Clinical Trials: Weighted Vaginal Cones

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1 Testing and Training of the Pelvic Floor Muscles after Childbirth. Acta Obstet Gynecol Scand 68:301 - 304 A. Jonasson Sweden 1989
2 The conservative management of patients with symptoms of stress incontinence:  A randomized, prospective study comparing weighted vaginal cones and interferential therapy. Am J Obstet Gynecol 162:87 - 92 K. Olah England 1989
3 Cones:  A New Conservative Management for Genuine Stress Incontinence. British Journal of Obstetrics and Gynecology vol. 95. Pp. 1049 - 1053 A.B. Peattie England 1988
Cones versus Physiotherapy as Conservative Management of Genuine Stress Incontinence. Neurourol Urodynam 7:265 - 266 A.B. Peattie England 1990
Vaginal Cones for the Treatment of Genuine Stress Incontinence. Aust NZ J Obstet Gynaecol 30: 156 - 160 P.D. Wilson New Zealand 1990
Use of Vaginal Cones for Pelvic Floor Conditioning of Post Partum Women and for Treatment of Urinary Incontinence. Zentralbl Gynakol 118: 18 - 28 W. Fischer Germany 1996
A Randomized Trial of Vaginal Cones and Pelvic Floor Exercises in the Management of Genuine Stress Incontinence. Kings College Hospital, London. J. Haken  England 1990
Effectiveness of Vaginal Cones in Treatment of Urinary Incontinence. Urologic Nursing, June 1992, v. 12 Number 2 69 - 72 K. Moore Canada 1992
9 Weighted Vaginal Cone Use in patients with Stress Urinary Incontinence. A. Karan Istanbul  -----
10 Specialists and Users Endorse Cone Therapy. DePuy Healthcare England 1996
11 Pelvic Floor Reeducation for Stress Incontinence. Comparing British Journal of Community Nursing, 2001 Vol-6 No-5. J. Laycock  UK 2001
12 Stress Incontinence. Weights Prove an Advance in Treatment. Professional Care of Mother & Child, November 1991, P-110-111. M.E. Dolman  England 1991
13 The Use of Weighted Vaginal Cones in the Treatment of Genuine Stress Incontinence. Physiotherapy, 1990, Vol-76, No-8, P-430-432 T. Wrigley England 1990
14 Conservative Treatment of Stress Urinary Incontinence in Women - A Systematic Review of Randomized Clinical Trials. British Journal of Urology. (1998), 82 181-191 LCM Berghmans The Netherlands 1998
15 Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones and no treatment in management of genuine stress incontinence in women. BJM Vol-318.20th February 1999 K. Bo Norway 1990
16 Vaginal weight cones. Theoretical framework, effect on pelvic K. Bo Norway 1995
17 Conservative Treatment of Stress Incontinence in Sportswomen. Institute Francophone de Réadaptation Uro Génitale, Paris. 1990 Urodynamics Society Symposium Abstracts. A. Bourcier France 1990
18 A Prospective Trial Comparing Interferential Therapy and Treatment Using Cones in Patients with Symptoms of Stress Incontinence. Dept of Physiotherapy and Dept of Urology, Selly Oak Hospital, Birmingham. N. Bridges England 1988
19 Treatment of Stress Incontinence with Pelvic Floor Exercises and Biofeedback. American Geriatric Society 38:341-344, 1990. P. Burns New York 1990
20 Active Vaginal Cone Therapy: A New Form of Treatment for Genuine Stress Incontinence. Northern Sydney Regional Urodynamic Service, Sydney, NSW, Australia, 1993. G. Burton Australia 1993
21 Pelvic Floor Exercisers versus Vaginal Weighted Cones in Genuine Stress Incontinence. European Journal of Obstetrics & Gynecology and Reproductive Biology 77 (1998) 89-93. H. Cammu Belgium 1997
22 Conservative Therapy of Female Genuine Stress Incontinence with Vaginal Cones. European Journal of Obstetrics & Gynecology and Reproductive Biology 62 (1995) 213-215. A. Dellas Switzerland 1995
23 Current Status of Research on Pelvic Muscle Strengthening Techniques. JWOCN March 1998. M. Dougherty N. Carolina 1998
24 Urinary incontinence: The basics: Ostomy Wound Management Vol-41, No-7, August 1995. K.L Kennedy Indiana 1995
25 Conservative Management of Genuine Stress Incontinence in Women. Vol-319. 17th July 1999. BMJ London 1999
26 Prospective Analysis of the Vaginal Cone Treatment for Stress Incontinence: Dept of Urology, Nagoya University Hospital and Dept of Research, Kodama Ltd, Tokyo, Japan. A. Kondo Japan 1993
27 Randomised Prospective Trial of Vaginal Cones versus Kegel. Exercises in Postpartum Primaparous Women: Dept of Obstetrics & Gynaecology, University of Utah School of Medicine, Salt Lake City, Utah. Neurourol Urodyn 1990; 9:434-5 P. Norton & J. Baker Utah 1990
28 The physiological basis of pelvic floor exercises in the treatment of stress urinary incontinence: Kvinno Centre, South Perth, Australia. P. Papa Petros Australia 1998
29 Pelvic Floor Exercise alone or with Vaginal Cones for the Treatment of Mild to Moderate Stress Urinary Incontinence in Premenopausal Women:Dept of Obstetrics and Gynaecology, University of Graz, Austria. International Urogynocology Journal 1995; 6:1, 14-17 K. Tamussino Austria  1995
30 New Method for Testing and Strengthening of Pelvic Floor Muscles: Urological Clinic, University Clinical Centre, Ljubljana, Slovenia. Proc Internet Continence Soc. S. Plevnik Slovenia 1985
31 Effect of mediolateral episiotomy at delivery on pelvic floor muscle strength evaluated with vaginal cones: Dept of Obstetrics & Gynaecology, Karolinska Institutet, Huddinge University Hospital, Huddinge, Sweden. G. Rockner Sweden 1991
32 Weakness of the Pelvic Floor: Urological consequences: R. Thakar London 1997
33 Stress incontinence: Treatment using pelvic floor re-education. J. Unsworth England 1995
34 Vaginal cones: A conservative method of treating genuine stress incontinence. E.Versi London 1988
35 Stress incontinence and pelvic floor exercises: Professional Nurse, December 1990 M. Wells London 1988
36 Obstetric practice and the prevalence of urinary incontinence three months after delivery: British Journal of Obstetrics and Gynaecology. P. Wilson New Zealand 1991
37 The Effect of Training with Vaginal Weighted Cones and Pelvic Floor Exercises no the Strength of the Pelvic Floor Muscles: A Pilot Study. The International Uro gynaecology Journal. T. Wrigley London 1995
38 Nursing Management of Stress Urinary Incontinence in Women:  J. Haslam London 2004
39 Urinary Incontinence in Women: Have we anything new to offer? L. Cardozo London 1988
40 Urinary Incontinence in the community-analysis of a MORI poll J.C. Rocklehurst England 1993

