App Review

Two at-home apps for patients with pelvic floor disorders

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Clinicians can recommend these apps to assist their patients in performing Kegel exercises



In the “You asked, Dr. Jen Gunter answered” series in The New York Times, Dr. Gunter writes that “pelvic floor exercises (also known as Kegel exercises) can be very helpful for urinary incontinence, pelvic organ prolapse, and fecal incontinence.” She continues to say that “pelvic floor exercises can be hard to master correctly, so it is important to make sure [one has] the correct technique. Many women can learn to do them after reading instructions like the ones found at the National Association for Continence, but some women may need their technique checked by their doctor, or help from a specialized pelvic floor physical therapist.”1

Similarly, Sudol and colleagues write that “guidelines from multiple medical societies emphasize the importance of patient education, behavioral therapy, and/or exercise regimens in the initial treatment and management of women with pelvic floor disorders. However, even with well-established recommendations, engaging patients and maintaining adherence to treatment plans and unmonitored programs at home are often difficult.”2 To help patients, those authors identified and evaluated patient-centered apps on topics in female pelvic medicine and reconstructive surgery.2

Two apps that assist patients in Kegel exercises are presented here. The Squeezy app includes guided pelvic floor muscle exercises with reminders, and the Kegel Nation app has a biofeedback feature.

The TABLE details the features of the 2 apps based on a shortened version of the APPLICATIONS scoring system, APPLI (app comprehensiveness, price, platform, literature used, and important special features).3

I hope clinicians find these apps helpful to their patients with pelvic floor disorders.

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