Abstract
The muscles, nerves and ligaments of the pelvic floor work synergistically to maintain the structure of the pelvic floor and the proper functioning (opening and closure) of the pelvic organs. In terms of structure and function, connective tissue is the most vulnerable component of the pelvic floor. Two key precepts of the Integral Theory are:
-
1.
Even a minor degree of ligamentous laxity has the potential to cause major pelvic floor symptoms;
-
2.
These symptoms are potentially curable by reinforcing the pelvic ligaments using polypropylene tapes.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Parks AG, Swash M and Urich H Sphincter Denervation in ano-rectal incontinence and rectal prolapse. Gut; (1977); 18: 656–665.
Petros PE `Development of the Intravaginal Slingplasty, and other ambulatory vaginal procedures’ Doctor of Surgery thesis University of Western Australia (1999)
Petros PE Medium-term follow up of the Intravaginal Slingplasty operation indicates minimal deteroration of continence with time. Aust. NZ J Obstet.Gynaecol. (1999)39:354–356.
Petros PE Cure of urinary and fecal incontinence by pelvic ligament reconstruction suggests a connective tissue etiology for both. International Journal of Urogynecology (1999); 10: 356–360
Shafik A A new concept of the anatomy of the anal sphincter mechanism and the physiology of defecation,Acta Anat (1990), 138:359–363.
Shafik A Vagino-levator reflex: description of a reflex and its role in sexual performance, European J Obstet andGynecol and Rep rod Biology (1995);60: 161–164.
Smith ARB, Hosker GL and Warrell DW The role of partial denervation of the pelvic floor in the aetiology of genito-urinary prolapse and stress incontinence of urine: a neurophysiological study. British Journal of Obstets and Gynaecol., (1989a), 96: 24–28.
Smith A, Hosker G and Warrell D The role of pudendal nerve damage in the aetiology of genuine stress incontinence in women. British Journal Obstet. and Gynaecol., (1989b), 96: 29–32.
Sultan AH, Kamm MA, Hudson CN, Thomas JM and Bartram CI Anal-sphincter disruption during vaginal delivery, N Eng J Med (1993); 329: 1905–11
Bergeron S, Binik YM, Khalife S, Pagidas K, Glazer HI, Meana M, Amsel R A randomized comparison of group cognitive-behavioral therapy, surface electromyographic biofeedback, and vestibulectomy in the treatment of dyspareunia resulitng from vulvar vestibulitis. Pain (2001); 91; 297–306.
Duthie GS, Bartolo DCC, faecal continence and defaecation, in Coloproctology and the Pelvic Floor, (1992), 2nd Ed, Eds Henry MM and Swash M, Butterworth Heinemann Oxford, 86–97.
Henry MM and Swash M (Eds) Coloproctology and the Pelvic Floor (1992)2nd Edn. Butterworth Heineman Oxford
Marinoff, SC, Turner, MLC Vuvar vestibulitis syndrome: an overview. Am J Obstet Gynecol (1991); 165: 1228–33.
Shull BL, Capen CV, Riggs MW and Kuehl TJ Preoperative and postoperative analysis of site-specific pelvic support defects in 81 women treated with sacrospinous ligament suspension and pelvic reconstruction, J Obstet Gynecol (1992); 166; 1764–71.
Shafik A A new concept of the anatomy of the anal sphincter mechanism and the physiology of defaecation IV, Colo-proctology (1982), 1: 49–54.
Snooks SJ Badernock DF, Tiptaft RC and Swash M. Perineal nerve damage in genuine stress urinary incontinence: an electrophysiological study. British Journal of Urology, (1985), 57: 422–426.
Swash M, Henry MM, Snooks SJ Unifying concept of pelvic floor disorders and incontinence. Journal of the Royal Society of Medicine, (1985), 78: 906–911.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Petros, P. (2004). Current and Emerging Research Issues. In: The Female Pelvic Floor. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-05445-1_7
Download citation
DOI: https://doi.org/10.1007/978-3-662-05445-1_7
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-05447-5
Online ISBN: 978-3-662-05445-1
eBook Packages: Springer Book Archive