Limits...
The integral system.

Petros P - Cent European J Urol (2011)

Bottom Line: With more severe cases, polypropylene tapes applied through "keyhole" incision using special instruments reinforce the damaged ligaments, restoring structure and function.Organ prolapse and symptoms are related, and both are mainly caused by laxity in the four main suspensory ligaments and perineal body.Restoration of ligament/fascial length and tension is required to restore anatomy and function.

View Article: PubMed Central - PubMed

Affiliation: Honorary Professor, Faculty of Medicine, University of New South Wales, Kensington, Sydney, Australia.

ABSTRACT

Unlabelled: The Integral System is a total care management system based on the Integral Theory which states 'prolapse and symptoms of urinary stress, urge, abnormal bowel & bladder emptying, and some forms of pelvic pain, mainly arise, for different reasons, from laxity in the vagina or its supporting ligaments, a result of altered connective tissue'.

Normal function: The organs are suspended by ligaments against which muscles contract to open or close the their outlet tubes, urethra and anus. These ligaments fall naturally into a three-zone zone classification, anterior, middle, and posterior.

Dysfunction: Damaged ligaments weaken the force of muscle contraction, causing prolapse and abnormal bladder and bowel symptoms.

Diagnosis: A pictorial diagnostic algorithm relates specific symptoms to damaged ligaments in each zone.

Treatment: In mild cases, new pelvic floor muscle exercises based on a squatting principle strengthen the natural closure muscles and their ligamentous insertions, thereby improving the symptoms predicted by the Theory. With more severe cases, polypropylene tapes applied through "keyhole" incision using special instruments reinforce the damaged ligaments, restoring structure and function. Problems that can be potentially addressed by application of the Integral SystemUrinary stress incontinenceUrinary urge incontinenceAbnormal bladder emptyingFacal incontinence and "obstructed evacuation" ("constipation")Pelvic pain, and some types of vulvodynia and interstitial cystitisOrgan prolapse.

Conclusions: Organ prolapse and symptoms are related, and both are mainly caused by laxity in the four main suspensory ligaments and perineal body. Restoration of ligament/fascial length and tension is required to restore anatomy and function.

No MeSH data available.


Related in: MedlinePlus

TFS surgical system. The soft tissue anchor (blue) sits on the applicator. The tape (white) is a ‘next generation” non-stretch lightweight macroporous monofilament polypropylene tape. The polypropylene tape passes through the unidirectional ‘trapdoor’ at the base of the anchor. This one-way system of tightening brings the laterally displaced ligaments and fascia towards the midline.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3921723&req=5

Figure 0010: TFS surgical system. The soft tissue anchor (blue) sits on the applicator. The tape (white) is a ‘next generation” non-stretch lightweight macroporous monofilament polypropylene tape. The polypropylene tape passes through the unidirectional ‘trapdoor’ at the base of the anchor. This one-way system of tightening brings the laterally displaced ligaments and fascia towards the midline.

Mentions: The TFS, Fig. 10, was the first minisling. It was applied in late 2003 to a patient with stress incontinence and uterovaginal prolapse. Since 2006, there has been a profusion of other minislings introduced for cure of stress incontinence, for example, TVT-Secur, Mini Arc, Ophira, and many others. The TFS midurethral sling is very effective for intrinsic sphincter defects, and 3-year data indicates very little deterioration of continence with time [31, 42, 43].


The integral system.

Petros P - Cent European J Urol (2011)

TFS surgical system. The soft tissue anchor (blue) sits on the applicator. The tape (white) is a ‘next generation” non-stretch lightweight macroporous monofilament polypropylene tape. The polypropylene tape passes through the unidirectional ‘trapdoor’ at the base of the anchor. This one-way system of tightening brings the laterally displaced ligaments and fascia towards the midline.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921723&req=5

Figure 0010: TFS surgical system. The soft tissue anchor (blue) sits on the applicator. The tape (white) is a ‘next generation” non-stretch lightweight macroporous monofilament polypropylene tape. The polypropylene tape passes through the unidirectional ‘trapdoor’ at the base of the anchor. This one-way system of tightening brings the laterally displaced ligaments and fascia towards the midline.
Mentions: The TFS, Fig. 10, was the first minisling. It was applied in late 2003 to a patient with stress incontinence and uterovaginal prolapse. Since 2006, there has been a profusion of other minislings introduced for cure of stress incontinence, for example, TVT-Secur, Mini Arc, Ophira, and many others. The TFS midurethral sling is very effective for intrinsic sphincter defects, and 3-year data indicates very little deterioration of continence with time [31, 42, 43].

Bottom Line: With more severe cases, polypropylene tapes applied through "keyhole" incision using special instruments reinforce the damaged ligaments, restoring structure and function.Organ prolapse and symptoms are related, and both are mainly caused by laxity in the four main suspensory ligaments and perineal body.Restoration of ligament/fascial length and tension is required to restore anatomy and function.

View Article: PubMed Central - PubMed

Affiliation: Honorary Professor, Faculty of Medicine, University of New South Wales, Kensington, Sydney, Australia.

ABSTRACT

Unlabelled: The Integral System is a total care management system based on the Integral Theory which states 'prolapse and symptoms of urinary stress, urge, abnormal bowel & bladder emptying, and some forms of pelvic pain, mainly arise, for different reasons, from laxity in the vagina or its supporting ligaments, a result of altered connective tissue'.

Normal function: The organs are suspended by ligaments against which muscles contract to open or close the their outlet tubes, urethra and anus. These ligaments fall naturally into a three-zone zone classification, anterior, middle, and posterior.

Dysfunction: Damaged ligaments weaken the force of muscle contraction, causing prolapse and abnormal bladder and bowel symptoms.

Diagnosis: A pictorial diagnostic algorithm relates specific symptoms to damaged ligaments in each zone.

Treatment: In mild cases, new pelvic floor muscle exercises based on a squatting principle strengthen the natural closure muscles and their ligamentous insertions, thereby improving the symptoms predicted by the Theory. With more severe cases, polypropylene tapes applied through "keyhole" incision using special instruments reinforce the damaged ligaments, restoring structure and function. Problems that can be potentially addressed by application of the Integral SystemUrinary stress incontinenceUrinary urge incontinenceAbnormal bladder emptyingFacal incontinence and "obstructed evacuation" ("constipation")Pelvic pain, and some types of vulvodynia and interstitial cystitisOrgan prolapse.

Conclusions: Organ prolapse and symptoms are related, and both are mainly caused by laxity in the four main suspensory ligaments and perineal body. Restoration of ligament/fascial length and tension is required to restore anatomy and function.

No MeSH data available.


Related in: MedlinePlus