With another American Urology Association (AUA) annual meeting convention passing and despite less traffic and vendors, PFCA was successful in developing many new strategic relationships and over 22 new applications for PFCA centers nationally. I was very proud of our booth and what we represent, it was distinguished aside the big device companies. Our inline booth designed by our VP of Marketing, Dave Walker, represented a fun race car theme and our slogan… “Winning the race for pelvic floor strengthening… Let the chair do the Kegels for you” resonated well with our interested physicians and fellow exhibitors.
What was different from last year’s AUA 2013 in San Diego? In Orlando we introduced the Pelvic Floor Centers of America™ network and eliminated the capital cost of the EXMI chair. Basically, we stopped selling $60,000 EXMI chairs and developed a pay-as-you-go program for the treatment sessions that includes demo sessions and a compassionate use program. In addition, PFCA marketing representatives helps the practice market their practice to the community. Lastly, PFCA helps equip the patient room with a flat screen TV so patients can be treated and watch their favorite show fully clothed. Compared to E-Stem the EXMI chair seemed to have an advantage as an option for patients young and old.
With two FDA approvals and physician acceptance we realized the demand last year for over 70 EXMI chairs needed to be filled. Pelvic Floor Centers of America™ introduced this new business model and was successful in sourcing 22 new centers under a licensing arrangement that allows the practices to grow and offer this proven technology to a large portion of their patients.
Reuters Health Information
By Anne Harding
February 24, 2014
NEW YORK (Reuters Health) – Women who deliver vaginally are at greater risk of urinary incontinence (UI) during their first year postpartum compared to women who have cesarean sections, new findings confirm.
But when researchers looked only at the prevalence of moderate to serious UI, however, the rates were similar in the two groups at one year, Dr. Shiow-Ru Chang of National Taiwan University in Taipei and colleagues found.
“Doctors must be aware that the normal delivery is a substantial burden for the pelvic floor,” Dr. Guri Rortveit, who reviewed the story for Reuters Health, said in an interview. “Other studies have not been able to single out women at particular risk, who might have been offered specific advice. As it is, we clinicians should be conscious about these facts and encourage pelvic floor exercises as a means of prevention as well as treatment for urinary incontinence.”
Fear of UI is a leading reason why many women opt for cesarean delivery, Dr. Chang and colleagues note in their report in the March issue of Obstetrics & Gynecology. To better understand the associations between vaginal delivery or C-section and UI risk, and to look at how UI changed over time, the researchers studied 330 women, 189 of whom delivered vaginally and 141 who had cesarean sections.
All of the women completed the Incontinence Questionnaire-UI Short Form five times over the course of their first year postpartum.
At most time points, the women who delivered vaginally were more likely to have any UI, stress UI, and moderate to severe UI. They also reported a greater degree of interference with their daily life due to UI at three to five days and four to six weeks after delivery.
At one year, 40.2% of women who delivered vaginally reported having any incontinence, vs 25.4% of the women who delivered by cesarean. However, the percentage of women in both groups who had moderate to severe UI at one year was similar, at about 8%.
“Our findings give health professionals a better understanding of postpartum UI and will help with maternal decision-making to select the most appropriate childbirth and intervention strategy,” Dr. Chang and colleagues write.
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Although women’s UI risk may be lower with C-sections, Dr. Rortveit said, “cesarean section is not the way to solve the problem, since it has many other, negative effects–and most women who undergo vaginal delivery still do not become incontinent. Also, it is important to notice that moderate and severe incontinence were not more prevalent among women with vaginal delivery after one year, which has also been shown by others.”
She added, “I think the data on interference with daily life are difficult to interpret. The authors don’t explain much about how the data were obtained and analyzed in the methods section. Considering the low number of participants, I think it wise not to emphasize these findings too much.”
Dr. Rortveit concluded: “Generally, the paper describes a small study confirming results from previous studies. What they add is a very detailed description of how incontinence evolves over the first year postpartum in a cohort followed prospectively.”
Dr. Chang did not respond to a request for an interview.
Obstet Gynecol 2014.
In March/April 2014 | Vol. 12 Issue 2 of Lake Mary Life magazine, Dr. Ross of Lake Mary Health and Wellness (a PFCA Certified Center) was highlighted about his speech to the residents of Oakmonte Village at Lake Mary. He led a discussion about incontinence, an ailment affecting 17 million Americans. He covered ways to reduce or eliminate incontinence by strengthening the pelvic muscles with PFCA therapy.