Continence and micturition involve a balance between urethral closure and detrusor muscle activity. Urethral pressure normally exceeds bladder pressure, resulting in urine remaining in the bladder. The proximal urethra and bladder are both within the pelvis. Intraabdominal pressure increases (from coughing and sneezing) are transmitted to both urethra and bladder equally, leaving the pressure differential unchanged, resulting in continence. Normal voiding is the result of changes in both of these pressure factors:urethral pressure falls and bladder pressure rises.
Patients with incontinence should be referred to a medical practitioner specializing in this field. Urologists specialize in the urinary tract, and some urologists further specialize in the female urinary tract. A urogynecologist is a gynecologist who has special training in urological problems in women. Gynecologists and obstetricians specialize in the female reproductive tract and childbirth and some also treat urinary incontinence in women. Family practitioners and internists see patients for all kinds of complaints and can refer patients on to the relevant specialists.
A careful history taking is essential especially in the pattern of voiding and urine leakage as it suggests the type of incontinence faced.
The physical examination will focus on looking for signs of medical conditions causing incontinence, such as tumors that block the urinary tract, stool impaction, and poor reflexes or sensations, which may be evidence of a nerve-related cause.
A test often performed is the measurement of bladder capacity and residual urine for evidence of poorly functioning bladder muscles.
Other tests include:
Stress test - the patient relaxes, then coughs vigorously as the doctor watches for loss of urine.
Urinalysis - urine is tested for evidence of infection, urinary stones, or other contributing causes.
Blood tests - blood is taken, sent to a laboratory, and examined for substances related to causes of incontinence.
Ultrasound - sound waves are used to visualize the kidneys, ureters, bladder, and urethra.
Cystoscopy - a thin tube with a tiny camera is inserted in the urethra and used to see the inside of the urethra and bladder.
Urodynamics - various techniques measure pressure in the bladder and the flow of urine.
Patients are often asked to keep a diary for a day or more, up to a week, to record the pattern of voiding, noting times and the amounts of urine produced.
The Step Free Vaginal Weights are a form of resistance provided to help when doing a basic Kegel exercise. These weights assist in strengthening your pelvic region.
Check yourself before doing kegel exercises.
Place your finger in your vagina and squeeze around it, when you feel pressure around your finger you have located the correct muscle.
Kegel exercises serve to tone and strengthen the pubococcygeus or "PC" muscles which form the floor of the pelvis. The health of these muscles plays a vitally important role in sexual arousal and climax, as well as in other aspects of bodily functions. Now that you have located your PC muscles, you can begin kegel exercises while your bladder is completely empty.
First, try squeezing your PC muscles whils doing your basic kegel exercises as hard as you can for a count of three seconds. Then let them relax. To begin with kegel exercises, see how many times you can do this before the muscles feel tired.
Now figure out a suitable routine just as you would if you were trying to tone and strengthen a different muscle group by going to the gym every other day. For example, suppose you start by being able to do only five strong squeezes: try doing three sets of five once or twice a day for a week, and then try increasing your kegel exercises to three sets of eight strong squeezes.
If you work up to three sets of thirty or more strong squeezes, you are probably healthy enough for most purposes, and need only to maintain this level of fitness by doing these three sets of Kegel four times a week (instead of kegel exercises once or twice a day).
We also recommend that you experiment by varying the type and timing of the PC squeezing you do as you train these muscles: slow clenches, many quick flutters, and so on. This will make you more familiar with these muscles – notice also when your abdominal muscles or your anal muscles feel like they also want to join in the Kegel exercises are being done improperly.
Remember, you should try to separate from anal squeezing. If you are in doubt, go back and find your PC muscle while attempting to urinate.
Our kegel products are designed to help you with doing basic exercises, and improving your sexual health!
Step Free Vaginal Weights
Vaginal Weight Training
Specially designed vaginal weights for strengthening the pelvic muscles can augment pelvic floor exercises. People use a set of vaginal weights of identical shape and volume but of increasing weight (20-100 grams). As part of a structured progressive resistive exercise program, women insert the weight into the vagina and attempt to retain it by contracting the pelvic muscles up to 15 minutes. The weight may be worn while the woman is standing or walking, and the exercise is done twice daily. Such exercises are believed to increases the strength of the pelvic muscles. Additionally, the weight may provide heightened sensory feedback during pelvic muscle contraction [AHCPR, 1996].
Vaginal weights training is recommended primarily for pre menopausal women with stress incontinence. It can be used in combination with other therapies for incontinence, including external and implantable electrical stimulation systems.
The pelvic floor is a large “hammock” of muscles that stretch from left to right across the floor of the pelvis. This hammock of muscles forms your “undercarriage” and supports the bladder to help keep it closed. The pelvic floor squeezes when you cough or sneeze to prevent urinary leakage and contracts the bowel muscles to prevent fecal incontinence. When the muscles are not working effectively, you may suffer from urinary incontinence (leaking) and/or the urgent or frequent need to pass urine.
The pelvic floor also plays an important role through the Pubo-Coccygeus (PC), and is sometimes also called the “love muscle”. When the PC is in healthy condition, it can provide for a strong and rhythmic contractual response, which increases sexual pleasure for both yourself and your partner during intercourse.
Men and women who suffer from pelvic floor weakness can do pelvic floor exercises to strengthen their sling of muscles. Once learned, the exercises can be simple to do. However, due to excessive muscle weakness, these muscles can be difficult to isolate. Pelvic floor exercisers help patients locate the correct muscles for successful improvement of muscle tone and function.
Kegel exercises is designed to restore muscle tone and strength to the pubococcygeus muscles in order to prevent or reduce pelvic floor problems and increase sexual gratification. Kegel exercises are said to be good for treating vaginal prolapse, incontinence and preventing uterine prolapse in women.
Kegel exercises may be beneficial in treating urinary incontinence in both men and women. Kegel exercises are also known as pelvic floor exercises, or simply Kegels.
Weak pelvic muscles often cause bladder control problems.
Daily exercises can strengthen the pelvic muscles.
Our products can help you in locating and squeezing the correct muscles.
Tighten your pelvic muscles before sneezing, lifting, or jumping. This can prevent pelvic muscle damage.
Suggested Retail: $79.95 your cost only $59.95
Ask your doctor about pelvic floor muscle exercises and our StepFree system.
After all, your doctor knows best.
So Much For So Little.
Exercise equipment can be pricey, but the StepFree pelvic muscle toning program is priced very reasonably. So why not start your pelvic muscle toning program today? Consult your doctor first about bladder control problems to help determine the underlying cause and best treatment for you. Documented bladder control improvement for many women in 4-6 weeks*
* Simple step-by-step program
* One cone shell and five graduated weights: 20-70 grams
* Progress benchmarks through graduated weights goal encourage compliance
* Saves teaching time
* Helps women isolate pelvic floor muscle group
* Specially designed to fit natural shape, ensuring comfortable insertion and removal
* Simple home-based program designed to be part of patient's routine
* Uses typical stress episodes for training, such as coughing, to build both muscles and confidence
* Easy-to-use, safe pelvic muscle training aid specifically designed to assist women in identifying and exercising the appropriate muscle groups.