Final answer:
The patient should be instructed to hold the vaginal weight in place with muscle tightening for 15 minutes and then remove it, repeating the exercise several times a day to strengthen pelvic floor muscles.
Step-by-step explanation:
Instructing a patient in the use of vaginal weight training involves coaching the patient to insert the smallest cone in the vagina. The correct approach would be to coach the patient to hold it in place with muscle tightening for 15 minutes and then remove it. This exercise helps in strengthening the pelvic floor muscles, similar to Kegel exercises, but with the added resistance of the weight. The exercise is typically repeated several times a day. It is important for the patient to start with the lightest cone and gradually move on to heavier ones as the muscles strengthen. This helps strengthen the pelvic floor muscles which can improve bladder control and sexual satisfaction.