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Levator Ani Defect

Injury to the levator ani muscle after vaginal delivery forms the basis of pelvic floor disorders.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Levator Ani Defect?

The levator ani muscle complex is the main muscle group forming the pelvic floor. It consists of the puborectalis, pubococcygeus, and iliococcygeus parts. Avulsion of these muscles from the pubic bone during vaginal delivery is called a levator ani defect.

It can be evaluated with 3D/4D pelvic ultrasonography and MRI. It can be unilateral or bilateral. In the presence of bilateral defect, the risk of developing pelvic organ prolapse in the future increases 2-4 fold.

Treatment depends on symptom severity. Pelvic floor physiotherapy, pessary, and surgical approaches are used. Knowing the presence of the defect can affect the success of prolapse surgery and guide the choice of approach.

Symptoms

Sense of pelvic fullness
Loose vaginal opening
Stress urinary incontinence
Pelvic organ prolapse
Sexual dysfunction
Difficulty with defecation
Asymptomatic (some cases)

Risk Factors

Vaginal delivery (especially first delivery)
Macrosomia
Prolonged second stage of labor
Forceps application
Advanced maternal age
Prolonged forceful pushing

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Development of postpartum pelvic fullness, urinary, or sexual problems
  • If POP symptoms are progressing
  • If urinary incontinence is causing problems
  • For evaluation before surgical planning
  • For referral to physiotherapy

Treatment Methods

01
3D/4D pelvic ultrasonography or MRI
02
Pelvic floor physiotherapy
03
Kegel exercises
04
Pessary application
05
Surgical approach planning for POP
06
Multidisciplinary urogynecological evaluation

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.