Book criticises NICE pelvic floor guidance
The NHS is failing to properly implement advice on pelvic floor muscles, wasting resources and failing women, according to a new book.
The Kegel Legacy claims a review of post-natal rehabilitation care is needed to prevent discomfort and frustration for at least 5,000 new mothers each week who it says are affected by ineffective advice.
Millions of women suffer long-term problems, the book claims, in what it sees as a modern health scandal.
Author Barry Fowler accuses the medical profession of ignoring a major clinical trial that set out a Gold Standard for treating weak and damaged pelvic floor muscles and the related conditions, such as prolapse, stress incontinence or problems with sex. Fowler claims a third to a half of all women across the full age-span may be affected.
He says that despite Arnold Kegel’s exercises having been shown to cure 85% of problems in two weeks, doctors and physiotherapists are failing to follow the proper principles and procedures of the approach when issuing advice.
“If the exercises you are told to do by your doctor or physiotherapist were at all effective then we would not have seven million women in the UK with stress incontinence, millions suffering prolapse and a multi-billion industry supplying designer incontinence pads,” Fowler argues, adding: “Millions of women are wasting their time for many months with ‘exercises’ that will never deliver any real improvement.”
He accuses NICE of failing to adequately emphasise the Kegel approach, resulting in cash being spent on often-ineffective surgical and pharmaceutical interventions.
“It is impossible to put a cost on the impact that this is having on the lives of millions of women. And on the waste of resources and budgets,” the author complains.
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