Perineometer - instrument of the gynecologist of the XXI century


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Background. Pelvic floor insufficiency (PPF), characterized by damage or weakness of the pelvic muscles, affects women of all ages, with an average prevalence of 50% and a peak in the older age group (77%). Main points. Among the conservative treatments for NTD, pelvic floor muscle training (PFMT) is recognized as the first line of therapy. An important condition for performing exercises is the use of a special device - iEASE XFT-0010 perineometer (a modern digital analogue of the perineometer invented by A. Kegel), which allows you to assess the strength of contractions, select an individual simulator, control the correctness of the exercises and the effectiveness of training in dynamics. PFMT is an effective treatment for pelvic organ prolapse and stress urinary incontinence. Numerous studies and meta-analyses have shown a decrease in the frequency and severity of symptoms, a decrease in the degree of prolapse and satisfaction with the results of treatment in 70% of patients who refused surgical treatment. Conclusion. PFMT are effective in the treatment and prevention of symptoms associated with pelvic floor dysfunction with patient education, regular exercise, and use of a perineometer.

Full Text

Restricted Access

About the authors

G. B Dikke

Academy of Medical Education. F.I. Inozemtseva

Email: galadikke@yandex.ru
St. Petersburg, Russia

References

  1. Awwad J., Sayegh R., Yeretzian J., et al. Prevalence, risk factors, and predictors of pelvic organ prolapse: a community-based study Menopause. 2012;19(11):1235-41. doi: 10.1097/gme.0b013e31826d2d94.
  2. Kegel A.H. The Physiologic Treatment of Poor Tone and Function of the Genital Muscles and of Urinary Stress Incontinence. West J Surg Obst Gynec. 1949;57:527-35.
  3. Hagen S., Stark D. Conservative prevention and management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2011;(12):CD003882. doi: 10.1002/14651858.CD003882.pub4
  4. NICE Guideline. Urinary incontinence and pelvic organ prolapse in women: management NICE guideline Published: 2 April 2019. URL: www.nice.org.uk/gui/auce/ng12g.
  5. NICE Guideline. Faecal incontinence in adults: management Clinical guideline Published: 27 June 2007. URL: www.2ice.org.uk/guid/2ce/cg49
  6. Bernards AT, Berghmans B.C., Slieker-Ten Hove M.C., et al. Dutch guidelines for physiotherapy in patients with stress urinary incontinence: an update.Int Urogynecol J. 2014;25(2):171-79. doi: 10.1007/s00192-013-2219-3.
  7. Woodley SJ, Boyle R., Cody J.D., et al. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2017;12(12):CD007471. doi: 10.1002/14651858.CD007471.pub3.
  8. Недостаточность тазового дна. Терапия на основе достижений науки и клинической практики. Под ред. В.Ф. Беженаря, Г.Б. Дикке, Е.Ю. Глухова. М.: Издательский дом «АБВ-пресс», 2021. 468 с. @@Insufficiency of the pelvic floor. Therapy based on the achievements of science and clinical practice. Ed. V.F. Bejenar, G.B. Dikke, E.Yu. Glukhov. M.: ABV-press Publishing House, 2021. 468 p. (In Russ.).
  9. Joshi C., Joshi A.K., Mohsin Z. Role of postpartum Kegel exercises in the prevention and cure of stress incontinence.Int J Reprod Contracept Obstet Gynecol. 2016;5:669-73.
  10. Radziminska A., Strqczynska A., Weber-Rajek M, et al. The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. Clin Interv Aging. 2018;13:957-65. Doi: 10.2147/ CIA.S160057.
  11. Дикке Г.Б. Алгоритм ранней диагностики и консервативного лечения дисфункции тазового дна 5 STEPS. М., 2019. 34 с. @@Dikke G.B. Algorithm for early diagnosis and conservative treatment of pelvic floor dysfunction 5 STEPS. M., 2019. 34 p.
  12. Marques A., Stothers L., Macnab A. The status of pelvic floor muscle training for women. Can Urol Assoc J. 2010;4(6):419-24. Doi: 10.5489/ cuaj.10026.
  13. Li C., Gong Y., Wang B. The efficacy of pelvic floor muscle training for pelvic organ prolapse: a systematic review and meta-analysis.Int Urogynecol J. 2016;27:981-92. Doi: 10.1007/ s00192-015-2846-y.
