Fig. 2.
Fig. 2. Integral theory system diagnostic pathway-specific symptoms in the ITSQ questionnaire [8] indicate which ligaments/fascias may be damaged. The symptoms are transferred to the diagnostic algorithm; the diagnosis from the algorithm is checked by vaginal examination [6] to confirm specific ligament laxity; the causative ligaments are then checked by “simulated operations,” i.e., mechanical support of pubourethral and uterosacral ligaments to observe change in symptoms.

Integral theory system diagnostic pathway-specific symptoms in the ITSQ questionnaire [8] indicate which ligaments/fascias may be damaged. The symptoms are transferred to the diagnostic algorithm; the diagnosis from the algorithm is checked by vaginal examination [6] to confirm specific ligament laxity; the causative ligaments are then checked by “simulated operations,” i.e., mechanical support of pubourethral and uterosacral ligaments to observe change in symptoms.

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