ArticleCentral European journal of urology2021
Tissue Fixation System ligament repair cures major pelvic organ prolapse in ageing women with minimal complications - a 10-year Japanese experience in 960 women.
Article in Central European journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- The Interplay Between Chronic Pelvic Pain and Pelvic Organ Prolapse.International urogynecology journal · 2025Pooled it
- A gynecological perspective of interstitial cystitis/bladder pain syndrome may offer cure in selected cases.Central European journal of urology · 2022Trial
- 3D MRI Biomarkers for Predicting Pelvic Organ Prolapse Risk and Severity.International urogynecology journal · 2026Article
- A brief physiology and pathophysiology of the anorectum based on the Integral Theory paradigm.Annals of translational medicine · 2024Review
- A brief physiology and pathophysiology of the bladder.Annals of translational medicine · 2024Review
- Principles of surgery according to the Integral Theory Paradigm (ITP).Annals of translational medicine · 2024Review
- A comparison of native vaginal and ligament surgery for cure of pelvic organ prolapse and overactive bladder.Annals of translational medicine · 2024Review
- Chronic pelvic pain of "unknown origin" in the female.Annals of translational medicine · 2024Review
- Simulated operations (SOs) apply mechanical support to structures to confirm symptom causation.Annals of translational medicine · 2024Review
- Wide-bore polyester sutures may create sufficient collagen for cure of prolapse/incontinence: a work in progress.Annals of translational medicine · 2024Review
- Peripheral muscle force balance/imbalance in neurological binary control of bladder function and dysfunction.Annals of translational medicine · 2024Review
- Tension-free artisan tape: a low-cost option for cure of pelvic organ prolapse and stress incontinence.Annals of translational medicine · 2024Review
- Interstitial cystitis/bladder pain syndrome: when part of the posterior fornix syndrome is potentially curable surgically.Annals of translational medicine · 2024Review
- Structural, functional, and dysfunctional pelvic anatomy.Annals of translational medicine · 2024Review
- Hiatal expansion and pelvic organ prolapse - the association is not causation.Central European journal of urology · 2024Article
- Pelvic organ movements in asymptomatic nulliparous and symptomatic premenopausal women with pelvic organ prolapse in dynamic MRI: a feasibility study comparing midsagittal single-slice with multi-slice sequences.Abdominal radiology (New York) · 2023Article
- THE CASE AGAINST urethral failure is not a critical factor in female urinary incontinence. Now what? The integral theory system.Neurourology and urodynamics · 2022Article
- Pelvic ligament repair with slings - a foundation stone for solution of the ageing crisis in female pelvic urology.Central European journal of urology · 2021Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionJapan's ageing crisis has brought major prolapse and incontinence problems. We hypothesized the problem was collagen leaching out of ligaments which support organs and could be corrected by the TFS (Tissue Fixation System) minisling which uses 7 mm wide tapes to create new collagen for ligament reinforcement.We analysed our 10-year experience (2009-2019) with TFS minisling prolapse repair with regard to one main question: "Is this technology of benefit to the ageing Japanese population?". MATERIAL AND
methodsRetrospective analysis from two tertiary referral units; 3100 tapes were implanted (variously) into cardinal, uterosacral, arcus tendineus fascia pelvis (ATFP), perineal body ligaments of 960 Japanese women (mean age 69.6 years), to repair POPQ 3
resultsPatient discharge within 24 hours indicated minimal intra-operative problems. Prolapse cure at 12 months reached 90%. Complications requiring intervention were infected rectal perforation by tape, 3 delayed ileus complications. Eroded tapes (2.4-3.5%) were trimmed in the clinic. De novo long-term pain and major urine loss were virtually absent.
conclusionsThe TFS system works by restoring ligament support (pubourethral, ATFP, cardinal, uterosacral, perineal body), differently from mesh sheets which work by blocking organ descent, which can lead to fibrosis of the vagina, and may cause chronic pain and massive incontinence. We had no such problems, because tapes have small volume, are applied transversely, with little vaginal contact. Specific ligament reinforcement with collagenopoietic tapes seems to be an important new direction for aged women with major prolapse, with high cure rate, acceptable complications, low erosions and virtually no long-term pain.
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