{"title":"PHENIX Néo: wireless biofeedback and electrostimulation","seoTitle":"PHENIX Néo: wireless biofeedback and electrostimulation | PES Luxembourg","metaDescription":"Wireless PHENIX Néo for biofeedback and electrostimulation, notably in pelvic-floor rehabilitation at Pôle Équilibre & Santé in Bascharage.","content":"**Rehabilitating the pelvic floor means learning to contract the right muscle at the right moment — on coughing, when lifting, when standing up. The [PHENIX Néo](https://www.vivaltis.com/phenix-neo) (Vivaltis) combines electrostimulation and wireless biofeedback. At Pôle Equilibre & Santé, in Bascharage, it equips [perineal and sphincter rehabilitation](/bascharage/competence/reeducation-perineo-sphincterienne).**\n\n## Stimulation and biofeedback, without a cable\n\nThe [PHENIX Néo](https://www.vivaltis.com/phenix-neo) combines:\n\n- **electrostimulation** to help fibres that are still hard to recruit voluntarily;\n- **biofeedback**: pelvic-floor activity is displayed on the screen, which makes the movement more precise.\n\nA two-channel wireless unit (POD), controlled remotely, delivers stimulation or biofeedback. You can work dressed, standing, walking or lifting — where leaks occur. This is not a gadget: it is a way to learn when the voluntary contraction is absent or too weak.\n\n## Indications\n\n- women: post-partum, stress incontinence, urgency, after an episiotomy, hypertonia pain when the assessment points that way;\n- men: after prostatectomy, urgency, stress leaks;\n- children: bladder immaturity, in an adapted setting;\n- anorectal sphere: incontinence, outlet constipation.\n\n## What NICE and Cochrane recommend\n\nSupervised pelvic-floor strengthening is **first-line** treatment for female stress incontinence (**NICE NG123**, 2019): at least three months, several contractions a day. Biofeedback and stimulation are not recommended routinely for everyone; they are when the voluntary contraction is absent or too weak.\n\nThe Cochrane review by Dumoulin et al. (2018) confirms that this strengthening, compared with no treatment, increases the chances of improvement or cure of leaks. The **biofeedback** of the PHENIX Néo helps to **visualise** and **refine** the contraction: a valuable learning tool to feel the right movement, especially when voluntary recruitment is still difficult. The device guides and reinforces the daily home work.\n\n## How it goes\n\nAfter the assessment, an adapted probe (vaginal, anal, or surface electrodes) is placed. We alternate stimulation and contractions guided by the screen, first lying down, then sitting, standing and in movement. Nothing is imposed; a pause is possible at any time.\n\nStimulation feels like light tingling or a gentle contraction. Duration: often **twenty to thirty minutes** of pelvic-floor work. Rhythm: **once or twice a week** while learning, then spacing when the movement is acquired and home work takes over. A programme is counted in weeks to a few months.\n\n## Preparation\n\nA comfortable bladder: neither urgent nor completely empty. A bladder that is too full makes the probe unpleasant and sometimes distorts recruitment. You may be asked to drink a little if a cough or jump trial is planned.\n\nClothing that allows you to undress simply from the waist down, then dress again to work standing. Wireless often allows you to stay dressed once the probe is in place. Remove a genital piercing. No cream, lubricant or pessary the same day, unless advised otherwise. You do not need to be fasting. The session takes place in a closed space.\n\n## Between appointments\n\nThe result is mainly played out at home: daily contractions, at the right timing (before lifting, before coughing), without holding the breath. If the exercises only take place on the appointment day, leaks have no reason to decrease. A realistic goal: fewer pads, less urgency, return to sport according to the assessment — not the absence of every leak for everyone.\n\n## Contraindications\n\nOngoing pregnancy (according to protocol and trimester), a urinary or vaginal infection, very heavy periods if comfort is not there, a pacemaker or certain implants (to be mentioned), a wound, pelvic cancer in active treatment without medical advice. Painful hypertonia is not treated by increasing stimulation. After childbirth, clearance comes from the doctor, generally after the postnatal consultation.\n\n## Frequently asked questions\n\n\nIs it painful or uncomfortable?
\n\nStimulation feels like light tingling, never painful. The settings adapt to you. The session takes place with respect for your privacy. A probe can surprise the first time; this is not a surgical examination.\n\n \n\n\nShould I arrive with a full bladder?
\n\nComfortable, not urgent. For certain effort tests, you will be asked to drink a little. For the probe, a bladder that is too full is simply unpleasant.\n\n \n\n\nCan one start just after childbirth?
\n\nClearance comes from the doctor, generally after the postnatal consultation. The assessment then measures the state of the perineum before building the programme. A tear that is still healing is not an indication for stimulation.\n\n \n\n\nWhen do leaks decrease?
\n\nOften after a few weeks of regular work, not after the first session. The recommendations speak of several months of strengthening. If nothing has moved after three months of well-conducted work, we rediscuss the diagnosis.\n\n \n\n\nCan I drive and work afterwards?
\n\nYes. No strength-training-type muscle soreness. Slight pelvic fatigue is possible. Impact sport (running, jumping) is reintroduced according to the assessment, not the evening of the first session as a challenge.\n\n \n\n\nIs it reimbursed?
\n\nYes. Physiotherapy is provided on medical prescription so that it can be reimbursed by the [CNS](https://cns.public.lu/fr/assure/remboursements/prestations-remboursees/prestations-paramedicales/kinesitherapeutes.html). The practice handles the paperwork. Details: [The Consultation](/bascharage/kinesitherapie/consultation-kine).\n\n \n\n\nHow can I book an appointment?
\n\nVia [Doctena](https://fr.doctena.lu/cabinet/Pole_Equilibre_Sante-281318) or on +352 26 65 28 42. Practice at 20B Rue du Bois, 4912 Bascharage — see [Contact & access](/contact).\n\n \n\n## Find out more\n\n- [Perineal and sphincter rehabilitation](/bascharage/competence/reeducation-perineo-sphincterienne)\n- [Electrotherapy](/bascharage/equipement/electrotherapie)\n- [The technical platform](/bascharage/equipement)\n\n","image":"https://pes-luxembourg.lu/bascharage/wp-content/uploads/sites/2/2019/11/Phenix-2.png"}