Weights are a simple but effective exercise aid for treating female urinary stress incontinence and improving pelvic floor function. Aquaflex adapts superbly to a wide range of physical conditions and levels of muscle tones which is one of the most versatile cone system available.
For optimum results, a cone system with two sizes and a small increment of 5 g between weights is ideal. Doctors prescribe with confidence for most of their stress incontinence patients.
Reasons to prescribe are:
- Easier and faster to teach pelvic floor muscle control.
- The patient does the therapy at home, reducing the number of clinic visits.
Theory of Operation
The Aquaflex method functions by causing the contraction of the pubococcygeus muscle in response to the presence of the weighted cone.
This improves muscle recruitment and increases strength; both are essential for developing and maintaining continence control.
The weighted cones are especially beneficial for strengthening the "slow-twitch" postural muscle fibres that are so important for continence, general well-being, sexual response and sexual intensity. When the cone does eventually slip out after a few minutes, this induces a powerful reflex action in the pubococcygeus muscle which activates and stimulates the muscle fibres.
How to use Aquaflex Vaginal Cones
The cone is gently introduced into the vagina with the larger end first and the cord outside the vagina
Usually, the larger cone is used first (it should be comfortable to insert this size without lubrication, otherwise use the smaller size). When the empty shell is inserted, tighten your pelvic floor muscles while gently pulling on the cord to ensure that the cone is in its correct position, resting just over the pelvic floor muscles. If it is too far in or wedged behind a prolapse it cannot help in re-educating your pelvic floor msucles. If you contract your pelvic floor muscles you should be able to feel the cone being pulled away from the tip of your finger. If it seems to push out you are using the wrong muscles
See if you can retain the Aquaflex Vaginal Weights while standing up and walking around for one minute. If this poses no problems, start to add weights and repeat the procedure. Eventually, you will find the weight that you cannot retain for the one-minute walking. Go back to the weight that you could retain for one minute and use this as your ‘exercising cone weight’. Aim then to use the cone with this weight for 15 minutes twice a day; sometimes 20 minutes once per day is recommended instead
If you cannot retain the empty cone shell in standing, lie down and try the exercises whilst gently pulling on the cord. If you still cannot retain the cone in standing consult your health professional again
When able to retain the cone for the full 15 minutes on two consecutive occasions increase the cone weight
If able to retain all the weights in the larger cone whilst doing activities, try using the smaller cone. It will be more difficult and you will need to start with a lower weight again
Use your cones daily and there should be improvement in about eight weeks. However it is recommended that you continue to exercise for at least 12 weeks. A program of exercise for 20 weeks is quite usual
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