currently works as a psychologist. She walks 45 minutes daily, has never smoked, and denies any significant alcohol intake. MS B: HER VIEWMy perception of it isn't so much as a dysfunction as an awareness that since menopause, a few years before actual menopause, that it was more of a challenge to really focus on my own sexuality and that upon arousal, when my husband and I would make love, that it takes a little more work now. I just started to feel nowhere near as much desire as I normally did. Things were not as stimulating, and it just became a challenge instead of an adventure.

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Management of the Very Weak Pelvic Floor. Is there a Point?

Swart

Hagerty

Corstiaans

et al. 2002

International Urogynecology Journal and Pelvic Floor Dysfunctio

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Conservative treatment in the form of pelvic muscle exercises is effective in the treatment of stress urinary incontinence. There are no studies specifically looking at women who have extremely weak pelvic muscles and their response to conservative treatment. This study looks at the effectiveness of pelvic muscle therapy in women with very weak pelvic muscles. Out of 965 women attending the bladder clinic at Kirwan Hospital, 219 were assessed to have weak pelvic muscles by digital palpation. All patients were subjected to a detailed urogynecological questionnaire, a frequency/volume chart, and clinical assessment. All patients were then given detailed verbal and written instructions on good bladder habits, including posture, dietetic habits and pelvic muscle exercises. Of the 219 women, 163 were able to complete their treatment and presented for review. Out of 163 women 118 (72%) reported a subjective improvement; 89 (54%) demonstrated an objective improvement in pelvic muscle strength.

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Vaginal weights for assessment and training of the pelvic floor

Cited by 3 publications

References 40 publications

The Application of Physiotherapy in Urinary Incontinence

The Application of Physiotherapy in Urinary Incontinence

A 60-Year-Old Woman With Sexual Difficulties

Management of the Very Weak Pelvic Floor. Is there a Point?

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