Skip to main content

The Integral Theory of continence

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2

References

For

  1. 1.

    Petros PE (2006) Chapter 1, overview. In: Petros PE (ed) The female pelvic floor—function, dysfunction and management according to the integral theory, 2nd edn. Springer, Berlin Heidelberg New York, pp 1–12

    Google Scholar 

  2. 2.

    Petros PE (2006) The anatomy and dynamics of pelvic floor function and dysfunction. In: Petros PE (ed) The female pelvic floor—function, dysfunction and management according to the integral theory, 2nd edn. Springer, Berlin Heidelberg New York, pp 13–50

    Google Scholar 

  3. 3.

    Petros PE (2006) Diagnosis of connective tissue damage. In: Petros PE (ed) The female pelvic floor—function, dysfunction and management according to the integral theory, 2nd edn. Springer, Berlin Heidelberg New York, pp 51–82

    Google Scholar 

  4. 4.

    Petros PE (2006) Reconstructive pelvic floor surgery according to the integral theory. In: Petros PE (ed) The female pelvic floor—function, dysfunction and management according to the integral theory, 2nd edn. Springer, Berlin Heidelberg New York, pp 83–167

    Google Scholar 

  5. 5.

    Petros PE, Ulmsten U (1997) Role of the pelvic floor in bladder neck opening and closure: I muscle forces; II vagina. Int Urogynecol J Pelvic Floor Dysfunct 8:69–80

    Google Scholar 

  6. 6.

    Petros PE, Ulmsten U (1993) Bladder instability in women: a premature activation of the micturition reflex. Neurourol Urodyn 12:235–239

    PubMed  Article  CAS  Google Scholar 

  7. 7.

    Petros PE (2003) Changes in bladder neck geometry and closure pressure following midurethral anchoring suggest a musculoelastic mechanism activates closure. Neurourol Urodyn 22:191–197

    Article  Google Scholar 

  8. 8.

    Petros PE, Von Konsky B (1999) Anchoring the midurethra restores bladder neck anatomy and continence. Lancet 354:9193:997–998

    Google Scholar 

  9. 9.

    Petros PE (1999) Detrusor instability and low compliance may represent different levels of disturbance in peripheral feedback control of the micturition reflex. Neurourol Urodyn 18:81–91

    Article  Google Scholar 

  10. 10.

    Petros PE (1997) New ambulatory surgical methods using an anatomical classification of urinary dysfunction improve stress, urge, and abnormal emptying. Int Urogynecol J Pelvic Floor Dysfunct 8(5):270–278

    PubMed  CAS  Google Scholar 

  11. 11.

    Neuman M, Lavy Y (2007) Posterior intra-vaginal slingplasty for the treatment of vaginal apex prolapse: medium-term results of 140 operations with a novel procedure. Eur J Obstet Gynecol Reprod Biol (in press) DOI 10.1016/j.ejogrb.2006.07.035

  12. 12.

    Farnsworth BN (2002) Posterior intravaginal slingplasty (infracoccygeal sacropexy) for severe posthysterectomy vaginal vault prolapse, a preliminary report on efficacy and safety. Int Urogynecol J Pelvic Floor Dysfunct 13:4–8

    PubMed  Article  CAS  Google Scholar 

  13. 13.

    Abrams P, Blaivas J, Stanton SL, Andersen JT (1988) International continence society committee on the standardization of terminology of lower urinary tract function. Scand J Urol Nephrol Suppl 114:1–19

    Google Scholar 

  14. 14.

    Abrams P, Cardozo L, Fall M, Griffiths G, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A (2002) The standardization of terminology of lower urinary tract function: report from the Standardisation Subcommittee of the International Continence Society. Neurourol Urodyn 21:167–178

    PubMed  Article  Google Scholar 

Against

  1. 1.

    Benson JT, Lucente V, McClelland M (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: A randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175(6):1418–1422

    PubMed  Article  CAS  Google Scholar 

  2. 2.

    Petros PEP (2001) Vault prolapse I: dynamic supports of the vagina. Int Urogynecol J Pelvic Floor Dysfunct 12:292–295

    PubMed  Article  CAS  Google Scholar 

  3. 3.

