Intervention Review

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Weighted vaginal cones for urinary incontinence

  1. G Peter Herbison1,*,
  2. Nicola Dean2

Editorial Group: Cochrane Incontinence Group

Published Online: 8 JUL 2013

Assessed as up-to-date: 4 MAR 2013

DOI: 10.1002/14651858.CD002114.pub2


How to Cite

Herbison GP, Dean N. Weighted vaginal cones for urinary incontinence. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD002114. DOI: 10.1002/14651858.CD002114.pub2.

Author Information

  1. 1

    Dunedin School of Medicine, University of Otago, Department of Preventive & Social Medicine, Dunedin, New Zealand

  2. 2

    York Hospitals NHS Foundation Trust, Obstetrics & Gynaecology, York, UK

*G Peter Herbison, Department of Preventive & Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin, 9054, New Zealand. peter.herbison@otago.ac.nz.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 8 JUL 2013

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Arvonen 2001 {published and unpublished data}
Arvonen 2002 {published data only}
  • Arvonen T, Jonasson AF, Tyni-Lenné R. A clinical trial comparing conventional pelvic floor training and training with vaginal balls in women with stress urinary incontinence — a pilot study. Nordisk Fysioterapi 2002;6(1):41–6.
Bourcier 1994 {published data only}
  • Bourcier A, Juras J. Randomised study comparing physiotherapy and pelvic floor rehabilitation. Proceedings of the 24th Annual Meeting of the International Continence Society; 1994 Aug 30-Sept 3; Prague. 1994:146.
Burton 1993 {published data only}
  • Burton G. Active vaginal cone therapy: a new form of treatment for genuine stress incontinence (abstract). Proceedings of the 23rd Annual Meeting of the International Continence Society (Conference proceedings: Read by title). 1993:A134.
Bø 1999 {published and unpublished data}
  • Bø K, Talseth T. Single blind randomised controlled trial on the effect of pelvic floor muscle strength training, electrical stimulation, cones or control on severe genuine stress incontinence. Abstract 87. Neurourology and Urodynamics 1998;17(4):421-2.
  • Bø K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ 1999;318:487-93.
Cammu 1998 {published data only}
  • Cammu H, Van Nylen M. Pelvic floor exercises (PFE) versus vaginal cones (VC) in the treatment of genuine stress incontinence (Abstract number 225). Proceedings of the 26th Annual Conference of the International Continence Society; 1996 Aug 27-30; Athens, Greece. 1996:223.
  • Cammu H, Van Nylen M. Pelvic floor exercises versus vaginal weight cones in genuine stress incontinence. European Journal of Obstetrics Gynecology and Reproductive Biology 1998;77:89-93.
Castro 2008 {published data only}
  • Castro RA, Arruda RM, Zanetti MRD, Santos PD, Sartori MGF, Girao MJBC. Single-blind, randomized, controlled trial of pelvic floor muscle training, electrical stimulation, vaginal cones, and no active treatment in the management of stress urinary incontinence. Clinics 2008;64:465-72.
Delneri 2000 {published data only}
  • Delneri C, di Benedetto P. Pelvic floor rehabilitation. A comparison of two methods of treatment: vaginal cones versus functional electrical stimulation. Europa Medicophysica 2000;36:45-8.
Gameiro 2010 {published data only}
  • Gameiro MO, Moreira EH, Gameiro FO, Moreno JC, Padovani CR, Amaro JL. Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial. International Urogynecology Journal 2010;21(4):395-9.
  • Moreira E, Orsi Gameiro M, Fugita OEH, Kawano PR, Yamamoto HA, Amaro JL. Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial (Abstract 1703). The Journal of Urology 2009;181(4, Supplement):614.
Haken 1991 {published data only}
  • Haken J, Benness C, Cardozo L, Cutner A. A randomised trial of vaginal cones and pelvic floor exercises in the management of genuine stress incontinence. Abstract 76. Neurourology & Urodynamics 1991;10(4):393-4.
Harvey 2006 {published data only}
  • Harvey M-A, Johnston SL. A randomized, single-blind, prospective trial comparing pelvic floor physiotherapy with biofeedback versus weighted vaginal cones in the treatment of female genuine stress urinary incontinence: a pilot study (Abstract 318). International Urogynecology Journal 2006;17(Suppl 2):S235-S236.
Laycock 1993 {published data only}
  • Laycock J, Jerwood D. Does pre-modulated interferential therapy cure genuine stress incontinence?. Physiotherapy 1993;79(8):553-60.
Laycock 2001 {published data only}
  • Laycock J, Brown J, Cusack C, Green S, Jerwood D, Mann K, et al. A multi-centre, prospective, randomised, controlled, group comparative study of the efficacy of vaginal cones and PFX. Abstract 47. Neurourology and Urodynamics 1999;18(4):301-2.
  • Laycock J, Brown J, Cusack C, Green S, Jerwood D, Mann K, et al. A multicentre, prospective, randomised, controlled, group comparative study of the efficacy of vaginal cones and PFX (Abstract). International Urogynecology Journal and Pelvic Floor Dysfunction 1999;10(Suppl 1):S49.
  • Laycock J, Brown J, Cusack C, Green S, Jerwood D, Mann K, et al. Pelvic floor reeducation for stress incontinence: comparing three methods. British Journal of Community Nursing 2001;6(5):230-7.
Olah 1990 {published data only}
  • Bridges N, Denning J, Olah KS, Farrar DJ. A prospective trial comparing interferential therapy and treatment using cones in patients with symptoms of stress incontinence. Abstract 73. Neurourology and Urodynamics 1988;7(3):267-8.
  • Olah KS, Bridges N, Denning J, Farrar DJ. The conservative management of patients with symptoms of stress incontinence: a randomized prospective study comparing weighted vaginal cones and interferential therapy. American Journal of Obstetrics and Gynecology 1990;162:87-92.
Peattie 1988a {published and unpublished data}
  • Peattie A, Plevnik S. Cones versus physiotherapy as conservative management of genuine stress incontinence. Abstract 72. Neurourology and Urodynamics 1988;7(3):265-6.
  • Peattie AB, Taylor B, Plevnik S, Stanton SL. Cones versus physiotherapy for conservative treatment of genuine stress incontinence (Abstract number 169). Proceedings of the Silver Jubilee British Congress of Obstetrics and Gynaecology. London, 1989 Jul 4-7.
Pereira 2012 {published data only}
Pieber 1995 {published data only}
  • Pieber D, Zivkovic F, Tamussino K. Pelvic floor exercises alone or with vaginal cones in premenopausal women with mild to moderate stress incontinence [Beckenbodengymnastik allien oder mit vaginalkonin bei prämenopausalen frauen mit milder und mässiger stressharninkontinenz]. Gynäkologisch-Geburtshilfliche Rundschau 1994;34:32-3.
  • Pieber D, Zivkovic F, Tamussino K, Ralph G. Pelvic floor exercise alone or with vaginal cones for the treatment of mild and moderate stress incontinence in premenopausal women: a randomised trial (Abstract). Proceedings of the 24th Annual Meeting of the International Continence Society; 1994 Aug 27-Sept 2; Prague (Czech Republic) (Conference proceedings: Read by title). 1994:162.
  • Pieber D, Zivkovic F, Tamussino K, Ralph G, Lippitt G, Fauland B. Pelvic floor exercise alone or with vaginal cones for the treatment of mild to moderate stress urinary incontinence in premenopausal women. International Urogynecology Journal 1995;6:14-7.
Santos 2009 {published data only}
  • Santos PFD, Oliveira E, Zanetti MRD, Arruda RM, Sartori MGF, Girão MJBC, et al. Electrical stimulation of the pelvic floor versus vaginal cone therapy for the treatment of stress urinary incontinence [Eletroestimulação funcional do assoalho pélvico versus terapia com os cones vaginais para o tratamento de incontinência urinária de esforço (Portuguese)]. Revista Brasileira de Ginecologia e Obstetríca 2009;31(9):447-52.
Seo 2004 {published data only}
Terry 1996 {published data only}
  • Terry PB, White SM. Randomised trial comparing Enhance with physiotherapy for the treatment of GSI. Proceedings of the 26th Annual Meeting of the International Continence Society; 1996 Aug 27-30; Athens (Greece). 1996:248-9.
Williams 2006 {published and unpublished data}
  • Williams K, Coleby D, Abrams K, Shaw C, Assassa P, McGrouther C. Randomised controlled trial of the clinical effectiveness of services for urinary symptoms: six year follow-up (Abstract number 45). Neurourology and Urodynamics 2007;26(5):660-1.
  • Williams KS, Assassa RP, Gillies CL, Abrams KR, Turner DA, Shaw C et al and the Leicestershire MRC Incontinence Study Team. A randomized controlled trial of the effectiveness of pelvic floor therapies for urodynamic stress and mixed incontinence. BJU International 2006;98:1043-50.
Wilson 1998 {published and unpublished data}
  • Wilson PD, Herbison GP. A randomized controlled trial of pelvic floor muscle exercises to treat postnatal urinary incontinence. International Urogynecology Journal 1998;9:257-64.
Wise 1993 {published data only}
  • Wise BG, Haken J, Cardozo LD, Plevnik S. A comparative study of vaginal cone therapy, cones + Kegel exercises, and maximal electrical stimulation in the treatment of female genuine stress incontinence. Abstract 76. Neurourology and Urodynamics 1993;12(4):436-7.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Delgado 2010 {published data only}
  • Delgado D, Drake M. A randomised controlled trial of the Pelvic Toner Device in female stress urinary incontinence. British Journal of Urology International 21 September 2010;www2.bjui.org/ContentFullitem.aspx?id=427&SectionType=4:1–7 (last accessed 18 June 2013). [: Web only publication]
Ferreira 2011 {published data only}
  • Ferreira M, Santos P. Pelvic floor muscle training programmes: a systematic review [Nos programas de treino dos músculos do pavimento pélvico [Portuguese]]. Acta Médica Portuguesa 2011;24:309–18.
Jonasson 1989 {published data only}
Lentz 1994 {published data only}
  • Lentz G, Plevnik S, Stanton SL. Vaginal cones versus bladder drill for sensory urgency treatment (Abstract). Proceedings of the 24th Annual Meeting of the International Continence Society (Conference proceedings: Read by title). Prague, 1994:35-6.
Norton 1990 {published data only}
  • Norton P, Baker J. Randomized prospective trial of vaginal cones vs. Kegel exercises in postpartum primiparous women. Abstract 85. Neurourology and Urodynamics 1990;9(4):434-5.
Parkkinen 2004 {published data only}
Salinas Casado 1999 {published data only}
  • Salinas Casado J, Virseda Charmorro M, Esteban Fuertes M. The therapeutic efficacy of vaginal cones in rehabilitating the perineal musculature. The RECOVA Group [Eficacia terapéutica de los conos vaginales en la rehabilitación de la musculatura perineal]. Archivos Espanoles de Urologia 1999;52(1):53-60.
Williams 2005 {published data only}
  • Williams KS, Assassa RP, Cooper NJ, Turner DA, Shaw C, Abrams KR, et al and the Leicester MRC Incontinence Study Team. Clinical and cost-effectiveness of a new nurse-led continence service: a randomised controlled trial. British Journal of General Practice 2005;55:696-703.

