Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction

Richard C. Bump, W. Glenn Hurt, J. Andrew Fantl, Jean F. Wyman

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351 Scopus citations


Forty-seven women had urethral pressure profile determinations performed at rest and during a Kegel pelvic muscle contraction, after brief standardized verbal instruction. Twenty-three (49%) had an ideal Kegel effort-a significant increase in the force of urethral closure without an appreciable Valsalva effort. Twelve subjects (25%) displayed a Kegel technique that could potentially promote incontinence. Age, parity, weight, estrogen deprivation, prior continence surgery or hysterectomy, and passive urethral function did not predict a successful effort. We concluded that simple verbal or written instruction does not represent adequate preparation for a patient who is about to start a Kegel exercise program.

Original languageEnglish
Pages (from-to)322-329
Number of pages8
JournalAmerican Journal of Obstetrics and Gynecology
Issue number2
StatePublished - Aug 1991
Externally publishedYes


  • Kegel exercises
  • pelvic muscle exercises
  • urinary incontinence


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