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Vaginal cone therapy in patients with stress urinary incontinence

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Purpose

The aim of this study is to assess the effectiveness of the vaginal cone usage in patients with stress urinary incontinence (SUI) treated by hormone replacement therapy (HRT).

Methods

In this prospective controlled study, vaginal cone therapy is proposed to 22 postmenopausal patients with SUI having HRT who were admitted to Istanbul University, Faculty of Medicine Urogynecology Division. The vaginal cone therapy protocol consisted of one 40-min session per day over a 12-week period at standing position, and to push back the vaginal cone if they feel it slide for 15 times. Control group consisted of ten postmenopausal patients receiving only HRT. For the two groups, perineometry value, pad test, and 3 days average number of incontinence were assessed at the beginning and after 2 months of treatment.

Results

In the vaginal cone group, in all parameters a statistically significant difference was observed toward improvement as compared to baseline (p < 0.01); there were no significant differences (p > 0.05) in the HRT group. While comparing between the mean differences of two groups, the average number of urinary leakage was decreased and perineometry value was statistically increased (t = 3.74, p < 0.001; t = 3.24, p < 0.01) in vaginal cone group rather than in the HRT group which was calculated from the urinary diary.

Conclusions

Vaginal cone could be an effective method of treatment in patients with SUI and may be a preferable treatment for patients who have problem to come to hospital and want to work independently at home.

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Abbreviations

SUI:

Stress urinary incontinence

PFM:

Pelvic floor muscles

HRT:

Hormone replacement therapy

References

  1. Bø K, Talseth T, Holme I (1999) 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 20:487–493

    Article  Google Scholar 

  2. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A (2002) Standardisation Sub-committee of the International Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178

    Article  PubMed  Google Scholar 

  3. Castro RA, Arruda RM, Zanetti MR, Santos PD, Sartori MG, Girão MJ (2008) 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 63:465–472

    Article  PubMed  Google Scholar 

  4. Capelini MV, Riccetto CL, Dambros M, Tamanini JT, Herrmann V, Muller V (2006) Pelvic floor exercises with biofeedback for stress urinary incontinence. Int Braz J Urol 32:462–468

    Article  PubMed  Google Scholar 

  5. Herbison P, Plevnik S, Mantle J (2002) Weighted vaginal cones for urinary incontinence. Cochrane Database Syst Rev (1):CD002114

  6. Neumann PB, Grimmer KA, Deenadayalan Y (2006) Pelvic floor muscle training and adjunctive therapies for the treatment of stress urinary incontinence in women: a systematic review. BMC Womens Health 28(6):11

    Article  Google Scholar 

  7. Gameiro MO, Moreira EH, Gameiro FO, Moreno JC, Padovani CR, Amaro JL (2010) Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial. Int Urogynecol J 21:395–399

    Article  PubMed  Google Scholar 

  8. Imamura M, Abrams P, Bain C, Buckley B, Cardozo L, Cody J, Cook J, Eustice S, Glazener C, Grant A, Hay-Smith J, Hislop J, Jenkinson D, Kilonzo M, Nabi G, N’Dow J, Pickard R, Ternent L, Wallace S, Wardle J, Zhu S, Vale L (2010) Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technol Assess 14:1–188

    PubMed  CAS  Google Scholar 

  9. Seo JT, Yoon H, Kim YH (2004) A randomized prospective study comparing new vaginal cone and FES-Biofeedback. Yonsei Med J 31:879–884

    Google Scholar 

  10. Kegel AH (1948) Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol 56:238–248

    PubMed  CAS  Google Scholar 

  11. Cammu H, Van Nylen M (1995) Pelvic floor muscle exercises: 5 years later. Urology 45:113–117

    Article  PubMed  CAS  Google Scholar 

  12. Cammu H, Van Nylen M, Amy JJ (2000) A 10-year follow-up after Kegel pelvic floor muscle exercises for genuine stress incontinence. BJU Int 85:655–658

    Article  PubMed  CAS  Google Scholar 

  13. Pages IH, Jahr S, Schaufele MK, Conradi E (2001) Comparative analysis of biofeedback and physical therapy for treatment of urinary stress incontinence in women. Am J Phys Med Rehabil 80:494–502

    Article  PubMed  CAS  Google Scholar 

  14. Burgio KL, Robinson JC, Engel BT (1986) The role of biofeedback in Kegel exercise training for stress urinary incontinence. Am J Obstet Gynecol 154:58–64

    PubMed  CAS  Google Scholar 

  15. Fischer W, Baessler K (1996) Postpartum pelvic floor conditioning using vaginal cones: not only for prophylaxis against urinary incontinence and descensus. Int Urogynecol J Pelvic Floor Dysfunct 7:208–214

    Article  PubMed  CAS  Google Scholar 

  16. Hahn I, Milsom I, Ohlsson BL, Ekelund P, Uhlemann C, Fall M (1996) Comparative assessment of pelvic floor function using vaginal cones, vaginal digital palpation and vaginal pressure measurements. Gynecol Obstet Invest 41:269–274

    Article  PubMed  CAS  Google Scholar 

  17. Pereira VS, de Melo MV, Correia GN, Driusso P (2012) Long-term effects of pelvic floor muscle training with vaginal cone in post-menopausal women with urinary incontinence: A randomized controlled trial. Neurourol Urodyn. doi:10.1002/nau.22271

  18. Haddad JM, Ribeiro RM, Bernardo WM, Abrão MS, Baracat EC (2011) Vaginal cone use in passive and active phases in patients with stress urinary incontinence. Clinics 66:785–791

    PubMed  Google Scholar 

  19. Santos PF, Oliveira E, Zanetti MR, Arruda RM, Sartori MG, Girão MJ, Castro RA (2009) Electrical stimulation of the pelvic floor versus vaginal cone therapy for the treatment of stress urinary incontinence. Rev Bras Ginecol Obstet 31:447–452

    Article  PubMed  Google Scholar 

  20. Williams KS, Assassa RP, Gillies CL, Abrams KR, Turner DA, Shaw C et al (2006) A randomized controlled trial of the effectiveness of pelvic floor therapies for urodynamic stress and mixed incontinence. BJU Int 98:1043–1050

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Physical Medicine and Rehabilitation Clinic, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Tevfik Saglam Cad. No:11, Zuhuratbaba, Istanbul, Turkey

    Meltem Vural

  2. Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Kemer Mah, Kemer Park Evleri, B4, Daire 13, Esenler, Istanbul, Turkey

    Nalan Capan

  3. Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Millet C, CAPA, Fatih, 34093, Istanbul, Turkey

    Ayse Karan & Nurten Eskiyurt

  4. Department of Obstetrics and Gynecology, Istanbul Faculty of Medicine, Istanbul University, Millet C, CAPA, Fatih, 34093, Istanbul, Turkey

    Onay Yalcin

Authors
  1. Meltem Vural
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  2. Nalan Capan
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  3. Ayse Karan
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  4. Nurten Eskiyurt
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  5. Onay Yalcin
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Correspondence to Nalan Capan.

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Vural, M., Capan, N., Karan, A. et al. Vaginal cone therapy in patients with stress urinary incontinence. Arch Gynecol Obstet 288, 99–103 (2013). https://doi.org/10.1007/s00404-012-2701-z

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  • DOI: https://doi.org/10.1007/s00404-012-2701-z

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