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We propose that complex repair of the pelvic floor should consider vaginal support in all three anatomical Delancey's levels, together with more caudal structures\u2014the external and internal anal sphincters. Original illustrations were created to facilitate the understanding of the complex anatomy of common multi\u2010level defects. As the integrity of connective tissue adds to various aspects of the delicate function of the female pelvic floor, it is complete and as perfect as possible repair is a common goal of both gynecologists and colorectal specialists.<\/jats:p>","DOI":"10.1002\/ijgo.16109","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T07:41:59Z","timestamp":1734939719000},"page":"587-591","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Native tissue repair of the female pelvic floor: A four\u2010level surgical concept"],"prefix":"10.1002","volume":"169","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2715-9401","authenticated-orcid":false,"given":"Michal","family":"Otcenasek","sequence":"first","affiliation":[{"name":"Department of Urology Third Medical Faculty  Prague Czech Republic"},{"name":"Third Medical Faculty Charles University  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6022-2906","authenticated-orcid":false,"given":"Katarzyna","family":"Borycka","sequence":"additional","affiliation":[{"name":"Department of Colorectal, General and Oncological Surgery Center of Postgraduate Medical Education  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5732-3159","authenticated-orcid":false,"given":"Hynek","family":"Herman","sequence":"additional","affiliation":[{"name":"Third Medical Faculty Charles University  Prague Czech Republic"},{"name":"Institute for the Care of Mother and Child  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2006.06299.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3032-6"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23231"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181649e5c"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(92)91562-O"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2018.06.006"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i1.1"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22694"},{"issue":"9","key":"e_1_2_10_10_1","first-page":"35","article-title":"Native tissue repair of POP: surgical techniques to improve outcome","volume":"31","author":"Gebhart JB","year":"2019","journal-title":"OBG Management"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-019-03950-9"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.16109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T15:08:14Z","timestamp":1745248094000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.16109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,22]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/ijgo.16109"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.16109","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"type":"print","value":"0020-7292"},{"type":"electronic","value":"1879-3479"}],"subject":[],"published":{"date-parts":[[2024,12,22]]},"assertion":[{"value":"2024-07-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}