By Peter Petros MB BS (Syd) Dr. Med Sc (Uppsala) DS (UWA) MD (Syd) FRCOG FRANZCOG CU (auth.)
From the contents: Overview.- The Anatomy and Dynamics of Pelvic ground functionality and Dysfunction.- prognosis of Connective Tissue Damage.- Reconstructive Pelvic ground surgical procedure in line with the indispensable Theory.- Pelvic flooring Rehabilitation.- Mapping the Dynamics of Connective Tissue Dysfunction.- present and rising study Issues.- Conclusion.- sufferer Questionnaire and different Diagnostic source Tools.- References and extra interpreting.
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From the contents: assessment. - The Anatomy and Dynamics of Pelvic flooring functionality and disorder. - analysis of Connective Tissue harm. - Reconstructive Pelvic ground surgical procedure in accordance with the critical idea. - Pelvic ground Rehabilitation. - Mapping the Dynamics of Connective Tissue disorder. - present and rising learn concerns.
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Additional info for The Female Pelvic Floor: Function, Dysfunction and Management According to the Integral Theory
The Dynamics of Urethral Opening and Closure – Urethral Perspective Urethral closure or opening is determined by contraction or relaxation of one muscle, the pubococcygeus. A urethra adequately anchored by PUL and the forward muscles PCM, allows the backward acting muscles LP and LMA to stretch and close the proximal urethral cavity to ‘C’ (fig 2-16). Relaxation of PCM allows LP and LMA to stretch open the urethral cavity to ‘O’ during micturition. Figure 2-16 is a schematic 3D view of the vagina (broken lines), urethra and bladder.
N = stretch receptors; Bv = attachment of bladder base to vagina. 29 Chapter 2 · The Anatomy and Dynamics of Pelvic Floor Function and Dysfunction Figure 2-20 schematically represents a 3D sagittal section of the bladder and urethra nestled in the anterior vaginal wall (‘hammock’). It corresponds to figure 2-19. The distal part of vagina is tensioned by the anterior part of pubococcygeus muscle (PCM), and the proximal part by the levator plate (LP) and the longitudinal muscle of the anus (LMA).
The uterus occupies a central structural role in the pelvis, much like the keystone of an arch. The cervix is non-distensile and is a pure collagen structure with an estimated breaking strain of approximately 1500 mg/mm2 (Yamada 1970). Because it is connected directly and indirectly with almost every pelvic ligament, any intra-abdominal force impacting on the cervix is distributed to these ligaments as a trophic force. Hysterectomy potentially removes this dispersion of forces, and results in the force being imposed on a weak vaginal membrane to cause herniation.