RetroflexionThe uterus is curved backwards. The cervixmay remain in the normal position but isusually positioned as in retroversion
Uterine Prolapse 6
Causes1. The stretching of muscle and fibroustissue2. Increased intra-abdominal pressure3. A constitutional predisposition tostretching of the ligaments as aresponsepresumablyto yearsin theerectpositionUterineProlapse
Uterine Prolapse 7 Causes 1. The stretching of muscle and fibrous tissue 2. Increased intra-abdominal pressure 3. A constitutional predisposition to stretching of the ligaments as a response presumably to years in the erect position
SacrumUterosacralCardinalligamentligamentSidewallofpelvisPelvic floor8
Uterine Prolapse 8
SacrumStretchedStretcheduterosacralcardinalligamentligamentStretching andgaping pelvic floor
Uterine Prolapse 9
In recent years,theincidenceofprolapse is greatly reduced. Themore liberal use ofcaesareansection and the elimination oflabours are probably the two mostimportantfactors.10UterineProlapse
Uterine Prolapse 10 • In recent years,the incidence of prolapse is greatly reduced. The more liberal use of caesarean section and the elimination of labours are probably the two most important factors