Table 10 Surgical procedures used to treat levator plate sagging
Post-anal repair (Parks [6]) | Retro-rectal levatorplasty | Levatorplasty (Shafik [15]) | Retro-anal levator plate myorrhaphy | |
|---|---|---|---|---|
Retro-anal incision | U-shaped | Midline | U-shaped | Midline |
Dissection plane | Intersphincteric | Retro-anal | Retro-anal | Retro-anal |
Opening of the pelvis | Incision of Waldeyer's fascia | Opening of the retro-rectal or pre-sacral space | No | No |
Myorrhaphy | Levator plate, pubo-rectalis and external sphincter | Levator plate and pubo-rectalis | Levator plate | Levator plate |
Rectal neck attached to the levator plate | No | No | Yes | No |
Posterior wall of the rectum sewn to the presacral fascia | No | Yes | No | No |