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Deutschsprachige Publikationen

Vaginalkonen haben den Vorteil, dass sie nicht zeitaufwendig sind und in den Alltag integriert werden können. Die Frau kann erlernen, welche Muskeln kontrahiert werden müssen, um bei intraabdominaler Druckerhöhung den Konus nicht zu verlieren, bzw. nach dem Erlernen auch ohne Konus, einen Urinabgang, zu verhindern.
Ärztlicher Direktor: Professor Dr. D. Wallwiener:
Beckenbodentraining bei Belastungsinkontinenz
Eine prospektiv-randomisierte klinische Studie zum Vergleich konservativer Therapien


"Ein Training der Beckenbodenmuskulatur [Anm. mit Hilfsmitteln wie Vaginalkonen] ist nach einer Metaanalyse der Cochrane Library effektiv. Es werden Ansprechraten (Heilung/Besserung) zwischen 46 und 75 % publiziert."
Deutsches Aerzteblatt Int 2010; 107(24): 420-6; DOI: Dannecker, Christian; Friese, Klaus; Stief, Christian; Bauer, Ricarda; zum Thema Harninkontinenz der Frau


"Vor allem Frauen, die nach 6-8 Wochen postpartal nicht in der Lage sind willkürlich ihre Beckenbodenmuskulatur zu kontrahieren bzw. 70 g - Konen vaginal zu halten, sollte ein Konen-Training empfohlen werden"
Britta Baumann (2012): Aktuelle Praxis der Diagnostik und Therapie von Beckenbodenerkrankungen bei niedergelassenen Gynäkologen (Dissertation)


"Arvonen et al. konnten zeigen, dass das Training mit dieser neuen Methode [Anm. Konentherapie], verglichen mit dem traditionellen Beckenbodentraining, zu einer signifikant effektiveren Reduktion des Urinverlustes führt."
Friederike Ludt (2011): Klinischer Erfolg nach Implantation einer transobturatorischen suburethralen Schlingenplastik (TOT) bei weiblicher Belastungsinkontinenz - Langzeitergebnisse und Lebensqualität unter besonderer Berücksichtigung des Body-Mass-Index (Dissertation)


Englischsprachige Publikationen:

(Alle Studien können Sie über die PubMed Datenbank einsehen)


"The results [of the study with vaginal cones] showed significant improvement with reduction in urine loss and increase in pelvic muscle tone in women that completed the whole treatment course."
Studie: Acta Med Port. 2005 Mar-Apr;18(2):117-22. Epub 2005 Apr 28. Pelvic floor muscle training with Plevnik's cones in women with urinary incontinence.


"However, the reduction of urinary leakage after four months of exercise in the training group with vaginal balls was significantly better (P < 0.03) than the results in the group training with pelvic floor muscle exercises alone."
Effectiveness of two conservative modes of physical therapy in women with urinary stress incontinence.
Avronen et al. S. 591 - 9


"There was a subjective improvement in 23 of the 34 women (68%) after 6 weeks of cone use with 16 (47%) deciding that no additional treatment other than cone therapy was required at this time. Vaginal cones would seem to be a simple and practical means of improving both pelvic floor strength and genuine stress incontinence."
Aust N Z J Obstet Gynaecol. 1990 May;30(2):157-60. Vaginal cones for the treatment of genuine stress incontinence.


"CONCLUSION: Vaginal cone therapy is a successful method to cure mild female stress incontinence and has the advantage of avoiding incontinence operation. Therapeutic success can be assessed by urodynamic evaluation."
Studie: Eur J Obstet Gynecol Reprod Biol. 1995 Oct;62(2):213-5. Conservative therapy of female genuine stress incontinence with vaginal cones.


"CONCLUSION: Pelvic floor exercises and cones are equally effective in the treatment of genuine stress incontinence. Cones are cost and time saving."
Studie: Eur J Obstet Gynecol Reprod Biol. 1998 Mar;77(1):89-93. Pelvic floor exercises versus vaginal weight cones in genuine stress incontinence.


"vaginal cones and pressure biofeedback -- were compared with pelvic floor exercises alone. The results show that there is no statistically significant difference between the three modalities; all treatments produced significant improvement in symptoms and quality of life scores."
Br J Community Nurs. 2001 May;6(5):230-7. Pelvic floor reeducation for stress incontinence: comparing three methods.


"However, the cones require less supervision by trained staff and can be used at home by the patient. Their use results in a savings in time for the physiotherapy department. The use of the cones is recommended as a cost-effective method of treatment,"
Am J Obstet Gynecol. 1990 Jan;162(1):87-92. The conservative management of patients with symptoms of stress incontinence: a randomized, prospective study comparing weighted vaginal cones and interferential therapy.


"Cone training works well as an alternative or complement to conventional postpartum exercises, and may therefore be recommended especially to puerperae who are not capable of holding vaginal cones of 20-70 g 6 weeks after delivery."
Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(4):208-14. Postpartum pelvic floor conditioning using vaginal cones: not only for prophylaxis against urinary