Pelvic floor rehabilitation system with pelvic electromyography TOTEM-UG®

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TOTEM-UG is a patient’s wearable professional unit for the re-education of incontinence by electrostimulation and / or perineal biofeedback, through wireless connection (wireless) with a personal computer. Therapeutic goals are the attenuation or remission of incontinence, exploiting the effectiveness of perineal stimulation and the great contribution of biofeedback techniques to the functional re-learning. The TOTEM-UG unit is applied to the waist of the patient by means of the belt enclosed in the package. The use of TOTEM-UG is intended for healthcare professionals trained for perineal incontinence rehabilitation (gynaecologists, urologists, physiatrists, physiotherapists, obstetricians). Electrical stimulation and EMG Biofeedback Electrical stimulation is performed by symmetrical biphasic pulse generators (or alternating biphasic pulses, in case of probes with lateral electrodes), with controlled energy. In addition to the probes included in the package or supplied as optional accessories, the unit may be used with any type of perineal probe with at least two electrodes and 2mm female connectors. Pressure Biofeedback In addition to the EMG biofeedback, the manometric intra- cavity biofeedback can be performed, with a probe VAG-2STFW or any type of balloon probe equipped with Luer-lock female pneumatic connection. With the double biofeedback channel, it is possible to acquire and show on a monitor an intra-cavity pressure signal (vaginal probe) and, simultaneously, a surface EMG signal with transcutaneous electrodes applied over abdominal muscles. This procedure is suitable for the treatment of perineal dysfunctions linked to the so called “inversion of command”