We also found 1 study on alpha-adrenergic agents for stress or mixed incontinence--their ability to reduce urinary accidents seemed comparable with pelvic floor exercise
. The weakness of this study was the lack of a control group.
Upon completing their pelvic floor therapy sessions, patients were instructed to continue performing 30 to 45 pelvic floor exercises
"Regular pelvic floor exercises
are essential for all women in the prevention and treatment of pelvic floor dysfunction," Holly stresses.
In this exploration of nonsurgical approaches to stress incontinence, Richter and colleagues started with the premise that a combination of instructed pelvic floor exercises
and an incontinence pessary would be better than either treatment alone.
Aquaflex Pelvic Floor Exercise
Cones, PS22.99, healthandcare.co.uk The Aquaflex cone is inserted the same way as a tampon and causes the pelvic floor muscles to automatically contract around it in order to hold it in place.
'I was very overweight too and I didn't do my pelvic floor exercises
,' she says.
Salvesen of Trondheim (Norway) University and his associates randomized 301 nulliparous pregnant women to either no training or 1 hour of intensive pelvic floor exercises
with a physiotherapist each week for 12 weeks (BMJ 2004;329:378-80).
Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises
. BJOG 2002; 109: 68-76.
Single-blind, randomized control trial of pelvic floor exercises
, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women.
For help and advice and information on pelvic floor exercises
contact the Continence Foundation Helpline on 020 7831 9831.
Q PLEASE could you offer some advice as to how to do pelvic floor exercises
Conservative therapies, such as pelvic floor exercises
or the use of a vaginal support device, may be better for certain patients.