Strengthening of pelvic floor muscles using vaginal cones: a home care program [Abstract in English]

• Autor(a) principal: Dreher, Daniela Zeni
• Data de Publicação: 2009
• Outros Autores: Berlezi, Evelise Moraes, Strassburger, Simone Zeni, El Ammar, Márcia Z.
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Scientia Medica (Porto Alegre. Online)
• Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2612
• topic: incontinência urinária de esforço; fisioterapia; períneo.

Aims: to evaluate the efficiency of a home care physiotherapy program using vaginal cones for the pelvic floor muscles strength to approach the treatment of stress urinary incontinence. Case description: A female volunteer, 60 years-old, with history of a single pregnancy and vaginal delivery, presenting complaints and diagnosis of stress urinary incontinence, was selected for the study. The evaluation instruments of pre and post-intervention were anamnesis, evaluation of quality of life, semiological evaluation and urodynamics examination. It was applied a therapeutical exercise protocol using vaginal cones, three times a week, two times a day. Valsalva maneuver presenting intra- vesical volume of 300 ml was the initial evaluation. Mild urinary incontinence with Valsalva leak-point pressure of 94 cmH2O denoted a mild stress urinary incontinence. During reevaluation, urinary loss was not observed with vesical pressure, until 117 cmH2O for the same volume, showing a considerable reduction in urinary incontinence. Conclusions: A home care program of therapeutical exercises using vaginal cones presented positive results on the stress urinary incontinence treatment.