Gynecology . Fig. 182.—-Retroversion and Prolapse (Descensus) of the Uterus. Retroposition and retrolocation are terms vaguely used, and may includeretroversion, retroflexion, and retrocession. 398 GYNECOLOGY Prolapse of the uterus denotes a permanent descent of the uterus from itsphysiologic level in the direction of the vaginal introitus. The word descensusdescribes the condition more accurately, but is not as commonly used. Theterm prolapse relates to all degrees of descent of the uterus until the cervixreaches the vaginal introitus. Procidentia denotes extreme prolapse, and includes all co


Gynecology . Fig. 182.—-Retroversion and Prolapse (Descensus) of the Uterus. Retroposition and retrolocation are terms vaguely used, and may includeretroversion, retroflexion, and retrocession. 398 GYNECOLOGY Prolapse of the uterus denotes a permanent descent of the uterus from itsphysiologic level in the direction of the vaginal introitus. The word descensusdescribes the condition more accurately, but is not as commonly used. Theterm prolapse relates to all degrees of descent of the uterus until the cervixreaches the vaginal introitus. Procidentia denotes extreme prolapse, and includes all conditions in whichthe cervix extrudes from the vaginal introitus (Fig. 183).. 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


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