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Driusso 2010 {published data only}
  • Driusso P, Correia GN, Pereira VS, Aveiro MC, de Melo MV, Tahara N. Physiotherapy for women with stress urinary incontinence: effects of kinesiotherapy, vaginal cones and electrical stimulation. Australian New Zealand Clinical Trials Registry 25 March 2010; Vol. ACTRN12610000254099.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Abrams 1989
Bump 1991
Bump 1992a
Bump 1992b
Bø 1995
Deindl 1995
  • Deindl FM, Schussler B, Vodusek DB, Hesse U. Neurophysiological effect of vaginal cone application in continent and urinary stress incontinent women. International Urogynecology Journal and Pelvic Floor Dysfunction 1995;6:204-8.
Dumoulin 2010
Gameiro 2012
  • Gameiro LFO, El Dib RP, Gameiro MO, Amaro JL. Electrical stimulation with non-implanted electrodes for overactive bladder in adults. Cochrane Database of Systematic Reviews 2012, Issue 9. [DOI: 10.1002/14651858.CD010098]
Hahn 1996
  • Hahn I, Milsom I, Ohlsson BL, Ekelund P, Uhlemann C, Fall M. Comparative assessment of pelvic floor function using vaginal cones, vaginal digital palpatation and vaginal pressure measurements. Gynecology and Obstetric Investigation 1996;41:269-74.
Hanzal 1993
Hay-Smith 2006
  • Hay-Smith EJC, Dumoulin C. Pelvic floor muscle training versus no treatment or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews 2006, Issue 1. [DOI: 10.1002/14651858.CD005654]
Hay-Smith 2011
Herderschee 2011
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org 2011.
Hu 1990
Jolleys 1988
Kegel 1951
Lagro-Janssen 1994
  • Lagro-Janssen AL, Smits AJ, van Weel C. Beneficial effect of exercise therapy in urinary incontinence in family practice depends largely on therapy compliance and motivation. Nederlandse Tijdschrift Geneeskunde 1994;138:1273-6.
Miller 1996
  • Miller J, Ashton-Miller JA, DeLancy OL. The knack: use of precisely-timed pelvic muscle contraction can reduce leakage in SUI. Neurourology and Urodynamics 1996;15:392-3.
Morley 1995
  • Morley R, Cumming J, Weller R. Morphology and neuropathology of the pelvic floor in patients with stress incontinence. International Urogynecology Journal 1995;7:3-12.
Peattie 1988b
Plevnik 1985
  • Plevnik S. New method for testing and strengthening of pelvic floor muscles. Proceedings of the 15th Annual Meeting of the International Continence Society. London, 1985:267-8.
Ryhammer 1999
  • Ryhammer AM, Djurhuus JC, Laurberg S. Pad testing in incontinent women: a review. International Urogynecology Journal 1999;10:111-5.
Smith 1989a
Smith 1989b
Snooks 1984
Soroka 2002
  • Soroka D, Drutz HP, Glazener CMA, Hay-Smith EJC, Ross SJ. Perineal pad test in evaluating outcome of treatments for female incontinence: a systematic review. International Urogynaecology Journal 2002;13(3):165-75.
Walters 1992
Wilson 1996
Wyman 1990