The Female Pelvic Floor Function, Dysfunction and Management Accordi

The initial objective of this work was to reduce stress incontinence surgery from a major surgical procedure (requiring up to ten days in hospital) to a minor day-care operation. From the beginning it was clear that the two major impediments to achieving

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Function, Dysfunction and Management According to the Integral Theory

Peter Petros

The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory

With 201 Figures and 3 Tables

~ Springer

PE Papa Petros MB BS (Syd) Dr.Med Se (Uppsala) DS (UWA) FRCOG FRANZCOG CU Royal Perth Hospital and University of Western Australia Perth, Western Australia

ISBN 978-3-662-05447-5 ISBN 978-3-662-05445-1 (eBook) DOI 10.1007/978-3-662-05445·1

Cataloging·in-Publication Data applied for A catalog record for this book is available from the Library of Congress. Bibliographic information published by Die Deutsche Bibliothek Die Deutsche Bibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data is available in the Internet at . This work is subject to copyright. Ali rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, re citation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German copyright Law of September 9,1965, in its current version, and permis sion for use must always be obtained from Springer Medizin Verlag. Violations are liable for prosecution under the German Copyright Law. springer. de © Springer-Verlag Berlin Heidelberg 2004 Originally published by Springer Medizin Verlag Heidelberg in 2004 Softcover reprint of the hardcover 1st edition 2004 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher cannot guarantee the accuracy of any information about dosage and application thereof contained in this book. In every individual case the user must check such in formation by consulting the relevant literature. SPIN: 11300182 Cover Design: deblik, Berlin Typesetting: TypoStudio Tobias Schaedla, Heidelberg

Printed on acid free paper 18/3160/yb - 5 432 1 O Cover Idea by Sam Blight, Rangs Graphics The three arrows represent the three major force vectors featured in the Integral Theory which control the tensioning of ligaments and membranes in the pelvic floor. The enc10sing circular brush stroke is inspired by the traditional 'enso' character in Zen calligraphy which represents non-duality or wholeness. This is to evoke the integrated approach covered in this book. The butterfly represents the 'butterfly effec!' concept from Chaos Theory, also known as 'sensitive dependence on initial conditions', which describes how small variations in a dynamic non-linear system (such as the pelvic floor) can produce a 'cascade' of events leading to a major change in the state of the system. It also represents the freedom which this technology will give to women suffering from the many pelvic floor