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The integral system.

Peter Petros1

  • 1Honorary Professor, Faculty of Medicine, University of New South Wales, Kensington, Sydney, Australia.

Central European Journal of Urology
|March 1, 2014
PubMed
Summary

The Integral System addresses pelvic organ prolapse and related symptoms by targeting laxity in pelvic ligaments. Treatments include exercises for mild cases and surgical repair for severe cases, restoring pelvic anatomy and function.

Area of Science:

  • Pelvic floor disorders
  • Connective tissue disorders
  • Female pelvic medicine and reconstructive surgery

Background:

  • Pelvic organ prolapse and associated symptoms stem from laxity in vaginal supporting ligaments due to altered connective tissue.
  • Ligaments suspend pelvic organs, and their integrity is crucial for proper muscle function and outlet tube control.

Purpose of the Study:

  • To introduce the Integral System, a management approach for pelvic floor disorders based on Integral Theory.
  • To explain the relationship between ligament laxity and symptoms like prolapse, incontinence, and pelvic pain.

Main Methods:

  • Utilized a diagnostic algorithm linking symptoms to specific damaged ligaments within a three-zone classification.
  • Employed pelvic floor muscle exercises based on squatting for mild cases.
Keywords:
Integral SystemIntegral Theoryconnective tissuediagnosisligamentsminislingpictorial algorithm

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  • Applied polypropylene tapes via keyhole surgery to reinforce damaged ligaments in severe cases.

    • Main Results:

    • The Integral System effectively addresses urinary stress and urge incontinence, abnormal bladder emptying, fecal incontinence, constipation, pelvic pain, and organ prolapse.
    • Restoration of ligamentous and fascial length and tension is key to improving pelvic anatomy and function.

    Conclusions:

    • Organ prolapse and symptoms are intrinsically linked and primarily caused by laxity in key suspensory ligaments and the perineal body.
    • Restoring ligament/fascial integrity is essential for successful treatment of these conditions.