Resources and Downloads

Integral System Downloads

Pelvic Floor Rehabilitation according to the Integral Theory (1456 KB)

Pictorial Diagnostic Algorithm (869 KB)

Clinical Assessment Sheet (364 KB)

Patient Questionnaire (97 KB)

Video Downloads

Normal Function

1. Elastic model to demonstrate 3 directional forces which act around a competent pubourethral ligament to stretch the vagina and close urethra.

   VIDEO Elastic Model demonstrating the effect of muscle forces (10067 KB)

2. US 3 directional forces https://www.youtube.com/watch?v=3vJx2OvUYe0

3. Micturition. Relaxation of the forward muscle force (m.pubococcygeus) allows the posterior vectors to open out the posterior urethral wall. The bladder contracts as a spasm to empty.

   VIDEO Micturition animation of X Ray (1678 KB)

Micturition https://www.youtube.com/watch?v=eiF4G1mk6EA

Defecation FULL https://youtu.be/MS82AZoWn7U

Simulated Operations

1. Testing for pubourethral ligament defect
   VIDEO Testing for pubourethral ligament defect (4365 KB)

2. Control of urine leakage from unstable bladder by supporting pubourethral ligament and bladder base VIDEO control of urine leakage from unstable bladder (10349 KB)

3. Simulated operations for control of stress and urge incontinence

   VIDEO Testing for pubourethral ligament integrity in USI (4365 KB)

   VIDEO Control of unstable bladder by ligament support (10349 KB)

   VIDEO Activation of micturition reflex by pressure on bladder base stretch receptors (530 KB)

Surgery

1. Midurethral TFS minisling
   VIDEO Mid-Urethral Sling (compressed) (24668 KB)

2. TFS minisling surgery for 4th degree prolapse

   VIDEO TFS minisling surgery for 4th degree prolapse (21572 KB)

3. Native tissue CL repair

   https://www.youtube.com/watch?v=aJDPOELZZfc

4. Native tissue USL repair

   https://www.youtube.com/watch?v=MGLdYHtqxzg

5. PB repair desc perineal syndrome

   https://www.youtube.com/watch?v=BjbOe3-oZ8o

6. CL/USL TFS under LA Sekiguchi

   https://www.youtube.com/watch?v=SBPfaQzCCG8