Cefar Peristim Pro
Safe and Easy Treatment of Incontinence Problems

RSP: £265.00
X VAT: £230.43
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Vaginal Probe (Included in Pack) and/or Anal Probe (Optional Extra) or surface Electrodes (Included in Pack)
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Connect the probe to the cable |
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Attach electrodes to your body |
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7 Programs for stress, urge, mixed and faecal, incontinence treatments
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1 Program to relieve pain related to urinary disorders, e.g. cystitis
Medical Background
Incontinence:
Urinary incontinence, involuntary loss of urine from the bladder, is a problem for many people. There are two main types of urinary incontinence - Stress Incontinence and Urge Incontinence. Faecal Incontinence, involuntary passage of faeces, is not often discussed, but still a common problem. Electrical stimulation through a vaginal/anal probe, or in some cases surface electrodes, is a well-tolerated treatment for urge, stress, mixed and faecal incontinence and has shown positive results in improving bladder and bowel control.
Stress Incontinence:
Stress incontinence is urine leakage caused by increased abdominal pressure on the bladder, such as coughing, sneezing, laughing, exercising or lifting something heavy. Stress incontinence is the most common type of incontinence and is primarily affecting women. It usually occurs when the perineal and pelvic floor muscles are weakened, for example by pregnancy, childbirth or menopause.
Urge Incontinence:
Urge incontinence means a sudden, strong urge to urinate followed by an immediate bladder contraction, resulting in an involuntary leakage of urine. Both men and women can be affected, particularly the elderly. One reason for this condition can be a disruption in the part of the nervous system that controls the bladder.
Mixed Incontinence:
Mixed incontinence is a combination of Stress Incontinence and Urge Incontinence.
Faecal Incontinence:
Faecal incontinence, also called anal or bowel incontinence, is the impaired ability to control passage of gas or stool. There are many possible causes of faecal incontinence, the most common is injury to the anal sphincter (ring-like muscle), for instance during childbirth or surgery, or damage to the nerves that control the anal sphincters. The condition usually becomes worse as people age.
Incontinence Treatment with Electrical Stimulation:
Electrical stimulation via the pelvic nerves is a recognised treatment alternative for urinary incontinence. It is also proposed as a treatment method of Faecal Incontinence due to pelvic floor dysfunction or a poorly functioning anal sphincter.
When treating Stress Incontinence, the aim of the electrical stimualtion is to mirror a voluntary muscle contraction and improve the function of the pelvic floor muscles. For Urge Incontinence, the aim is to inhibit involuntary bladder contractions by stimulating the nerves in the pelvic floor. When treating Mixed Incontinence, a stimulation appropriate for both Urge Incontinence and Stress Incontinence is used. For Faecal Incontinence, the aim is to improve bowel control by strengthening and toning pelvic floor muscles.

Cefar Peristim Pro is a dual channel incontinence stimulator for treatment and rehabilitation of incontinence.
Peristim Pro Programs
Peristim Pro has 8 Programs for Stress, Urge, Mixed and Faecal Incontinence treatment and 1 preset program for relief of bladder related pain:
Programs 1-7 should be used with a vaginal and/or anal probe and programs 8-9 with surface electrodes.
In Programs 1-6, intermittent stimulation is used - stimulation time alternates with rest - stimulation/rest/stimulation. The rest time allows the muscles to recover.
Programs 1-3 Stress Incontinence: One cause of stress incontinence can be poorly functioning perineal muscles. Electrical stimulation of the perineal muscles with a vaginal and/or anal probe makes the muscles contract. The contractions help to identify and strengthen the weakened muscles. The stimulation must be as strong as possible without being painful and it is helpful if the patient participates actively in the muscle contractions. The intensity should be sufficient enough to create a reflexive contraction of the anus. It is suggested that this training be combined with the patient's own exercises for pelvic floor muscles.
Programs 4-6 Mixed Incontinence: These programs require a vaginal and/or anal probe for treating mixed incontinence. The stimulation should be as strong as possible without being painful. It is helpful if the patient participates actively in the muscle contractions.
