DeLancey levels of vaginal support

Level I consists of the cardinal and uterosacral ligaments and suspends the vaginal apex. Level II consists of the endopelvic fascia connections to the arcus tendineus fascia pelvis, which attaches the vagina to the aponeurosis of the levator ani. Level III consists of the perineal body and includes interlacing muscle fibers of the bulbospongiosus, transverse perinei, and external anal sphincter.