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GyneFlex


Urinary Incontinence
The Societal costs of incontinence for people 65 and over has been estimated at 27.8 billion dollars or $3,941 per person. The total cost in all ages is far more. This does not count the price of self-respect, self-confidence, fear of embarrassment and restriction of activities. Conservative estimates show about 16 million Americans suffer from significant Urinary Incontinence (UI). This is about the same prevalence as Diabetes. And like Diabetes, a great number of patients are undiagnosed and not reported in these statistics. Never before for either condition has there been a single physiological device available for less than $50 that can offer real hope of improvement or cure.

GyneFlexTM exercise helps suffers of muscle weakness-related urinary incontinence. More than 85% of the time, this is Stress Urinary Incontinence (SUI). This is when urine leakage is associated with the "stress" of sudden movement, like laughing, coughing, or sneezing. It is due to pelvic floor muscles weakened by the childbirth process, atrophy from lack of isotonic exercise which increases with age, or both.

GyneFlexTM flexing exercises vaginal muscles (called pelvic floor muscles) against progressive resistance, thereby strengthening them. This is the type of isotonic exercise that is proven to get results. The pelvic floor muscle fibers shorten with contraction as the GyneFlexTM flexes and return to resting length with each relaxation. This is a far superior exercise method than isometric exercise where the contracted fibers maintain the same length. (Isotonic exercise is like doing arm curls with dumbbells, sit-ups or abdominal crunches at the gym, isometric exercise is like sucking your stomach in and holding).

GyneFlexTM exercise may significantly improve Stress Urinary Incontinence leakage symptoms within the first 6 to 8 weeks when used consistently twice a day. Muscle strength and tone continue to improve as long as regular exercise with the correct Flex Resistance strength GyneFlexTM is continued. GyneFlexTM users have reported complete alleviation of even moderately severe leakage (that kept them virtually housebound with fear of embarrassment - see testimonials). Optimal results, however, are obtained when GyneFlexTM exercise is incorporated as a regular part of a healthy life-style, including diet, exercise and not smoking.

Muscle re-education and vaginal resistance exercise (see VTPTM) has produced dramatic and consistent results of complete relief of simple urinary stress incontinence in a series of over 700 patients. According to the author, "therapeutic results can be expected only from frequent exercise repetition and active contraction of the pelvic floor muscles against resistance". This will "improve the function and tone of weak, stretched or atrophied muscles."

The benefit of active exercise against resistance (isotonic = GyneFlexTM exercise) is superior to that obtained without resistance (Kegel exercise) because only when doing work do muscles grow, along with the blood vessels and nerves that supply them.

While the benefits of flex resistance to vaginal muscle contraction seems obvious (arm curls with dumbbells = GyneFlexTM) the concept of muscle re-education is less self-evident.

The fact is that when looking at why many bladder repair operations fail (anterior repair or cyctocele repair) doctors have concluded that atrophy from lack of exercise occurs even without the stretching of childbirth. This lack of exercise atrophy is the direct cause of the failure of some surgeries for urinary incontinence.

Why atrophy from disuse? Because even though these muscles are under voluntary control (we can choose to contract them), women are not taught to exercise them because "contracting against a resistance device is the best way to learn how to contract the pelvic floor muscles" and no medically designed resistance device has been previously widely available or affordable.

The published literature estimates the percentage of women who cannot contract the pelvic floor muscles at all (simply from lack of exercise) at 1 in 3. This inability to squeeze the vaginal muscles has been described as "simulating paralysis" for some women. For another 1 in 3 their ability to squeeze the vaginal muscles is weak or feeble.

How, then, do you learn how to squeeze? "In order to learn contraction of the correct muscles the patient must be enabled to exercise against resistance". First there must be something to squeeze against so that you can feel when you are squeezing. GyneFlexTM is the first and only medically designed flexing exerciser created with this intent. For those who still can't separate the contraction of vaginal muscles from the contraction of abdominal, gluteal or leg muscles biofeedback training may alternatively be necessary.

All of the following are necessary to maintain and obtain lasting urinary control and healthy pelvic floor muscle fitness:

  1. Progressive Resistance Exercise (GyneFlexTM)
  2. Muscle Re-education (GyneFlexTM)
  3. Frequent Repetition For Life. (Your motivation)

Hence, VTPTM was born. VTPTM is a program that you can start at any age. (After adolescence, the younger the better). VTPTM is a program that repeats the time-honored principals of muscle conditioning and rehabilitation established since World War II. VTPTM is a program that works.

In a series of 212 patients who used the VTPTM principals with Kegel's costly Perinometer (see picture beginning History section) the majority of whom had undergone one or more unsuccessful surgical interventions, good urinary control was established in 84%. These patients were able to discontinue the use of pads and remained in control under normal circumstances. Reoccurrence sometimes occurred after debilitating illness or prolonged spells of coughing but control could usually be re-established by increasing resistance exercises for a few weeks. It was concluded that "all cases of urinary incontinence were improved, partial relief or failure occurred in 16% of patients who had severe urinary incontinence."

"The widest field of application (of resistance exercise like GyneFlexTM) is during the childbearing and early menopausal years." the author concluded, noting that "diligent patients began to notice symptomatic relief often in 2 to 4 weeks of doing resistance exercises" during his urinary incontinence study.

"It has been found that dysfunction of the pubococcygeus (now called PFM) exists in many women complaining of lack of vaginal feeling during coitus and that in these cases sexual appreciation can be increased by restoring function of the pubococcygeus (PFM)". See Sexual Benefits section.

Published medical research has concluded " in every case of genital relaxation, whether early or late, physiologic therapy may be employed with preventative, curative or palliative intent..." (GyneFlexTM resistance exercise with VTPTM works).

How do GyneFlexTM exercises differ from Kegel exercise?

GyneFlexTM is anatomically designed to offer progressive resistance to flexing produced by contraction of vaginal muscles. The essential difference is that without an exercise device (GyneFlexTM) no resistance is provided against which the interdigitating fibers of the PFM can contract in the entire circumference of the vagina. Kegel observed that "while following instructions to retract the perineum and to contract the muscles as though to check the flow of urine and evacuation of the bowel, women are using merely the superficial muscles of the perineum and the sphincter without contracting the all important pubococygeus (PFM) muscles." The physiologic principal of GyneFlexTM is "a muscle will gain in strength in accordance with the amount of work demanded of it". GyneFlexTM is designed to stimulate vaginal muscle development by 1. Recruiting all the pelvic floor muscles (not just the superficial ones like Kegels) 2. Making them work by squeezing against resistance (Flex Resistance, unlike Kegels) and 3. Facilitating muscle reeducation by remaining in the vaginal muscle platform during exercise where it can be felt (enhancing awareness of muscle contraction, unlike Kegels).

Jones et al have shown that "all supportive and sphincter structures of the pelvis partake in active exercise of the pubococygeus, thereby improving the tone and strength of the entire pelvic musculature (PFM)".

Most of the financial resources spent per year on incontinence are spent on management procedures of end stage disease, such as pads and diapers. GyneFlexTM is the only medically designed flexing exercise device, which may help to prevent and treat this extremely common embarrassing and distressing problem.

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