Frequently Asked Questions
.

1 - Reimbursement by the Health Insurance: How to obtain a treatment sheet*?

*Only if you are living in France.

As a member of the Assurance Maladie, the Sugar Company can establish a care sheet for you if you purchase a perineal rehabilitation probe or an electro-stimulation device if you have a prescription and if these products (of course) are reimbursable.

Therefore, when you purchase (only for individuals), do not forget to check the box "I would like a treatment sheet".

The treatment sheet will be sent to you by separate mail as soon as we receive your prescription.

.

2 - How to be reimbursed by the Health Insurance*?

*Only if you are living in France.

You will receive by mail, the treatment sheet related to your purchase.

Along with the medical prescription, this treatment sheet must be returned to your Caisse Primaire d'Assurance Maladie.
CPAM will then proceed to your reimbursement.

You now have all the necessary information related to the coverage of products reimbursed by the Health Insurance.

.

3 - Are there any contraindications to electro-stimulation rehabilitation?

Read carefully the sheet enclosed with the probe. It indicates all the contraindications.

  • Vaginal or urinary infection
  • Colon proctological or genitour-urinary cancer
  • Pregnancy
  • Implanted pacemaker wearer (consult cardiologist)
  • Urethrovesical reflux and hypotonic bladder
  • Do not use in water
  • Do not submerge the cables
  • Do not connect to high-frequency surgical equipment (electrode burns).
  • The effects of long-term stimulation are not determined.
  • Follow the prescriber's instructions
.

4 - Do I have to do my sessions with a therapist or can I use the probe with a personal stimulator without going through him/her?

It is not recommended to practice intracavitary electrical stimulation alone at home without having already undergone a series of re-educations and without the informed advice of an experienced therapist. In any case, the sessions should always take place beforehand under the guidance of a therapist trained in this method.

When your treatment is completed (approximately 10 to 20 sessions) it will be up to your doctor to judge whether you can benefit from additional treatment at home by purchasing a personal stimulator. Please note, however, that in this case the texts are very clear and the procedure clearly fixed. The equipment can be reimbursed under certain conditions.

.

5 - I have a personal stimulator prescribed by my doctor to continue my sessions at home or on vacation. What should I do?

It is possible for you to buy a personal portable stimulator after rehabilitation sessions.

However, make sure that this device corresponds to the treatments related to your pathology.

You must first connect your catheter, then put the wet catheter, possibly impregnated with 3 drops of lubricating gel, in the vagina or anus, and then, and only then, turn on your stimulator. Choose the program recommended by your therapist and slowly increase the current until you feel a muscular contraction which can take the form of a backward push, a muscle cramp, a beat. You should never feel any pain (the probe may be misplaced) or electrical tingling when you feel your muscles contract. If you are slightly uncomfortable, you can make a small contraction while the current is flowing. In case of doubt call your therapist or our customer contact service.

.

6 - I bought a new generation OPTIMA 3 electrode probe. How can I use it without making mistakes?

This probe has the electrodes on one side only, which avoids the inconvenience of stimulation towards the bladder or cervix. The introduction of the probe is always done with the electrodes (hemispherical balls) downwards so that the 1st and 2nd ball are completely introduced into the vagina. As a rule, the third ball is also introduced into the vaginal cavity. The probe is held in place with the stop at the entrance to the vagina. You can act more on one side than the other (right or left) by turning the probe a slight quarter turn to the right or left. The electrodes are then positioned on the lateral side. Normally this technique is used to strengthen one side if it is found to be weaker than the other.

Your therapist will give you the value of your musculature with a test called muscle TESTING.

.

7 - I bought a PERISIZE 4 electrode probe of the new generation. How can I use it without making mistakes?

This probe is the most efficient probe on the market.

Remove the small jumper that blocks the probe. Connect the cables so that the 2 electrodes on the left and the 2 on the right are connected to different outputs on your stimulator. Wet the probe and the electrodes with water and, if necessary, apply 2/3 drops of lubricating gel to the top of the probe and the electrodes. Gently pinch the catheter until the two arms are at their stops. Insert the probe with the electrodes facing down and back. Release the probe when it is in the vagina. At this point you can stabilize it for comfort, but the two wire-bearing arms must be outside the cavity.

To remove the catheter when the session is over, do not pinch the catheter. Gently take one leg and pull the probe out. The other branch will come out by itself.

CAUTION: When cleaning the probe, never pull the prongs apart or the probe will break off at the top. Rinse the probe under running water. This will do the trick.

.

8 - I have purchased an OPTIMA 3 electrode probe. How do I differentiate between the electrodes?

You only need to connect 2 electrodes to the 3 to practice electrical stimulation. Usually these are the 1st and 2nd ball from the end of the probe. The unused electrode is rather for muscle biofeedback work at your therapist. In this case he will use this electrode as the reference he needs to practice the recording.

To locate them easily, on each plug connection at the end of the cables you have 3 points: 2 hollow and a round. The round part indicates which electrode is used. In incontinence or perineal muscle rehabilitation, the electrodes are always pointing downwards and backwards.

.

9 - I wish to have my patient work standing up. Which probe should I use?

In vaginal re-education, you must control the capacity you have to lock the perineum to the effort while standing. After having learned with your therapist to control your perineal muscles when lying down, you must be able to contract these muscles while standing by coughing, jumping, bending down, hopping on one foot, etc...

The most recommended probe for these exercises is the PERISIZE 4, which is unique in that it will allow the therapist to see how the right and left parts of your vaginal musculature react.

The other default probe is the OPTIMA 3. However, you will need to turn the probe a quarter of a turn to do the checks, which is not the case with the Perisize.

.

10 - My doctor (or my physiotherapist) recommended an anal probe? You have long and short probes. Which one should I choose?

The long probe (ANALYS or ANALYS +) is rather indicated for any type of ano-rectal rehabilitation. Indeed, with this probe your therapist can stimulate the anal canal muscles and/or the anus lifting muscles. In addition you can operate a counter-resistance during the contraction. Finally, there is no risk that the catheter will be sucked into the anal canal. The catheter is locked in place by the gluteal fold. The short catheter has fewer advantages. It can only be used to stimulate the anal sphincter and there is a risk that it will move into the canal.

.

11 - My patient has an old model of probe that he bought last year, can he get a new one?

Yes, because patients have the possibility (IF THEY ARE LIVING IN FRANCE) to be reimbursed for one probe per year*.

*Only in France.