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Evidence supporting Enna Pelvic Ball

Do vaginal cones and vaginal balls strengthen the pelvic floor muscles and help to overcome incontinence?

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Are vaginal cones and vaginal balls useful after childbirth?

The training program was carried out by the patients at home for 12 weeks, starting 8 weeks after spontaneous uneventful delivery. Forty-two women did pelvic floor exercises in accordance with the method presented by Kegel. Forty-one women used standard vaginal cones with weights increasing in 10 g stages from 20 to 100 g, to be retained in the vagina both when standing erect and moving. Pelvic floor muscle strength, defined as the weight in grams of the heaviest cone that could be retained in the vagina, was recorded before and after the 12-week training period. Training with vaginal cones produced significantly better pelvic floor muscle strength than did exercise without cones.
Acta Obstet Gynecol Scand. 1989;68(4):301-4.Testing and training of the pelvic floor muscles after childbirth. Jonasson A, Larsson B, Pschera H .

 

Cone training works well as an alternative or complement to conventional postpartum exercises, and may therefore be recommended especially to puerperae who are not capable of holding vaginal cones of 20-70 g 6 weeks after delivery.
Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(4):208-14. Postpartum pelvic floor conditioning using vaginal cones: not only for prophylaxis against urinary incontinence and descensus. Fischer W, Baessler K.

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Are vaginal cones and vaginal balls suitable for home use by women who can't, or don't want to, see a practitioner regularly?

[Researchers] gave only verbal instruction, similar to those written on the instructions that go with the cones, and got results that did not differ from those in trials with more teaching time.

Neurourology & Urodynamics 1993; 12 (4):436-7 A comparative study of vaginal cone therapy, cones + Kegel exercises, and maximal electrical stimulation in the treatment of female genuine stress incontinence. Wise BG, Haken J, Cardozo LD, Plevnik S


The cones require less supervision by trained staff and can be used at home by the patient. Their use results in a savings in time for the physiotherapy department. The use of the cones is recommended as a cost-effective method of treatment that can be added to the present therapy options available
Am J Obstet Gynecol. 1990 Jan;162(1):87-92. The conservative management of patients with symptoms of stress incontinence: a randomized, prospective study comparing weighted vaginal cones and interferential therapy.Oláh KS, Bridges N, Denning J, Farrar DJ.

Pelvic floor conditioning, using vaginal cones, is a good alternative to poor acceptance or insufficient availability of conventional pelvic floor exercises in conservative treatment of urinary incontinence and descensus.
Zentralbl Gynakol. 1996;118(1):18-28. Pelvic floor conditioning with vaginal weights--post partum and in urinary incontinence. Fischer W, Baessler K, Linde A.

Pelvic floor conditioning with vaginal cones is a good alternative to poor acceptance or insufficient availability of conventional exercises. Acta Obstet Gynecol Scand. 1997 May;76(5):455-60.Pelvic floor findings in urinary incontinence--results of condit

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