Program 9
TENS (BURST) – URINARY INCONTINENCE
18
Programnumber
P9
Sacral nerves
stimulation
P9
Acupuncture
pointsstimulation
Electrical stimulation for urinary incontinence is usually applied by a probe inserted in
the vagina and/or anus. An alternative method is to use TENS to stimulate areas of
the skin that are innervated by the same spinal cord segment (S2–S3) as the bladder
and urethra. The stimulation is applied through surface electrodes placed on the skin
between the anus and the genitals, alternatively in the lumbar region. In treatment
of incontinence where the sacral nerves are stimulated, the electrodes should be pla-
ced in the region of S2–S3, see electrode placement picture. The stimulation should
be strong enough to create a reflexive contraction of the anus.
Electrical stimulation of the posterior tibial nerve, via acupuncture points, has also
proven to have a positive effect.
In treatment of incontinence where stimulation is applied over acupuncture points,
the electrodes should be placed over SP6 and behind/beneath the medial malleolus,
see electrode placement picture
CUSTOM PROGRAMS (P10–P12)
With the CEFAR PERISTIM PRO it is possible to create and store three custom programs for individual
needs. To create a custom program, follow the programming procedure below. To use a custom pro-
gram, follow the instructions in the chapter OPERATION. The program time is preset to 30 minutes but
can be changed with the timer function, see section TIMER.
Programming
1. Press the PROGRAM button
Select one of these programs.
2. Press the PROGRAMMING/CONFIRMATION button
ming mode.
3. Press the INCREASE (OR DECREASE) button
alternate on the display: C, I. The programming chart below shows the setting possibilities for each
stimulation type.
Frequency
Pulse width
S t i m u l a t i o n
time
2 Hz
180 µs
Continuous
2 Hz
180 µs
Continuous
AUTO
AUTO
repeatedly until Program 10, 11 or 12 is shown on the display.
P
S
Rest time
Recommended treatment time
–
At least 30 minutes daily
–
30 minutes per session during at least
one month. Start with 2–3 times a
week and then reduce the treatment
frequency.
AUTO
AUTO
for 2 seconds to enter the program-
S
P
to see the two different stimulation types
AUTO
AUTO
S
P