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Vaginal cones: a conservative method of treating genuine stress incontinence
Author(s) -
PEATTIE A. B.,
PLEVNIK S.,
STANTON S. L.
Publication year - 1988
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1988.tb06512.x
Subject(s) - medicine , urinary incontinence , urine , stress incontinence , conservative treatment , pelvic floor , urinary system , urology , urge incontinence , surgery , physical therapy , gynecology
Summary. A set of weighted vaginal cones designed to exercise the pelvic floor muscles was used by a group of 39 premenopausal patients with genuine stress incontinence who were awaiting corrective surgery. The effectiveness of the exercises in reducing urinary loss was assessed with a standard urine pad test before and after 1 month of training. Of the 30 women who completed 1 month of the exercises 70% felt they were improved or cured and 90% found it an acceptable method of treatment. Of the 30 women only 11 (37%) opted for surgery after training. There was a highly significant correlation (P<0·001, r s = ‐0·21) between decreased urine loss and increase in retained cone weight.