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

Abstract

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.