exercise program for simple urinary stress incontinence: applicability to the female client with multiple sclerosis.
Browning describes a fibromuscular vaginal sling using the pubococcygeal
(PC) muscle with significant reduction in residual incontinence (Figure 1) .
MRI examinations of patients with genuine SUI measured an increased angle [DELTA]LPA = 24.7[degrees] from rest (13.2[degrees] [+ or -] 11.9[degrees]) to straining (-11.5[degrees] [+ or -] 15.5[degrees]) , where negative values represent a bladder neck inferior to the pubococcygeal
line and positive values represent a bladder neck above the pubococcygeal
Malrotation of the pelvis around the longitudinal axis in the CT scan was corrected by the angle between the pubococcygeal
line and the sagittal axis of the CT scan.
High-affinity oestrogen receptors have been identified in the urethra, pubococcygeal
muscle and bladder trigone.
And men who exercise their pubococcygeal
muscles (the ones you tense to hold in wee) can also train themselves to last longer in bed.
The length from the lowest point of the bladder to the pubococcygeal
(PC) line, the length between the lowest part of the bladder and the pubopromontoreal (PP) line, and the ratio of the bladder area under the PC and PP lines to the total bladder area were compared between images for each subject in all 3 positions and between those with POP and controls (Fig.
 A psychoeducational intervention focused on reducing the female patient's anxiety about sexual penetration and gentle desensitisation through relaxation exercises, education about her genitalia, practising the use of her pubococcygeal
muscles to gain a sense of control over her body, and practising penetration of her vagina with her fingers, then her husband's fingers and finally with his penis, culminating in intercourse.
All patients were examined bimanually to assess the tonicity of the muscles of the pelvic floor and specifically the pubococcygeal
portion of the elevator ani (Kegel manoeuvre) .
A Kegel exercises are great for both men and women as they strengthen the PC - pubococcygeal
- muscles and increase blood flow to the genitals.
Press posteriorly toward the rectum, and tell the patient "this is pressure." Then palpate the pubococcygeal
, transverse perineal, and internal obturator muscles.
Currently, no universally accepted radiologic criteria for assessing pelvic floor dysfunction exist; however, the most widely accepted criteria involve organ movement below the pubococcygeal
line (PCL), which extends from the inferior margin of the symphysis pubis to midway between the first and second coccygeal segments.