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Re: Stress incontinence, and Kegel ExercisesFrom: anonymous@obgyn.netWed, 12 May 1999 14:03:30 -0500 (CDT)
At Wed, 12 May 1999, J.Glenn Bradley MD wrote: > >>And what do you think about the "elevator" Kegels? > >Most patients should be able to stop the stream at will. If the simple >techniques do not provide improvement, it may very well be a case of >incontinence due to some other mechanism for which Kegel's are >ineffective ( such as bladder instability, or intrinsic shincteric >dysfunction). A complete work-up with a urogynecologist should be able >to differentiate the cause of the incontinence. I am not familiar with >"Elevator Kegel's" > >Dr.B So you're saying it's still considered incontinence if you can't stop a stream of urine, even if you don't leak or drip at any other time, even when sneezing, coughing, etc.? "Elevator exercises" involve tensing the muscles tighter and tighter, as if one were going up floor by floor on an elevator, and then relaxing by degrees, as if going down floor by floor. I thought this was a standard, well-known variant on Kegels, but perhaps not. Some of my books mention the elevator exercise solely as a preparation for childbirth, some say it should be used at any time of life. My midwife recommended them postpartum.
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