In the clinical trials, what do the researchers say about vaginal cones?

“Training with vaginal cones provided significantly better pelvic floor muscle strength than did exercise without cones .” (1)

“The tendency of a vaginal cone to slip out again when inserted, giving the patient a feeling of ‘losing the cone’, produces a powerful sensory feedback, triggering pelvic contraction around the cone to prevent its dropping out.” (1)

The study found compliance to be higher [with cones] as compared to pelvic floor exercise alone. (1)

“Vaginal cones would seem to be a simple and practical means of identifying and strengthening pelvic floor contractibility and hence improving genuine stress incontinence.”  (5)

“Cone therapy is less invasive than surgery, can be performed by the patient at home without disrupting home life, is considerably less expensive and may be as effective as surgical correction.”  (3)

“The patients who benefit the most from this therapy are those with stress urinary incontinence of less than two years duration.”  (8)

“Because they require less medical or nursing time to teach, vaginal cones are a very cost effective option for the conservative management of genuine stress incontinence.” (7)

“After training, the capability of voluntary and reflex contraction of pelvic floor muscles was restored in all women [in the study].”  (6)

"The use of vaginal cones has been found to be effective and a preferable treatment method." (9)

"The patient needs commitment to use the cones effectively, and this is easier to achieve if there is an input from health professionals." (12)

"The therapy has no side effects and only require that the patient is motivated enough to put the cone in the vagina and take it out after the prescribed time period. Everything else is automatic." (37)

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