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. 2020 Dec 14;73(4):506–513. doi: 10.5173/ceju.2020.0280

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Copyright by Polish Urological Association

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

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The Pictorial Diagnostic Algorithm – co-occurrence of pain with bladder and bowel symptoms with USL damage. The size of the bar correlates broadly with the site and probability of symptom causation. The posterior zone (red rectangle) indicates the symptoms associated with uterosacral (USL) ligament looseness. These occur in predictable groupings (red rectangle). The main ligaments are indicated in capital letters: PUL ‘pubourethral ligament’, (front ligaments); ATFP ‘arcus tendineus fascia pelvis’, CL ‘cardinal ligament’ (middle ligaments); USL ‘uterosacral ligament’, PB ‘perineal body’ (back ligaments).