Mathew S, et al. - A cross-sectional study of 608 women with first delivery in 1990 to 1997 assessed from 2013 to 2014 was recruited by the researchers in order to examine possible relations between levator ani muscle (LAM) injury and urinary incontinence (UI) and fecal incontinence (FI) and possible connections between bladder neck descent (BND), urethral funneling, and UI. Four-hundred ninety-three and 113 women had intact LAM and a LAM injury, respectively. They had a comparable median (range) Urinary Distress Inventory (UDI-6) score and Colorectal Anal Distress Inventory score. Of 600 women, 311 had UI and 65 of 594 had FI. This was comparable for women with intact vs injured LAM and with and without BND, stress UI, and urge UI. In women with urethral funneling, stress UI was more prevalent. Thus, no relationships between LAM injury and symptoms of UI and FI 15 to 24 years following the first delivery could be discovered, although, urethral funneling was related to stress UI.