7 - Gynae - Prolapse of the Uterus and Vagina - Anatomy and Physiology of Pelvic Supports

Question 1

What is a prolapse? a result of what? what can descend and herniate?
v common - present to varying degrees in most ? ? women

Answer 1

descent of uterus and/or vaginal walls beyond normal anatomical confines

weakness in supporting structures

other abdo contents

older parous

Question 2

Pelvic floor - 2 structure types? provides support to ?? and external openings of ?, ? and ?
Uterus and vagina are suspended from pelvic sidewalls by ? ? attachments which support the vagina at ? levels

Answer 2

fascial and muscular
pelvic viscera and external openings of vagina, urethra and rectum
endopelvic fascial attachments
3

Question 3

Uterus and vagina - level 1

• the cervix and ?? of vagina supported by which ligaments?
• attached to ? - and suspend uterus from ? ? and ?

Answer 3

upper 3rd
cardinal and uterosacral

cervix
pelvic sidewall and sacrum

Question 4

Uterus and Vagina - level 2

• which part of vag supported?
• attached by what?
• attached laterally to what?

Answer 4

mid portion of vagina
endofascial condensation (endopelvic fascia)
lateral to pelvic sidewalls

Question 5

Uterus and Vagina - level 3

• ? 3rd of vagina supported by ? ? muscles and ? body
• these form floor of pelvis from attachments on ? ? ? and incorporate ? ? in the perineum.
• what = pelvic diaphragm?

Answer 5

lower
levator ani
perineal 
bony pelvic walls
perineal body 
levator ani muscles and assoc fascia