Conservative Treatment

Home Care Units for Electrical Stimulation

Some medical devices have been used in the home for many years. Emergent technologies present new opportunities for health care management in the home. As patients move to the use of home health care services for recuperation or long-term care, the medical devices necessary for their care have followed them. Home health care devices span a wide range, as mentioned below.

Healthy, fit and strong pelvic floor is important to men and women. Weak pelvic floor can give rise many unpleasant health conditions. It is important to be aware of your pelvic floor and seek guidance on how to maintain its optimum status for the duration of life. Use of pelvic floor training devices, may be recommended. The are many devices available on the market, the following list is a personal approach of what we could propose to our patients.

  • Posterior Tibial Nerve Stimulation therapy is provided in the outpatient clinic setting. A 34-gauge needle electrode is inserted approximately 5 cm cephalad to the medial malleolus and posterior to the tibia or with a surface electrode on the arch of the foot. The electrode is connected to an electrical stimulator (generator) outside the body. It sends pulses to the electrode, at a current level of 0.5–9 mA at 20 Hz and performed initially for 30 minutes weekly for 12 weeks, followed by occasional treatments as needed based on patient symptoms.
  • The NeuroTrac Pelvitone is a dual channel with 11 built in programmes and 3 customisable, constant programmes. It has improved symmetrical wave form for deeper penetration smoother stimulation. They are two main parameters for stress: 30Hz, 200uS, 0.8 ramp, work 5sec-rest 8sec and urge incontinence: 10Hz, 250Us, 1sec ramp, work 5sec-rest 5sec.
  • With the Periform or Anuform electrode, Pericalm emits electric currents. This action strengthens and tones the muscles. It’s best to select a low intensity from the programme and gradually increase it. The Pericalm’s 6 pre-set stimulation programmes are designed to treat stress, urge and mixed incontinence, and pelvic pain.
  • Nu-Tek Levator Mini is dual channel pelvic floor and continence stimulator, capable of retraining weak pelvic floor as well as relieving pain. This dual channel stimulator has 20 preset programs and 2 custom programs for personalized training. It can also be used with surface electrodes which are placed on the skin over Tibial Nerve, Sacral Nerve Sand on the buttocks.
  • Innovotherapy does not involve any insertion device (there’s no probe) and is safe and convenient to use in the comfort of your own home. The controller is attached to a two-part garment, and targeted impulses delivered via a set of gel pads (attached to the upper thigh and buttocks) to safely and effectively activate all the muscles of the pelvic floor. It has been designed to be used while reclining, lying and standing. Because the stimulation is delivered externally, it delivers a strong, comfortable contraction of the pelvic floor muscles, without the discomfort of inserting a probe.

Home Care Units for Biofeedback

There are other medical devices with emergent technologies which represent new opportunities for health care management in the home. It is important to be aware on how does the pelvic floor is functioning and on how to maintain its optimum status for the duration of life. The are many biofeedback devices available on the market, the following list is a personal approach of what we could propose to our patients.

  • The PeriCoach System is an easy-to-use home device and app designed to treat stress, mild-to-moderate urge and mixed urinary incontinence in women. PeriCoach provides feedback via smartphone technology to help women and their clinicians manage and monitor a pelvic floor exercise program.
  • kGoal by Minna Life Exercise system senses as the woman squeezes her muscles, in providing real-time biofeedback, and connects with the free kGoal app. kGoal is compatible with both iOS and Android devices but does require Bluetooth 4.0 capability and iOS v8 or Android v4.3.
  • KegelSmart Personal Pelvic Trainer is a personal trainer, it sets a routine that is simple to follow, safe to use, and completely tailored to the individual needs. It measures the pelvic floor strength then automatically sets the exercise level that is right for the woman. There are 5 progressive levels.
  • Elvie is an instant biofeedback which is a Kegel trainer “inside”, with the tail outside. Elvie allows to see the pelvic floor exercises in real time with the application connected via Bluetooth. As the woman squeezes, the gem lifts, guiding her through the workout.

Other Home Units

  • Pessary for vaginal prolapse is a removable device placed into the vagina. It is designed to support areas of pelvic organ prolapse. A successfully inserted vaginal pessary can improve voiding, urgency, and incontinence for women with urinary incontinence and pelvic organ prolapse. It is a low-risk, cost-effective, nonsurgical treatment option for the management of POP and genuine stress urinary incontinence (SUI). A variety of pessaries are available, including the ring, inflatable, doughnut and Gellhorn. Your pessary will be fitted at your doctor's office and he will teach you how to remove, clean, and reinsert the pessary on a regular schedule.
  • Supportive underwear. This garment provides compression up against the vagina area where it needs the most support. Just to slip it and adjust it to the comfort required. The underwear fits right over it.
  • V-Brace is a patented support garment developed and manufactured in the USA. The support garment helps to alleviate the symptoms of diagnosed genital prolapse. The V-Brace cross elastic truss lifts and supports the vaginal area. The V-Brace will not cure your prolapse, but will help you live with it.