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Scientific article
English

Levator ani and puborectalis muscle rupture: diagnosis and repair for perineal instability

Published inTechniques in Coloproctology, vol. 25, no. 8, p. 923-933
Publication date2021
Abstract

Puborectalis muscle rupture usually arises from peri-partum perineal trauma and may result in anterior, middle compartment prolapses, posterior compartment prolapse which includes rectocele and rectal prolapse, with or without associated anal sphincter damage. Patients with puborectalis muscle and levator ani rupture may present some form of incontinence or evacuation disorder, sexual dysfunction or pelvic organ descent. However, the literature on this subject is scarce. The aim of our study was to evaluate management and treatment of functional disorders associated with puborectalis and/or pubococcygei rupture at the level of the insertion in the pubis in a cohort of patients referred to a tertiary care coloproctology center.

Keywords
  • Complex perineal disorders
  • Incontinence
  • Levator ani
  • Levator ani repair
  • Pelvic organ prolapse
  • Perineal instability
  • Puborectalis
  • Rectocele
Citation (ISO format)
ALKETBI, M S et al. Levator ani and puborectalis muscle rupture: diagnosis and repair for perineal instability. In: Techniques in Coloproctology, 2021, vol. 25, n° 8, p. 923–933. doi: 10.1007/s10151-020-02392-6
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Article (Accepted version)
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ISSN of the journal1123-6337
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Creation03/24/2021 1:55:00 PM
First validation03/24/2021 1:55:00 PM
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