The "'levator ani "'is a broad, thin muscle, situated on either side of the pelvis.
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Variants of levator ani syndrome include proctalgia fugax ( fleeting pain in the rectum ) and coccydynia ( pain in the coccygeal region ).
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With recurrent straining, e . g . during difficult labour or long term constipation, then stretch injury can damage the nerves supplying levator ani.
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It gives origin to the Levator ani and Obturator internus, and attachment to the puboprostatic ligaments and to a few muscular fibers prolonged from the bladder.
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The layer covering the upper surface of the pelvic diaphragm follows, above, the line of origin of the Levator ani and is therefore somewhat variable.
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The gluteus maximus and levator ani muscles, the major muscles of the crotch, can relax and sag allowing easy access to the vagina and anus.
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The reason for measuring the size of levator ani was that decreased cross-sectional area of this muscle is thought to be related to pelvic floor dysfunction.
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It is now known that the components of levator ani ( the pelvic diaphragm ), namely pubococcygeus, puborectalis and ileococcygeus, contract and relax as one muscle.
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The presacral fascia is limited postero-inferiorly, as it fuses with the mesorectal fascia, lying above the levator ani muscle, at the level of the anorectal junction.
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Relaxation of the internal and external anal sphincters allows the feces to exit from the anus, finally, as the levator ani muscles pull the anus up over the exiting feces.
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