The Integral Theory of Pelvic Floor Dysfunction, also known as the Integral System brings a new perspective to the management of dysfunction in the female pelvic floor. It emphasizes the role of the connective tissue of the vagina and its supporting ligaments in both function and dysfunction. The surgical approach deriving from the Integral Theory is minimally invasive, yet it addresses a large spectrum of pelvic floor dysfunction in the female – urinary and faecal, as well as prolapse and some types of pelvic pain. It presents some new concepts and realigns much existing knowledge on bladder and bowel dysfunction, especially in anatomy, biomechanics and urodynamics.
The Integral System views normal pelvic floor function as a balanced, interrelated system composed of muscle, connective tissue (CT) and nerve components, with connective tissue being the most vulnerable damage. In summary, the Integral Theory may be stated thus:
Symptoms of stress, urge, and abnormal emptying mainly derive, for different reasons, from laxity in the vagina or its supporting ligaments, a result of altered connective tissue.
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