Program 7 Urge Incontinence: Normally the bladder muscle is relaxed between evacuations. In certain kinds of urge incontinence, however, the bladder is unstable and sudden uncontrolled bladder contractions occur during the 'resting phase'. Urge incontinence can be treated with low-frequency constant stimulation, which has a relaxing effect on the overactive bladder. Program 8 is intended fror urge incontinence treatment and should be used with a vaginal and/or anal probe. The stimulation should be as strong as possible without being painful.
Program 1-6 Faecal Incontinence: Faecal incontinence can be as a result of weakened pelvic floor muscles, weakened or poorly functioning anal sphincter muscles, or damage to the nerves controlling the anal sphincter muscles. In these cases electrical stimulation can be used, with an anal probe, to increase the tonus of the pelvic floor and the anal sphincter. The stimulation should be as strong as possible without being painful. The intensity should be sufficient enough to create a reflexive contraction of the anus. It is helpful if the patient participates actively in the muscle contractions.
Program 8 TeNS (High Frequency) Pain Relief: High frequency TeNS stimulation is an effective treatment for relief of both acute and chronic pain. External stimulation, with surface electrodes, can be used for diagnosed pain conditions in the lower part of the abdomen, as in cystitis. The electrodes should be placed in the painful area over the pubic region.
Program 9 TeNS (Burst) Urinary Incontinence: Electrical stimulation for urinary incontinence is usually applied by a probe inserted in the vagina and/or anus. An alternative method is to use TeNS to stimulate areas of the skin that are innervated by the same spinal cord segment (S2-S3) as the bladder and urethra. The stimulation is applied through surface electrodes placed on the skin between the anus and the genitals, or alternatively in the lumbar region. In treatment of incontinence where the sacral nerves are stimulated, the electrodes should be placed in the region of S2-S3 (see diagram). The stimulation should be strong enough to create a reflexive contraction of the anus.
Electrical stimulation of the posterior tibial nerve, via acupuncture points, has also proven to have a positive effect.
In treatment of incontinence where stimulation is applied over acupuncture points, the electrodes should be placed over SP6 and behind/beneath the medial malleolus (see diagram).
Programming Function: There are 3 Open Slots where you can create your own parameters for individual patients. You can also program either Continuous Stimulation or Intermittent Stimulation, and work and rest time.
Program Lock: To prevent changing the programs. Useful for Health Care Provider.
Key Lock: Activated if no key is pressed for 10 seconds. Deactivate by pressing left or right decrease button.
Program Pause: You can press P symbol during stimulation and pause the program. If channels are paused for more than 5 mintues the stimulator automatically turns off.
Compliance to Help you Monitor Unsupervised Use): There are two levels of compliance (1) usage time shown in hours and minutes (can be reset between patients) and (2) total usage time shown in week and hours (cannot be reset).
Large Back Lit Display: Ensures easy viewing.
Program Guide: Extensive easy to understand information covering different stimulation methods, example indications and electrode placement.
Timer: Option to change program time - up to 60 minutes.
Power Source: Comes with two 1.5 AA batteries. Can also run on rechargeable batteries. Replace battery icon will appear when batteries are almost empty. The stimulator turns off after 5 minutes of inactivity to spare batteries.
Cefar Warranty: 2 years.
Peristim Pro Quality Incontinence Treatment
for Clinic, Hospital and HomeFor more Incontinence Information visit Cefar's website http://www.cefar.se/
Including Free Reference Library - Download latest Medical StudiesMore Cefar Incontinence Stimulators
Physio 4
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Program 8 TeNS (High Frequency) Pain Relief: High frequency TeNS stimulation is an effective treatment for relief of both acute and chronic pain. External stimulation, with surface electrodes, can be used for diagnosed pain conditions in the lower part of the abdomen, as in cystitis. The electrodes should be placed in the painful area over the pubic region.
Program 9 TeNS (Burst) Urinary Incontinence: Electrical stimulation for urinary incontinence is usually applied by a probe inserted in the vagina and/or anus. An alternative method is to use TeNS to stimulate areas of the skin that are innervated by the same spinal cord segment (S2-S3) as the bladder and urethra. The stimulation is applied through surface electrodes placed on the skin between the anus and the genitals, or alternatively in the lumbar region. In treatment of incontinence where the sacral nerves are stimulated, the electrodes should be placed in the region of S2-S3 (see diagram). The stimulation should be strong enough to create a reflexive contraction of the anus.
