Figure 7.

Diminution of urge by “simulated operations” “Simulated” operations work by mechanically supporting loose or damaged ligaments. The speculum is very gently inserted into the apex of the vagina. This stretches the vagina and supports the uterosacral ligaments (USL). The mechanical support restores firmness to the USL insertion point, so the vagina can now be stretched to support “N” and diminish the afferents to the brain. Left figure Gentle digital support of bladder base supports the hydrostatic pressure of the urine and prevents it activating the stretch receptors “N” at bladder base. The number of afferents to the cortex are therefore diminished and the feeling of urge subsides.Right figure Inserting the lower half of a bivalve speculum supports USLs. It relieves urge by restoring the strength of the opposite pelvic muscles; it relieves chronic pelvic pain by supporting the USLs which mechanically support the Frankenhauser and sacral plexuses