{"title":"The Phenix Neo — pelvic-floor rehabilitation in Dudelange","content":"**The Vivaltis PHENIX Néo is a medical device for biofeedback and electrostimulation, with a two-channel wireless POD. It allows pelvic-floor work lying down, standing or in movement. At the Pôle Equilibre & Santé practice, Bloc A, 48 Rue de la Libération in Dudelange, it equips [perineal and sphincter rehabilitation](/dudelange/competence/reeducation-perineo-sphincterienne) when the voluntary contraction is absent or too weak.**\n\n## What the device allows\n\nAccording to the manufacturer, the PHENIX Néo combines electrical stimulation and biofeedback on a two-channel Stim/bio POD, controlled wirelessly from a computer. The absence of a cable between you and the console allows work in standing and in movement, where leaks often occur (cough, lifting, a change of position). The screen displays the activity of a muscle that cannot be seen: that helps you find the right recruitment, then repeat it.\n\nStimulation helps fibres that are still hard to contract voluntarily. Biofeedback corrects the movement when you clench the buttocks, hold your breath, or the perineum does not close. The device does not invent a muscle. It helps you locate it and train it.\n\n## First-line: supervised training, not the machine\n\nNICE (NG123) places supervised pelvic-floor strengthening as **first-line** care for stress incontinence, for at least three months, several times a day. Biofeedback and electrostimulation are not recommended routinely for everyone. They mainly have a place when the voluntary contraction is absent or too weak.\n\nDumoulin’s Cochrane review (2018) shows that this strengthening, compared with no treatment, clearly increases the chances of improvement. Bø (2013) recalled that there is no solid evidence that another type of exercise replaces specific pelvic-floor training. The PHENIX Néo sits in that logic: calibrate the movement, then transfer it to daily life.\n\nCommon indications: post-partum, stress leaks, urgency, after prostatectomy, certain anorectal disorders. Women and men. An adapted probe and protocol. The assessment decides, not a standard pathway.\n\n## Medical clearance and contraindications\n\nWe do not start immediately after childbirth without medical agreement. In practice, clearance generally comes after the postnatal visit. An ongoing urinary or vaginal infection, unexplained bleeding, certain obstetric situations, an indwelling catheter depending on the case, stimulation forbidden by the doctor: the assessment rules them out. Painful hypertonia is worked differently than by stimulating harder.\n\n## How it goes\n\nAfter the assessment, an adapted probe (vaginal, anal or surface electrodes). We alternate stimulation and contractions guided by the image, first lying down, then sitting, standing and under effort. Privacy and pace are respected: we explain first, we stop if it is too much.\n\nClothing: you stay dressed as much as possible once the probe is in place; soft trousers or a skirt make installation easier. Prescription, postnatal or surgical timeline, current treatments. A comfortable bladder, neither urgent nor completely empty, unless instructed that day. A light meal.\n\nThe pelvic-floor session usually lasts about thirty minutes; machine time is only a part of it. The work continues **at home**, every day, with the contractions learned. Stimulation feels like light tingling. If it hurts, the setting is too high.\n\nDriving is generally possible. Desk work can return early. Running, jumping, lifting: when the pelvic floor holds on coughing and loading, often after several weeks.\n\nResults: feeling the right muscle can happen from the first sessions thanks to the screen. Leaks that recede are judged over weeks and months, with home diligence.\n\n## Frequently asked questions\n\n\nHow should I prepare and what should I wear?
\n\nSoft clothing, prescription, postnatal or surgical timeline. Bladder according to the instruction. Mention an infection, bleeding, acute pain.\n\n \n\n\nHow long does a session last, and is it painful?
\n\nAbout thirty minutes at the practice, including a share on the device. Light tingling at most. Pain indicates a setting to lower. Daily contractions at home count as much as the machine.\n\n \n\n\nHow long after childbirth?
\n\nAfter the doctor’s agreement, generally once the postnatal visit has passed. We do not start immediately after childbirth without that agreement. The screen then helps you find the right contraction.\n\n \n\n\nCan I drive, and when can I resume sport or work?
\n\nDriving is generally possible. Desk work: often early. Running, jumping, lifting: when the pelvic floor holds under effort.\n\n \n\n\nWhat are the contraindications?
\n\nOngoing infection, unexplained bleeding, no medical green light post-partum or post-operative, certain catheter situations. The assessment rules them out.\n\n \n\n\nWhat timelines for results, is it reimbursed?
\n\nFinding the muscle: sometimes from the first sessions. Fewer leaks: weeks, with the home work. On medical prescription, the [CNS](https://cns.public.lu/) covers the session according to the usual rules. The practice handles the paperwork. See [the physiotherapy consultation](/dudelange/kinesitherapie/consultation-kine).\n\n \n\n\nHow can I book an appointment?
\n\nBy phone on [+352 26 65 15 33](tel:+35226651533). Practice at Bloc A, 48 Rue de la Libération, L-3511 Dudelange — [Contact & access](/dudelange/contact).\n\n \n\n## Find out more\n\n- [Perineal and sphincter rehabilitation](/dudelange/competence/reeducation-perineo-sphincterienne)\n- [Electrotherapy](/dudelange/equipement/electrotherapie)\n- [Our equipment](/dudelange/equipement)\n\n"}