Delancey’s three integrated levels of pelvic support

Delancey’s three integrated levels of pelvic support: Illustration of the normal vaginal axis and the three levels of support of the vagina and uterus from the perspective of a standing woman. In level I, the endopelvic fascia suspends the upper vagina and cervix from the lateral pelvic walls. Fibres of level I extend both vertically and posteriorly toward the sacrum. In level II, the vagina is attached to the arcus tendineus fasciae pelvis and superior fascia of the levator ani muscles. In level III, the distal vagina is supported by the perineal membrane muscles. The insets show transverse sections made through the vagina perpendicular to the normal axis at each level. | Barber, M. D. (2005). Contemporary views on female pelvic anatomy. Cleveland Clinic Journal of Medicine, 72 Suppl 4, S3-11.

Delancey's three integrated levels of pelvic support

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