Weighted vaginal cones for urinary incontinence

Abstract

Bø K, Talseth T. Single blind randomised controlled trial on the e ect of pelvic floor muscle strength training, electrical stimulation, cones or control on severe genuine stress incontinence. Abstract 87. Neurourology and Urodynamics 1998;17(4):421-2. * Bø K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ 1999;318:487-93. Cammu 1998 {published data only} Cammu H, Van Nylen M. Pelvic floor exercises (PFE) versus vaginal cones (VC) in the treatment of genuine stress incontinence (Abstract number 225).

Effect of vaginal spheres and pelvic floor muscle training in women with urinary incontinence: A randomized, controlled trial

“…17,20,21 Vaginal spheres may improve the proprioception of the pelvic floor musculature as they trigger an involuntary muscle contraction, and can help the patient in terms of voluntary and specific control of this musculature. 11,20,21 The results from our study support data from earlier studies that found pelvic floor rehabilitation produces benefits in urine leakage. 5,9,16,17,[21][22][23] However, in some of these studies, 5,16,17,23 the benefits of PFMT were similar with or without vaginal medical devices and no significant differences were observed between the two treatment options.…”

Vaginal cones or balls to improve pelvic floor muscle performance and urinary continence in women post partum: A quantitative systematic review

“…Nevertheless, the results of this review are in agreement with the results of the Cochrane review by Herbison and Dean (2013), which included but did not focus on postpartum interventions. These authors provided some evidence that weighted vaginal cones are more useful than no active treatment for urinary incontinence (not specifically post partum), and might be of similar effectiveness to pelvic floor muscle exercises.…”

“…To date, no systematic review has focused on the use of these devices specifically during the postpartum period. A Cochrane review looked into the effectiveness of cones or balls for urinary incontinence and included postpartum women (Herbison and Dean, 2013). Another Cochrane review by Boyle et al (2012) and a systematic review by Mørkved and Bø (2014) looked into the effectiveness of pelvic floor muscle training during and after pregnancy and included cones amongst other forms of training.…”

Mechanical oscillations superimposed on the pelvic floor muscles during Kegel exercises reduce urine leakage in women suffering from stress urinary incontinence: A prospective cohort study with a 2‐year follow up

“…Regular pelvic floor muscle training (PFMT) is a first‐line conservative treatment for stress urinary incontinence (SUI) in women and has a cure rate of between 50% and 56% . Adding additional methods to PFMT, such as electrical stimulation, weighted vaginal cones, mechanical devices, and different forms of biofeedback, does not increase the cure rate . Surgery is performed when PFMT has failed.…”