Two cases will be presented to help the therapist understand the power of using the Makous Protocol to strengthen the entire pelvic floor vaginally or rectally.
Case Study 1 is of an 84-year-old female with severe Grade 3 Cystocele (Stage IV based on POP-Q) causing urinary urge incontinence (UUI) and hesitancy with retention if she does not strain the get urine out.
Case Study 2 is of an 80-year-old male with severe urinary incontinence (UI), chronic urinary tract infections (UTIs), and erectile dysfunction (ED) caused by a Transurethral Resection of the Prostate (TURP) performed three years prior. The patient uses a penile clamp, condom catheter or adult diaper at all times. Other complicating factors include history of open heart surgery, hernia repair, and chronic pain and constipation due to Rheumatoid Arthritis His current medications include methotrexate, prednisone, daily baby aspirin, vesicare, and hydrocodone.
I will describe in detail how my protocol is used in each case to resolve the patient’s symptoms.
In Case Study 1, the patient reported complete resolution of urinary symptoms and a 75% reduction in prolapse (Grade 1 or Stage II) after only 8 sessions of almost once a week therapy, and the Makous protocol of IES at home.
In Case Study 2, the patient reported total remission of urinary incontinence with only 2 to 3 drops of urine leakage a day, elimination of recurring UTIs, and regaining of erectile and ejaculatory function with ongoing use of anal IES using the Makous Protocol. This only required 11 treatment sessions and 11 weeks of the Makous Protocol with significant improvement after only 9 weeks.