nerves controlling them. The purpose is
to re-educate the anal sphincter and
other muscles of the pelvic floor to
contract.
The
treatments
progress towards graduated active
exercises, in order to improve pelvic
floor muscles' strength and endurance
and to regain function.
You may benefit from the Sure PRO if
you either have no active anal sphincter
contraction, or a weak or poorly
sustained contraction. Use the STRE 1
or STRE 2 programmes. Intensity
should be as strong as possible without
being painful. When possible, try to
contract the muscles at the same time
as the Sure PRO.
Post
Prostatectomy
Incontinence
Electrical stimulation has been found to
help urinary incontinence in men after
radical prostatectomy in some trials.
Use the same programmes as for
vaginal stimulation. Increase intensity
to the highest tolerable.
14.2. HOW TO INSERT THE
ANAL PROBE
1) Before using Sure PRO you will
need to visit the toilet.
2) Lubricate
the
surfaces and probe tip with a water-
based lubricant, such as TensCare
Go Gel or water.
Caution: Do not use a silicone
based
lubricant
stimulation contacts as it may
decrease the effectiveness of the Sure
PRO's muscle stimulation.
aim
to
Urinary
metal
electrode
on
the
32
3) Choose a comfortable position,
such as lying down on your bed on
your side with your knees raised.
Warning: Ensure the Sure
PRO is switched OFF before
inserting the probe.
4) After wires are securely connected,
insert the probe into the anus whilst
'bearing down' (as in the action of
passing stool) to a comfortable limit
until the base of the flange on the
probe touches the anus. The metal
parts conduct the electrical pulse
and should be in contact with the
main part of the muscle at all times.
The tissues close to the entrance
are more sensitive, so you should
avoid
stimulating
recommended that the probe is
inserted past the sphincter muscles
of
the
anus,
otherwise
by
professional.
5) Anal probes with long electrodes
(the metal part) that run up and
down the length of the attachment
should always be inserted with the
metal parts facing hip-to-hip. Anal
probes with circular electrodes (the
metal part) should be inserted
simply to the desired depth.
Note: Sometimes the wearing
of tight fitting undergarments or
a tight pair of jeans will help to
keep the probe in place and maintain
correct contact during the programme.
For Faecal incontinence, the aim is to
stimulate the external sphincter and/or
pubo-rectal
muscle,
them.
It
is
unless
directed
a
healthcare
so
circular