The Female Pelvic Floor Pdf The initial purpose of this work was supposed to decrease stress incontinence operation from a significant surgical procedure (requiring around ten days in hospital) into some minor day-care surgery. In the start it was obvious that both main impediments to attaining this target were post operative pain and urinary retention. Addressing these issues became a long and twisting street and culminated from the Integral Theory. Though Zacharin indicated that the muscles and ligaments around the urethra were significant for urinary continence control, he didn’t state.
The monitoring that implanted overseas materials generated scar tissue led to the hypothesis that a plastic cassette inserted at the job of this pubourethrallig ament, would leave behind adequate scar tissue to fortify that fascia, that might subsequently anchor the muscles for urethral closing. A Mersilene tape has been inserted with neither strain nor altitude, in the job of the pubourethral ligament. Restoration of continence was instant and patients had been discharged on the day after surgery without need ment for catheterization. There was minimal annoyance, and instantaneous recovery of continence. After six months the tapes have been eliminated. Both patients were conti nent at last inspection ten decades after. The results seemed to confirm that the significance of a midurethral anchoring point.