The Female Pelvic Floor (eBook)

Function, Dysfunction and Management According to the Integral Theory

Peter E. Papa Petros (Autor)

eBook Download: PDF

2006 | 2nd ed. 2007
XIX, 260 Seiten
Springer Berlin (Verlag)
978-3-540-33664-8 (ISBN)

Infos

I f rst encountered the Integral T eory system in the early 1990's at the Royal Perth Hospital laboratory in Western Australia where I was working on laparoscopic colposuspension. Even in prototype form, the IVS operation was so simple and ef ective that I adopted it immediately. Subsequently, based on my experiences, I wrote the following in the Medical Journal of Australia in October 1994: (the operations) promise a new era for women, virtually pain-free cure of prolapse and incontinence without catheters, and return to normal activities within days. Now, ten years later, more than 500,000 'tension-free' anterior or posterior sling operations have been performed. One case in particular stands out from those early years. A woman patient in her mid-50's came to see me with a f ve year history of urinary retention which required an indwelling catheter. T is woman had consulted more than a dozen medical specialists who had told her the same story: no cure was possible. Using the Structured Assessment of the Integral T eory it was deduced that she had a posterior zone defect. I performed a Posterior IVS. T e next day the patient was voiding spontaneously with low residuals, and she has remained well since.

Inhalt

Preface to 2nd Edition 6
Preface 7
Acknowledgments 8
Foreword 10
Contents 13
1 Overview 20
1.1 Introduction 20
1.2 Overview of Pelvic Floor Function and Dysfunction According to the Integral Theory 26
1.3 Summary Chapter 1 32
2 The Anatomy and Dynamics of Pelvic Floor Function and Dysfunction 33
2.1 The Anatomy of Pelvic Floor Function 33
2.2 The Dynamics of Pelvic Floor Function 44
2. 3 The Role of Connective Tissue in Pelvic Floor Function and Dysfunction 53
2.4 Summary Chapter 2 69
3 Diagnosis of Connective Tissue Damage 70
3.1 The Integral Theory Diagnostic System: Overview 70
3.2 The Integral Theory Diagnostic System 73
3.3 Working with Symptoms in the Integral Theory Diagnostic System 86
3.4 Summary Chapter 3 101
4 Reconstructive Pelvic Floor Surgery According to the Integral Theory 102
4.1 Introduction 102
4.2 The Integral Theory Approach to Reconstructive Pelvic Floor Surgery 102
4.3 Application of the Integral Theory Surgical System according to Zone of Damage 129
4.4 Post operative Monitoring: Strategies for Managing Recurrent or New Symptoms 179
4.5 Summary Chapter 4 186
5 Pelvic Floor Rehabilitation 187
5.1 Introduction 187
5.2 The Integral Theory System for Pelvic Floor Rehabilitation 188
5.3 Summary Chapter 5 191
6 Mapping the Dynamics of Connective Tissue Dysfunction 192
6.1 Mapping Function and Dysfunction of the Pelvic Floor 192
6.3 Summary Chapter 6 224
7 Current and Emerging Research Issues 225
7.1 Introduction 225
7.2 Improvements in the Diagnostic Decision Path 227
7.3 The Integral Theory Diagnosis Support System (ITDS) 228
7.4 Possible Clinical Associations 228
7.5 Faecal Incontinence 230
8 Conclusion 241
Appendix 1 – Patient Questionnaires and Other Diagnostic Resource Tools 243
Appendix 2 – References and Further Reading 255

Produkt-Details

• Erscheint lt. Verlag: 26.12.2006
• Zusatzinfo: XIX, 260 p. 206 illus., 157 illus. in color.
• Verlagsort: Berlin
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete
• Schlagworte: anatomy • incontinence • Integral • Pelvic • Pelvic Floor • Surgery
• ISBN-10: 3-540-33664-8 / 3540336648
• ISBN-13: 978-3-540-33664-8 / 9783540336648