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Journal ArticleDOI

Size of the urogenital hiatus in the levator ani muscles in normal women and women with pelvic organ prolapse.

John O.L. DeLancey, +1 more
- 01 Mar 1998 - 
- Vol. 91, Iss: 3, pp 364-368
TLDR
Increasing pelvic organ prolapse is associated with increasing urogenital hiatus size; the hiatus is larger after several failed operations than after successful surgery or single failure.
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This article is published in Obstetrics & Gynecology.The article was published on 1998-03-01. It has received 206 citations till now.

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Citations
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Journal ArticleDOI

Biometry of the pubovisceral muscle and levator hiatus by three-dimensional pelvic floor ultrasound.

TL;DR: The anatomy of the levator hiatus in young nulliparous women with the help of 3D ultrasound is defined and the pubovisceral muscle is defined.
Journal ArticleDOI

Levator ani muscle stretch induced by simulated vaginal birth.

TL;DR: The medial pubococcygeus muscles undergo the largest stretch of any levator ani muscles during vaginal birth and are therefore at the greatest risk for stretch-related injury.
Journal ArticleDOI

Female pelvic organ prolapse: a comparison of triphasic dynamic MR imaging and triphasic fluoroscopic cystocolpoproctography.

TL;DR: Although dynamic MR imaging underestimates the extent of cystoceles and enteroceles, it has the advantage of revealing all pelvic organs and the pelvic floor musculature in a multiplanar cine-loop presentation.
Journal ArticleDOI

Ballooning of the levator hiatus

TL;DR: ‘normality’ for hiatal area is defined by assessing its relationship with symptoms and clinical signs of prolapse by assessing the levator hiatus's role in pelvic organ prolapse.
Journal ArticleDOI

Structural anatomy of the posterior pelvic compartment as it relates to rectocele.

TL;DR: Midline perineal membrane union supports the distal posterior compartment and a fascial connection between the pelvic diaphragm and vagina supports the mid vagina.
References
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Journal ArticleDOI

The role of partial denervation of the pelvic floor in the aetiology of genitourinary prolapse and stress incontinence of urine. A neurophysiological study

TL;DR: The results suggest that partial denervation of the pelvic floor with subsequent reinnervation is a normal accompaniment of ageing and is increased by childbirth.
Journal ArticleDOI

Experimental study of the reflex mechanism controlling the muscles of the pelvic floor

TL;DR: The findings suggest that the mechanism is reflex and it is proposed that it be known as the postural reflex of the pelvic floor, and inhibition of this reflex by rectal distention is described.
Book

Surgical Repair of Vaginal Defects

Wayne F. Baden, +1 more
TL;DR: Evolution and fundamentals of the defect approach anatomy and evaluation of uterovaginal support urinary incontinence database, analysis and biostatistics nonsurgical management abdominal approaches vaginal approaches reparative problems, failures, solutions future vaginal relaxations.
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