  14. Eyjolfsdottir H., Ragnarsdottir M., Geirsson G. Pelvic floor muscle training with and without functional electrical stimulation as treatment for stress urinary incontinence. Laeknabladid. 2009;95(9):575-80.
  15. Santos P.F., Oliveira E., Zanetti M.R., et al. Electrical stimulation of the pelvic floor versus vaginal cone therapy for the treatment of stress urinary incontinence. Rev Bras Ginecol Obstet. 2009;31(9):447-52. doi: 10.1590/s0100-72032009000900005.
  16. Серов В.Н., Аполихина И.А., Кубицкая Ю.В., Железнякова А.И. Электростимуляция мышц тазового дна в лечении недержания мочи у женщин. Акушерство и гинекология. 2011;7(2):51-5. @@Serov V.N., Apolikhina I.A.,Kubitskaya Yu.V, Zheleznyakova A.I. Electrical stimulation of the pelvic floor muscles in the treatment of urinary incontinence in women. Akusherstvo i gi2ekulugiya=Obstet Gynecol. 2011;7(2):51-5. (In Russ.).
  17. Siegel S.W., Richardson D.A., Miller K.L., et al. Pelvic floor electrical stimulation for the treatment of urge and mixed urinary incontinence in women. Urology. 1997;50(6):934-40.
  18. Spruijt J., Vierhout M., Verstraeten R., et al. Vaginal electrical stimulation of the pelvic floor: a randomized feasibility study in urinary incontinent elderly women. Acta Obstet Gynecol Scand. 2003;82(11):1043-48.
  19. Eder S.E. Evaluation of the EmbaGYN™ pelvic floor muscle stimulator in addition to Kegel exercises for the treatment of female stress urinary incontinence: a prospective, open-label, multicenter, single-arm study. Womens Health (Lond). 2014;10(1):17-27. Doi: 10.2217/ w3q.13.67.
  20. Reilly E.T., Freeman R.M., Waterfield M.R., et al. Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJO. 2014;121(7):58-66. doi: 10.1111/1471-0528.13213.
  21. B0 K., Talseth T. Long-term effect of pelvic floor muscle exercise 5 years after cessation of organized training. Obstet Gynecol. 1996;87(2):261-65. doi: 10.1016/0029-7844(95)60375-1.
  22. Cammu H., Van Nylen M., Amy J. A ten-year follow-up after Kegel pelvic floor muscle exercises for genuine stress. incontinence. BJU Int. 2000;80:655-58.
  23. Ayeleke R.O., Hay-Smith E.J.C., Omar M.I. Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women. Cochrane Database System Rev. 2813;11:CD818881. doi: 10.1002/14-81585.CD010881.pub2.
  24. Vaz C.T., Sampaio R.F, Saltiel F., Figueiredo E.M. Effectiveness of pelvic floor muscle training and bladder training for women with urinary incontinence in primary care: a pragmatic controlled trial. Braz J Phys Ther. 2019;23(2):116-24. doi: 10.1016/j.bjpt.2019.01.007.
  25. Capelini M.V, Riccetto C.L., Dambros M., et al. Pelvic Floor Exercises with Biofeedback for Stress Urinary Incontinence.International Braz J Urol. 2006;32(4):462-69. doi: 10.1590/s1677-55382006000400015.
  26. Castro R.A., Arruda R.M., Zanetti M.R.D., et al. Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence. Clinics. 2008;63:465- 72. doi: 10.1590/s1807-59322008000400009.
  27. Herbison P., Plevnik S., Mantle J. Weighted vaginal cones for urinary incontinence. Cochrane Database System Rev. 2002(1):CD002114. doi: 10.1002/14651858.CD002114.
  28. Vella M., Nellist E., Cardozo L., et al. Does self-motivation improve success rates of pelvic floor muscle training in women with urinary incontinence in a secondary care setting? Int Urogynecol J. 2013;24(11):1947-51. doi: 10.1007/s00192-013-2115-x.
  29. Gillard S., Shamley D. Factors motivating women to commence and adhere to pelvic floor muscle exercises following a perineal tear at delivery: the influence of experience. J Ass Chartered Physiother Women’s Health. 2010;106:5-18.
  30. Sugaya K., Owan T., Hatano T., et al. Device to promote pelvic floor muscle training for stress incontinence.Int J Urol. 2003;10(8):416- doi: 10.1046/j.1442-2042.2003. 00659.x.
  31. Macfarlane Е. Women's motivation to perform pelvic floor muscle training for prevention of pelvic organ prolapse. University of Otago, Dunedin, New Zealand; 2014. 175 р.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2022 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies