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Current and Emerging Research Issues

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The Female Pelvic Floor

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. 1.

    Even a minor degree of ligamentous laxity has the potential to cause major pelvic floor symptoms;

  2. 2.

    These symptoms are potentially curable by reinforcing the pelvic ligaments using polypropylene tapes.

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References

  • Parks AG, Swash M and Urich H Sphincter Denervation in ano-rectal incontinence and rectal prolapse. Gut; (1977); 18: 656–665.

    Article  PubMed  CAS  Google Scholar 

  • Petros PE `Development of the Intravaginal Slingplasty, and other ambulatory vaginal procedures’ Doctor of Surgery thesis University of Western Australia (1999)

    Google Scholar 

  • 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.

    Google Scholar 

  • 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

    Article  Google Scholar 

  • Shafik A A new concept of the anatomy of the anal sphincter mechanism and the physiology of defecation,Acta Anat (1990), 138:359–363.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • 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

    Article  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Google Scholar 

  • Henry MM and Swash M (Eds) Coloproctology and the Pelvic Floor (1992)2nd Edn. Butterworth Heineman Oxford

    Google Scholar 

  • Marinoff, SC, Turner, MLC Vuvar vestibulitis syndrome: an overview. Am J Obstet Gynecol (1991); 165: 1228–33.

    PubMed  CAS  Google Scholar 

  • 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.

    CAS  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    PubMed  CAS  Google Scholar 

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© 2004 Springer-Verlag Berlin Heidelberg

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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

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  • 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

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