14/10/2025
Urinary incontinence is an unfair condition because it does not pose a life-threatening risk, yet it drastically reduces quality of life. Many women stop participating in family and work activities due to urine leakage, and it has a significant negative impact on their sexuality.
Despite advances in medicine, we still have not found a definitive solution for this complex problem.
This conversation aims to bring us together so we can share ideas and discuss how to offer the best possible treatment to our patients.
Moderator: Dr. Marco Pelose
Speakers:
Dr. Paulo Palma : The Integral Theory, conceived by Prof. Dr. Peter Petros, was a major paradigm shift in the understanding of pelvic floor dysfunction. Emphasizing the interaction between muscles and ligaments, he discovered that the symptoms were not generated by the pelvic organs, but rather by weakened ligaments and torn fascia. Thus, by creating artificial neoligaments with synthetic tapes, he created TVT, TFS, posterior sling, and other ligament surgeries, which changed concepts, midurethral slings, and site-specific corrections.
Dr. Ariel Luksenburg : The Luksenburg Plus technique is a minimally invasive regenerative procedure designed to treat stress urinary incontinence (SUI) in women. It serves as an alternative to traditional synthetic slings, combining autologous platelet-rich plasma (PRP) with biodegradable polycaprolactone (PCL) threads to create a biological suburethral support network.
Dr. Laira Ramos : The protocol Active Perineal Rehabilitation (APR) is a structured and progressive method consisting of 14 sessions, divided into three phases: learning muscle activation, agility and coordination training, and muscle hypertrophy. Unlike traditional approaches, the APR evolves in intensity and complexity, applying principles of exercise physiology to both fast and slow fibers. This progression ensures comprehensive neuromuscular rehabilitation of the pelvic floor, making the protocol unique in relation to what has been described so far. This protocol is protected by copyright.
