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Related Experiment Videos

Weighted vaginal cones for urinary incontinence.

P Herbison1, S Plevnik, J Mantle

  • 1Department of Preventive and Social Medicine, University of Otago, PO Box 913, Dunedin, New Zealand. peter.herbison@otago.ac.nz

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary

Weighted vaginal cones show promise for treating stress urinary incontinence, offering benefits over no treatment and similar results to pelvic floor muscle training. However, effectiveness may depend on patient acceptance due to potential early discontinuation.

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Area of Science:

  • Urology
  • Gynecology
  • Pelvic Floor Health

Background:

  • Pelvic floor muscle training (PFMT) is a primary conservative treatment for stress urinary incontinence (SUI).
  • Difficulty in identifying and training pelvic floor muscles can hinder treatment efficacy.
  • Weighted vaginal cones offer a potential aid for women to train pelvic floor muscles by contracting to retain the cones.

Purpose of the Study:

  • To evaluate the therapeutic effects of weighted vaginal cones in managing female stress urinary incontinence.

Main Methods:

  • Systematic review of randomized or quasi-randomized controlled trials up to December 1999.
  • Searched Cochrane Incontinence Group trials register, MEDLINE, and EMBASE.
  • Included studies focused on women with SUI using weighted vaginal cones as one treatment arm.

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Main Results:

  • Ten studies were included, varying in quality and methodology.
  • Weighted vaginal cones demonstrated superiority over control treatments (RR 0.38).
  • Cones showed similar efficacy to pelvic floor muscle training (PFMT) and electrostimulation, with wide confidence intervals.

Conclusions:

  • Limited evidence suggests weighted vaginal cones benefit women with SUI, outperforming control but comparable to PFMT and electrostimulation.
  • Tentative conclusions require larger, high-quality studies with consistent outcome measures.
  • Patient acceptance is crucial, as some women discontinue cone treatment early.