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Each is capable of the limits of its normal range of function without permanent alteration of the anatomy or function of its neighbors. Recent studies have demonstrated the role of elastin in pelvic support. Am J Obstet Gynecol We welcome suggested improvements to any of our articles. The outer portion of this complex is composed of skeletal muscle fibers of the pelvic diaphragm. This layer of connective tissue joins those tissues of the urinary bladderrectum, and other pelvic structures. A desirable route of incision and dissection with vaginal hysterectomy is shown by solid arrow. Vaginal problems can affect your fertility, desire for sex and ability to reach orgasm. Symptoms of a vaginal condition can range from mild to severe and depend on the underlying cause.