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Pessaries for Pelvic Organ Prolapse
Published in Teresa Tam, Matthew F. Davies, Vaginal Pessaries, 2019
Michael D. Moen, Anne F. Wright
Treatment options for POP include conservative management and surgical correction. Some elements to consider when deciding on appropriate treatment are the degree of prolapse, the severity of the symptoms, and the health status of the patient. Simple observation of prolapse may be an option for women with mild prolapse and minimal symptoms. Similarly, pelvic floor muscle strengthening with Kegel exercises can be attempted along with lifestyle modification such as avoiding constipation, weight loss (if indicated), avoidance of heavy lifting and high-impact exercise, and smoking cessation.2
Neurourology, urodynamics, and urogynecology
Published in J Kellogg Parsons, E James Wright, The Brady Urology Manual, 2019
Matthew E Nielsen, E James Wright
Behavioral modification: (Kegel exercises, pelvic floor biofeedback, devices (e.g. weighted cones) strengthen urethral support and may facilitate recruitment of an additional voluntary compensatory mechanism (demonstrated in placebo-controlled trials to offer benefit, though may not be expected to overcome profound degrees of dysfunction).
Gynaecological Considerations and Urogenital Fistulas
Published in Peter Sagar, Andrew G. Hill, Charles H. Knowles, Stefan Post, Willem A. Bemelman, Patricia L. Roberts, Susan Galandiuk, John R.T. Monson, Michael R.B. Keighley, Norman S. Williams, Keighley & Williams’ Surgery of the Anus, Rectum and Colon, 2019
Brooke Gurland, André D’Hoore, Paul Hilton
Treatment for urinary incontinence consists of lifestyle changes, such as drinking less fluid, limiting caffeine or bladder irritants, weight loss and smoking cessation. Pelvic floor physical therapy may incorporate Kegel exercises and biofeedback to treat stress urinary incontinence. A trial of an incontinence ring pessary for patients with pelvic organ prolapse may improve urinary leakage.
The prevalence of urinary incontinence in obese women and its effect on quality of life
Published in Health Care for Women International, 2022
Urinary incontinence affects the life standards and quality of women who have this problem, and obesity is among the most important risk factors (Balcı & Akcetin, 2009; Beji, 2003). In the present study, 88.1% (n = 119) of the women had urinary incontinence, 35.6% (n = 48) of those experienced it several times a day, and 23% (n = 31) had a large amount of urine incontinence. In addition, 11.1% (n = 15) of the women knew the Kegel exercise and 8.9% (n = 12) performed it. In the study conducted by Bilge (2016), 34.1% of the obese women had urinary incontinence, 40.4% had large amounts of it, and 18.8% urinated frequently. In the study conducted by Richter et al. (2005), the prevalence of urinary incontinence in obese women was 66.9%. In the study by Han et al. (2006), 50.5% of women with a BMI of 27 or above had urinary incontinence. In the study conducted by Nygaard et al. (2018), 20.3% of the obese women with urinary incontinence had experienced it several times a day and 6.3% had a large amount of it. In the study conducted by Ege et al. (2007), 14.9% of women with incontinence knew the Kegel exercise and 13.7% of them performed it. According to the research, most obese women have urinary incontinence. Our study is in parallel with other studies in the literature and we agree that obesity is an important risk factor for urinary incontinence.
The Effect of Body Practices and Physical Exercise on Sexual Function of Menopausal Women. A Systematic Review with Meta-Analysis
Published in International Journal of Sexual Health, 2023
Danielly Yani Fausto, Julia Beatriz Bocchi Martins, Jéssica Amaro Moratelli, Alicia Garcia Lima, Adriana Coutinho de Azevedo Guimarães
A total of six studies that investigated sexual function were included in the meta-analysis. The M and SD were not reported in only one study and were not available after contacting the authors, in this case, this study was excluded from the analysis because it presented only the median value and interquartile ranges (Xi et al., 2017). All studies included a control group, so the meta-analysis presents the post-intervention results for both groups. Three studies included two intervention groups: (1) a—Kegel exercise and b—lubricating gel (Khosravi et al., 2022); (2) a—Kegel exercise and b—sex education (Nazarpour et al., 2017); and (3) a—yoga and b—aerobic exercise (Reed et al., 2014), thus all were considered. The results are shown in Figures 3 and 4.
Vaginal hyperlaxity syndrome: a new concept and challenge
Published in Gynecological Endocrinology, 2018
Doctor Arnold Kegel developed a series of exercises for his patients in the 1940 s as a method to control urinary incontinence. His article was published in 1948 [15]. Kegel created such exercises to control female urinary incontinence after delivery. Their main purpose is to strengthen pelvic muscles and improve the urethral or rectal sphincter’s function. The success of Kegel exercises relies on the adequate application of the technique and a strict observance of the exercise program. Today, the conclusion is that, according to some evidence, Kegel exercises may prevent urinary and fecal incontinence in prenatal and postnatal women [16].