Post-anal ultrasound of the levator plate and ultrasound of the pubo-rectalis in the management of a painful puborectalis
Case report.

Levator ani => 2 muscles (Shafik):
1. Levator plate          2. Puborectalis

History

Examination

Perineometry and Pntml

Perineometry

Post-anal ultrasound of the levator plate

Post-anal ultrasound of the levator plate

Ultrasound of the puborectalis

Ultrasound of the puborectalis

Anti-sagging manœuvre of the LP
=>  the pain disappears

Post-anal Levatorplate myoraphy (Shafik)

Post-anal Levatorplate myoraphy (Shafik)

Post-anal Levatorplate myoraphy (Shafik)
Follow up 2 months

Post-anal Levatorplate myoraphy (Shafik)
Follow up 2 months

Post-anal Levatorplate myoraphy (Shafik)
Follow up 2 months

Conclusion