Title |
Innervation of the levator ani muscles: description of the nerve branches to the pubococcygeus, iliococcygeus, and puborectalis muscles
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Published in |
International Urogynecology Journal & Pelvic Floor Dysfunction, June 2007
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DOI | 10.1007/s00192-007-0395-8 |
Pubmed ID | |
Authors |
Bogdan A. Grigorescu, George Lazarou, Todd R. Olson, Sherry A. Downie, Kenneth Powers, Wilma Markus Greston, Magdy S. Mikhail |
Abstract |
We described the innervation of the levator ani muscles (LAM) in human female cadavers. Detailed pelvic dissections of the pubococcygeus (PCM), iliococcygeus (ICM), and puborectalis muscles (PRM) were performed on 17 formaldehyde-fixed cadavers. The pudendal nerve and the sacral nerves entering the pelvis were traced thoroughly, and nerve branches innervating the LAM were documented. Histological analysis of nerve branches entering the LAM confirmed myelinated nerve tissue. LAM were innervated by the pudendal nerve branches, perineal nerve, and inferior rectal nerve (IRN) in 15 (88.2%) and 6 (35.3%) cadavers, respectively, and by the direct sacral nerves S3 and/or S4 in 12 cadavers (70.6%). A variant IRN, independent of the pudendal nerve, was found to innervate the LAM in seven (41.2%) cadavers. The PCM and the PRM were both primarily innervated by the pudendal nerve branches in 13 cadavers (76.5%) each. The ICM was primarily innervated by the direct sacral nerves S3 and/or S4 in 11 cadavers (64.7%). |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United States | 3 | 3% |
Unknown | 83 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 14 | 16% |
Researcher | 11 | 13% |
Student > Bachelor | 8 | 9% |
Student > Postgraduate | 7 | 8% |
Student > Ph. D. Student | 7 | 8% |
Other | 19 | 22% |
Unknown | 20 | 23% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 37 | 43% |
Nursing and Health Professions | 8 | 9% |
Engineering | 5 | 6% |
Agricultural and Biological Sciences | 2 | 2% |
Psychology | 2 | 2% |
Other | 8 | 9% |
Unknown | 24 | 28% |