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The pelvic floor separates the pelvic cavity above from the perineal region (including perineum) below. The pelvic diaphragm is a muscular partition formed by the levatores ani and coccygei, with which may be included the parietal pelvic fascia on their upper and lower aspects.

The right and left levator ani lie almost horizontally in the floor of the pelvis, separated by a narrow gap that transmits the urethra, vagina, and anal canal.For more information, please read our Post Menopause and Prolapse Advice Sheet.If you are concerned about your problem and it is starting to affect your day-to-day life make an appointment to see your doctor, continence nurse or specialist physiotherapist.A continence nurse and specialist physiotherapist are healthcare professionals who specialise in bladder and bowel problems. Pelvic organ prolapse occurs in women when pelvic organs (e.g.Disorders of the posterior pelvic floor include rectal prolapse, rectocele, perineal hernia, and a number of functional disorders including anismus.Constipation due to any of these disorders is called "functional constipation" and is identifiable by clinical diagnostic criteria. Some regard them as a part of the external anal sphincter. The right and left puborectalis unite behind the anorectal junction to form a muscular sling.Age, pregnancy, family history, and hormonal status all contribute to the development of pelvic organ prolapse.The vagina is suspended by attachments to the perineum, pelvic side wall and sacrum via attachments that include collagen, elastin, and smooth muscle.

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