One of the best explanations I have seen on Levator Avulsion
Seven or eight years ago, I had an ‘Oh My God’ moment in a lecture at one of our National Conferences. Professor Peter Dietz, a Sydney Urogynaecologist, was revealing to the attentive audience of doctors, physiotherapists and nurses that, what had been always attributed to nerve damage in the pelvic floor muscles, was in fact sometimes due to a concept called Levator Avulsion– where part or all of the pelvic floor muscles were pulled off the pubic bone on one or both sides. Peter used 3D/4 D ultrasound to confirm his findings and similarly Professor John DeLancey, a world-renowned anatomist and urogynaecologist from the USA, discovered the same concept through MRI technology.
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