PELVIC FLOOR THERAPY
using the Hollister  InCare Pelvic Floor Therapy System (PRS9500)
"providing innovative Options for Continence"

 

POSITION STATEMENTS:
The American College of Obstetricians and Gynecologists (ACOG)

"...their opinion is that PFES may be efficacious for both stress and urge incontinence in women in whom traditional treatment approaches have failed.....ACOG supports the availability of PFES devices for patients because they are convenient, have no side effects..."

American Physical Therapy Association (APTA)

APTA cites several studies which demonstrate that electrical stimulation can significantly reduce UI, and they strongly support its use, particularly in patients who are not capable of voluntary muscle contractions.  The APTA feels that PFES is a valuable treatment that improves efficiency of incontinent care along with pelvic floor muscle strengthening and behavioral techniques.

American Urogynecologic Society (AUGS)

AUGS supports the use of PFS therapy as a unique, low risk therapy which strengthens the body's natural continence mechanisms by stimulating particular pudendal nerve reflexes.  They state is PFES is nonsurgical, provides a potential cure, and is of relatively low cost.  They recommend initial diagnostic screening to ensure appropriate patient selection."

American Urological Association AUA

The AUA committee felt that there was not strong consensus about the effectiveness of vaginal, suprapelvic, and/or anal electrical stimulation for stress, urge or mixed incontinence.  They felt there were some advantages to the treatment but recommended more studies.

Summary of Position Statements:

In general, the position statements are supportive of PFES, particularly for those women who fail PME.  At the same time, the majority of societies acknowledge that is is unclear where PFES has any added benefit over PME or other therapies.  Almost all association representatives acknowledge that patients should have a choice of therapeutic options, especially noninvasive, since the alternative is surgery.

 

Additional info:

Biofeedback and pelvic floor e-stim (PFES) therapy systems are the least invasive and offer the fewest potential side effects in treating UI.

 

 

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