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The Paula Method is a proposed alternative to Kegel exercises. [1] The idea is that by strengthening one's sphincter muscles (eye muscle: orbicularis oculi and mouth muscle: orbicularis oris), the contractions would also strengthen the sphincter muscles in the pelvic floor. [1] Evidence to support its use is lacking. [1]
Kegel exercise, also known as pelvic floor exercise, involves repeatedly contracting and relaxing the muscles that form part of the pelvic floor, now sometimes colloquially referred to as the "Kegel muscles". The exercise can be performed many times a day, for several minutes at a time but takes one to three months to begin to have an effect.
Kegel exercises to strengthen or retrain pelvic floor muscles and sphincter muscles can reduce stress leakage. [11] Patients younger than 60 years old benefit the most. [11] The patient should do at least 24 daily contractions for at least 6 weeks. [11] It is possible to assess pelvic floor muscle strength using a Kegel perineometer. [citation ...
Arnold Henry Kegel / ˈ k eɪ ɡ əl / (February 21, 1894 [1] – March 1, 1972 [1]) was an American gynecologist who invented the Kegel perineometer (an instrument for measuring the strength of voluntary contractions of the pelvic floor muscles) and Kegel exercises (squeezing of the muscles of the pelvic floor) as non-surgical treatment of urinary incontinence from perineal muscle weakness ...
The function of the muscle is fixation of the perineal body (central tendon of perineum), support of the pelvic floor, expulsion of semen in males and last drops of urine in both sexes. [2] The deep transverse perineal muscle lies in the same plane as the urethral sphincter and formerly the two muscles were described together as the constrictor ...
The muscle helps maintain continence of urine along with the internal urethral sphincter which is under control of the autonomic nervous system.The external sphincter muscle prevents urine leakage as the muscle is tonically contracted via somatic fibers that originate in Onuf's nucleus and pass through sacral spinal nerves S2-S4 then the pudendal nerve to synapse on the muscle.
In males, the internal urethral sphincter has the additional function of preventing the flow of semen into the male bladder during ejaculation. [3] Females do have a more elaborate external sphincter muscle than males as it is made up of three parts: the sphincter urethrae, the urethrovaginal muscle, and the compressor urethrae.
Stress incontinence, also known as effort incontinence, is essentially due to incomplete closure of the urinary sphincter, due to problems in the sphincter itself or insufficient strength of the pelvic floor muscles supporting it. This type of incontinence is when urine leaks during activities that increase intra-abdominal pressure, such as ...