Can Smart Balls Enhance Kegel Exercises After Uterine Prolapse Surgery? - Obstetrics and Gynecology

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Regarding Kegel exercises, smart balls, and uterine prolapse?


Hello, I underwent laparoscopic mesh suspension surgery for uterine prolapse in mid-October.
Currently, I can feel a slight protrusion.
My hymen has been ruptured by the uterus.
I am currently doing Kegel exercises; can I use a vaginal smart ball in conjunction with Kegel exercises?

Ku Ming Xiao Hai, 20~29 year old female. Ask Date: 2023/11/21

Dr. Lin Manying reply Obstetrics and Gynecology


Hello: Please consult the original surgeon.
Hualien Hospital, Ministry of Health and Welfare, cares about you.

Reply Date: 2023/11/21

More Info


After undergoing laparoscopic sacrocolpopexy for uterine prolapse, it's crucial to approach any additional pelvic floor exercises or devices with caution. Kegel exercises, which involve the contraction and relaxation of the pelvic floor muscles, can be beneficial in strengthening these muscles and potentially improving symptoms related to prolapse. However, the introduction of smart balls (also known as vaginal weights or balls) into your routine should be considered carefully, especially given your recent surgery and the complications you've mentioned.

Smart balls are designed to help enhance pelvic floor muscle strength by providing resistance during Kegel exercises. They can be beneficial for some individuals, as they encourage the user to engage their pelvic floor muscles to keep the balls in place. However, after surgery for uterine prolapse, there are several factors to consider before using them:
1. Healing Process: After any surgical procedure, particularly one involving the pelvic region, it's essential to allow adequate time for healing. Introducing foreign objects into the vagina too soon can lead to complications, including infection or irritation. It's important to follow your surgeon's advice regarding the timeline for resuming sexual activity or using vaginal devices.

2. Consult Your Surgeon: Given your specific situation, including the fact that you can still feel a part of the prolapse and that your hymen has been compromised, it is imperative to consult your surgeon or healthcare provider before using smart balls. They can provide personalized advice based on your healing progress and overall pelvic floor condition.

3. Technique and Comfort: If you receive the go-ahead to use smart balls, ensure that you are using them correctly. Start with lighter weights and gradually increase as your strength improves. Pay attention to your body’s signals; if you experience pain or discomfort, discontinue use immediately.

4. Kegel Exercises: Continue with your Kegel exercises as prescribed. They can be performed without any devices and are a great way to start strengthening your pelvic floor muscles. Focus on proper technique: contract the muscles as if you are trying to stop urination, hold for a few seconds, and then relax. Aim for several repetitions throughout the day.

5. Monitoring Symptoms: Keep track of any changes in your symptoms, such as increased prolapse, discomfort, or changes in vaginal discharge. If you notice any concerning signs, contact your healthcare provider promptly.

6. Long-term Management: Remember that pelvic floor health is a long-term commitment. In addition to Kegel exercises and possibly using smart balls, consider other forms of pelvic floor therapy, such as physical therapy with a specialist trained in pelvic health. They can provide tailored exercises and techniques to enhance your recovery and strengthen your pelvic floor.

In summary, while smart balls can potentially enhance Kegel exercises, it is crucial to prioritize your healing and consult with your healthcare provider before incorporating them into your routine. Your safety and comfort should always come first, especially after a significant surgical procedure like uterine prolapse surgery.

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