    Petros PEP, Ulmsten UI (1990) An integral theory of female incontinence: experimental and clinical considerations. Acta Obstet Gynecol Scand 69(Suppl 153):7–31

    Google Scholar 

  4. 4.

    Abrams P, Blaivas J, Stanton SI, Andersen JT (1988) International Continence Society Committee on the standardization of terminology of lower urinary tract function. Scand J Urol Nephrol Suppl 114:1–19

    Google Scholar 

  5. 5.

    Segal JL, Vassallo B, Kleeman S, Silva WA, Karram MM (2004) Prevalence of persistent and de novo overactive bladder symptoms after the tension-free vaginal tape. Obstet Gynecol 104:1263–1269

    PubMed  Google Scholar 

  6. 6.

    Petros P (2007) The International Continence Society and Integral Theory. Systems for management of the incontinent female. A comparative analysis. Pelviperineol 26:25–29

    Google Scholar 

  7. 7.

    Petros PEP, Ulmsten UI (1990) An integral theory of female incontinence: experimental and clinical considerations. Acta Obstet Gynecol Scand 69(Suppl 153):7–31

    Google Scholar 

  8. 8.

    Petros PEP, Ulmsten UI (1993) An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl 153:3–93

    Google Scholar 

  9. 9.

    Petros PEP (2007) The female pelvic floor: function, dysfunction, and management according to the integral theory. Springer, Berlin Heidelberg New York, pp 1–222

    Google Scholar 

  10. 10.

    Petros PEP (2001) Vault prolapse II: restoration of dynamic vaginal supports by infaracoccygeal sacropexy, an axial day-case vaginal procedure. Int Urogynecol J Pelvic Floor Dysfunct 12:296–303

    PubMed  Article  CAS  Google Scholar 

  11. 11.

    Meschia M, Pifarotti P, Bernasconi F, Magatti F, Vigano R, Bertozzi R, Barbacini P (2006) Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress incontinence: a multicenter randomized trial. Am J Obstet Gynecol 195:1338–1342

    PubMed  Google Scholar 

  12. 12.

    Baessler K, Hewson AD, Tunn R, Schuessler B, Maher CF (2005) Severe mesh complications following intravaginal slingplasty. Obstet Gynecol 106:713–716

    PubMed  Google Scholar 

  13. 13.

    Vardy MD, Brodman M, Dorchak JM, Dietrich ML, Olivera C, Blumenstock E, Bercik RS, Zhou H, Shobeiri SA, Finklestein K, Naughton MJ, Dunn JS, Clary BB, Flisser AJ, Francis S, Zimmerman C, Porter W (2006) Anterior IVS Tunneller device for stress incontinence and posterior IVS for apical vault prolapse—a two-year prospective multicenter study. Int Urogynecol J Pelvic Floor Dysfunct 17(Suppl 3):S400–S401

    Google Scholar 

  14. 14.

    Luck M, Steele A, Leong F, McLennan MT (2006) Efficacy and complications of intravaginal slingplasty. Int Urogynecol J Pelvic Floor Dysfunct 17(Suppl 3):S403

    Google Scholar 

  15. 15.

    Moore S, Mattox F (2005) Posterior vaginal sling experience in elderly patients yields poor results. J Pelvic Med Surg 11(Suppl 1):S4

    Article  Google Scholar 

  16. 16.

    DeVita D, Santinelli G, Greco E, Docimo G, Schiavo M, Sirimarco F, Docimo L, D’Armiento M (2004) Conservative treatment of II and III degree utero-vaginal prolapse with transobturator suspension of bladder and uterus and with posterior IVS (triple-operation for prolapse using prosthesis). ICS/IUGA Video Abstract #347

Download references

Author information

Affiliations

Authors

Corresponding authors

Correspondence to Peter E. P. Petros or Patrick J. Woodman.

Additional information

Controversies in Urogynecology Articles published in this category present the pro and contra positions on a topic in our specialty. The experts arguing each position are listed jointly as authors of the whole article and separately as authors of their respective positions.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Petros, P.E.P., Woodman, P.J. The Integral Theory of continence. Int Urogynecol J 19, 35–40 (2008). https://doi.org/10.1007/s00192-007-0475-9

Download citation

Keywords

  • Pelvic Floor
  • Integral Theory
  • Overactive Bladder
  • Anterior Vaginal Wall
  • Pelvic Floor Dysfunction