Ambulatory bio-feedback for stress incontinence exercise regimes: a novel development of the perineometer

Authors

  • Keith R. Jones BSc MSc MIEE CEng

    Corresponding author
    1. Consultant Clinical Scientist, Department of Bio-medical Engineering and Medical Physics, North Sfaffordshire Hospital/Keele University, School of Postgraduate Medicine, Keele, Sfaffordshire, England
      Keith R. Jones, Head of Clinical Engineering, City General Hospital, Newcastle Road, Stoke-Trent ST4 6QG, England.
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Keith R. Jones, Head of Clinical Engineering, City General Hospital, Newcastle Road, Stoke-Trent ST4 6QG, England.

Abstract

Stress incontinence is a debilitating condition affecting a large proportion of the female population. Pelvic floor exercising with the aid of bio-feedback is well established as an effective treatment regime. However, current monitoring devices are restrictive in the way they may be employed in community-based therapy. A prototype unit is described, which is both compact and accurate and suitable for ambulatory monitoring of vaginal pressure. This device is suitable for self-help domiciliary regimes and may also be used as an accurate yardstick to judge individual response to therapy. Conceptual changes in health-care provision are leading to greater emphasis on community-centred care for non-acute conditions such as stress incontinence. Development of more appropriate scientific and technological support is likely to have a fundamental role in the success of such schemes.

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