ReviewCentral European journal of urology2011
The integral system.
Review in Central European journal of urology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
25 citing papers in PubMed, 67 citations in OpenAlex.
- Short-Term Superiority of Transvaginal COInternational journal of women's health · 2026Article
- Effect of vNOTES hysterectomy with uterosacral ligament suspension on overactive bladder symptoms in patients with pelvic organ prolapse: a retrospective cohort study.Turkish journal of medical sciences · 2026Article
- Age-stratified diagnostic value of high-resolution anorectal manometry in women with severe rectocele: interactions between anal relaxation rate and maximum anal resting pressure.International journal of colorectal disease · 2025Article
- Article
- Transvaginal posterior levatorplasty and perineoplasty for female primary stress urinary incontinence: 12-month follow-up and technical presentation.BMC urology · 2024Article
- Basic vs electromyographic biofeedback-assisted pelvic floor muscle training for the improvement of sexual function after total hysterectomy: a prospective study.Sexual medicine · 2024Article
- Bipolar Radiofrequency and Non-Crosslinked Hyaluronic Acid Plus Calcium Hydroxyapatite in the Treatment of Stress Urinary Incontinence.Pharmaceuticals (Basel, Switzerland) · 2024Article
- High-resolution anorectal manometry for diagnosing obstructed defecation syndrome associated with moderate rectocele compared to healthy individuals.BMC gastroenterology · 2024Article
- Maintaining the apex: a novel technique for vault suspension during vaginal hysterectomy.International urogynecology journal · 2024Article
- Anatomical and symptomatic mid-term outcomes of patients with isolated anterior compartment defect repair or stress urinary incontinence : Anatomical and symptomatic outcomes of anterior compartment repair or SUI.BMC women's health · 2023Article
- Knowledge mapping and visualization analysis of pelvic organ prolapse repair with mesh from 2001 to 2021.Frontiers in bioengineering and biotechnology · 2023Article
- Pressure transmission theory-The Rasputin of incontinence.Neurourology and urodynamics · 2022Review
- Vaginal Bipolar Radiofrequency Treatment of Mild SUI: A Pilot Retrospective Study.Medicina (Kaunas, Lithuania) · 2022Article
- Review
- Vaginal axis on MRI after laparoscopic lateral mesh suspension surgery: a controlled study.International urogynecology journal · 2021Observational
- Tissue Fixation System ligament repair cures major pelvic organ prolapse in ageing women with minimal complications - a 10-year Japanese experience in 960 women.Central European journal of urology · 2021Article
- Pelvic ligament repair with slings - a foundation stone for solution of the ageing crisis in female pelvic urology.Central European journal of urology · 2021Article
- Underactive Bladder and Bladder Outlet Procedures in Women.Current bladder dysfunction reports · 2020Article
- Managing female pelvic floor disorders: a medical device review and appraisal.Interface focus · 2019Review
- Modelling of Soft Connective Tissues to Investigate Female Pelvic Floor Dysfunctions.Computational and mathematical methods in medicine · 2018Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Integral System is a total care management system based on the Integral Theory which states 'prolapse and symptoms of urinary stress, urge, abnormal bowel & bladder emptying, and some forms of pelvic pain, mainly arise, for different reasons, from laxity in the vagina or its supporting ligaments, a result of altered connective tissue'. NORMAL FUNCTION: The organs are suspended by ligaments against which muscles contract to open or close the their outlet tubes, urethra and anus. These ligaments fall naturally into a three-zone zone classification, anterior, middle, and posterior. DYSFUNCTION: Damaged ligaments weaken the force of muscle contraction, causing prolapse and abnormal bladder and bowel symptoms. DIAGNOSIS: A pictorial diagnostic algorithm relates specific symptoms to damaged ligaments in each zone. TREATMENT: In mild cases, new pelvic floor muscle exercises based on a squatting principle strengthen the natural closure muscles and their ligamentous insertions, thereby improving the symptoms predicted by the Theory. With more severe cases, polypropylene tapes applied through "keyhole" incision using special instruments reinforce the damaged ligaments, restoring structure and function. Problems that can be potentially addressed by application of the Integral SystemUrinary stress incontinenceUrinary urge incontinenceAbnormal bladder emptyingFacal incontinence and "obstructed evacuation" ("constipation")Pelvic pain, and some types of vulvodynia and interstitial cystitisOrgan prolapse.
conclusionsOrgan prolapse and symptoms are related, and both are mainly caused by laxity in the four main suspensory ligaments and perineal body. Restoration of ligament/fascial length and tension is required to restore anatomy and function.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.