Kegel Exercises

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Kegel Exercises These are a series of exercises that strengthen the muscles surrounding the vagina. These exercises are easily learned and can be performed as convenient. Women who have strong vaginal muscles are less likely to suffer from urine incontinence or prolapse of the pelvic organs. Kegel exercises performed after childbirth promote healing of the vagina and help restore tone to the vaginal area. The technique for Kegel exercises is simple. The woman firsts learns to contract her pelvic muscles by identifying the location of these muscles. A simple way to do this is to insert a finger into the vagina and attempt to squeeze the vaginal muscles around the finger. Another technique would be attempt to halt the flow of urine while urinating. This may be difficult at first but will become easier as the pelvic muscles become stronger. At first, the muscles should be contracted for 2–4 seconds followed by a period of muscle relaxation. This exercise can be repeated five times. As the pelvic muscle strength increases, more repetitions can be performed and held for longer periods. Avoid holding the breath during the activity. These exercises can be performed without other people being aware of the activity. SEE ALSO: Pelvic organ prolapse, Urinary incontinence and voiding dysfunction

Suggested Reading The Boston Women’s Health Collective (p. 274) (1998). New York: Touchtone.

Varney, H. (1997). Varney’s midwifery (p. 156). London: Jones & Bartlett.

SUSAN WIEDASECK

Keloids Keloids are a benign skin tumor characterized by excessive proliferation of scar tissue. They usually arise at sites of trauma or prior surgery, but occasionally arise spontaneously in areas prone to high skin tension. They develop as a result of increased activity of fibroblasts, the cell type responsible for the production of scar tissue collagen protein. The incidence is most common in African American patients. A keloid appears as a protuberant, shiny, firm plaque, or nodule on the skin surface. Newer keloids still in the formative stages are often associated with pain or itching, and older lesions are generally asymptomatic. They may form on any part of the body, although the upper chest, shoulders, upper back, and earlobes (where piercing has occurred) are especially prone to keloid formation. The diagnosis of a keloid can generally be made on clinical grounds, particularly in the setting of prior trauma. If the diagnosis is in doubt, biopsy should be performed to rule out a dermatofibrosarcoma protuberans, a malignant tumor that may look like a keloid. Treatment of keloids is very difficult. Surgical removal of a keloid is fraught with potential for recurrence of an even larger lesion because more scar tissue may be stimulated to form. This approach may, however, be warranted if combined with another modality

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