Gynecology . SA/,.T?<Sxcxu<ta. |j of X/cxovrvo^ r *) YHcerofXecov*. Fig. 183.—Procidentia Showing Elongation and Hypertrophy of the Cervix, Complete procidentia is used to designate the extrusion of the entire organfrom the vaginal orifice (Fig. 184). The word prolapse is sometimes applied to the vaginal wall. When used inthis sense, prolapse of the anterior vaginal wall corresponds to a cystocele, whileprolapse of the posterior wall is identical with a rectocele. Torsion of the uterus means a twisting of the body on the cervix in the ver-tical axis. MALPOSITIONS OF THE UTERUS 399. ~1 Na
Gynecology . SA/,.T?<Sxcxu<ta. |j of X/cxovrvo^ r *) YHcerofXecov*. Fig. 183.—Procidentia Showing Elongation and Hypertrophy of the Cervix, Complete procidentia is used to designate the extrusion of the entire organfrom the vaginal orifice (Fig. 184). The word prolapse is sometimes applied to the vaginal wall. When used inthis sense, prolapse of the anterior vaginal wall corresponds to a cystocele, whileprolapse of the posterior wall is identical with a rectocele. Torsion of the uterus means a twisting of the body on the cervix in the ver-tical axis. MALPOSITIONS OF THE UTERUS 399. ~1 NaomoAWall . ,_r G^sToce\e = Fig. 184.—Complete entire uterus is outside of the body. Elongation of the uterus means a lengthening of the organ by pressure,tension, or hypertrophy. The elongation may occur in the body, in the cervix,or in both. Inversion of the uterus means a turning inside out of the entire organ. RETROVERSION AND RETROFLEXION Etiology.—We have seen that the uterus during the erect posture lies in ahorizontal plane, with the anterior surface resting on the fundus of the bladder,while abdominal pressure is exerted on the posterior uterine surface through themedium of the intestines. In general, the uterus is maintained in its normal forward position by threefactors: first, by the proper tone of its anatomic supports; second, by the elas-ticity of its musculature; third, by the abdominal pressure which serves tokeep the anterior uterine wall in contact with the bladder. Backward rota-tion of the uterus occurs when these factors cease to exert the
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