Native tissue repair of the female pelvic floor: A four-level surgical concept
Language English Country United States Media print-electronic
Document type Journal Article, Review
PubMed
39711132
PubMed Central
PMC12011067
DOI
10.1002/ijgo.16109
Knihovny.cz E-resources
- Keywords
- anatomy, birth trauma, endopelvic fascia, incontinence, obstetric anal sphincter injury, pelvic organ prolapse, proctology,
- MeSH
- Anal Canal * surgery MeSH
- Fascia MeSH
- Gynecologic Surgical Procedures * methods MeSH
- Humans MeSH
- Pelvic Floor Disorders * surgery MeSH
- Pelvic Floor * surgery MeSH
- Perineum surgery MeSH
- Pelvic Organ Prolapse * surgery MeSH
- Vagina surgery MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
This review describes our experience with native tissue repair of the visceral pelvic fascia, the perineum, and anal sphincters in women. We propose that complex repair of the pelvic floor should consider vaginal support in all three anatomical Delancey's levels, together with more caudal structures-the external and internal anal sphincters. Original illustrations were created to facilitate the understanding of the complex anatomy of common multi-level defects. As the integrity of connective tissue adds to various aspects of the delicate function of the female pelvic floor, it is complete and as perfect as possible repair is a common goal of both gynecologists and colorectal specialists.
3rd Medical Faculty Charles University Prague Czech Republic
Department of Urology 3rd Medical Faculty Prague Czech Republic
Institute for the Care of Mother and Child Prague Czech Republic
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