This study stems from the observation that many patients have difficulty performing rehabilitation protocols based on traditional endovaginal techniques, which have a strong psychological impact on patients with multiple sclerosis. The aim of the study is to evaluate the effectiveness of minimally invasive techniques in pelvic floor rehabilitation in women with MS in terms of reducing urinary symptoms and their influence on quality of life.

The efficacy of pelvic-perineal kinesitherapy, performed with the VISS (Vibration Sound System) and VRRS systems, is superimposable, in terms of improvement of quality of life and reduction of urinary symptoms in MS patients, to a rehabilitation protocol including biofeedback, endovaginal electrostimulation and kinesitherapy. Equality of effectiveness places it in the scientific landscape as a valid alternative since it is characterized by easier manageability as less unpleasant for patients compared to endovaginal treatments.