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Citation:
Weerakkody Y, Elfeky M, Uterine prolapse. Reference article, Radiopaedia.org (Accessed on 16 May 2024) https://doi.org/10.53347/rID-180365
Uterine prolapse is a form of pelvic organ prolapse and can fall under a broader umbrella term of pelvic floor dysfunction. It may occur in isolation or in combination with other organs (i.e rectal prolapse +/- urinary bladder prolapse).
Typically occurs in multiparous older females.
It results from herniation of the uterus into the vaginal canal due to the weakening of its support structures. The anterior and/or posterior vaginal wall may also be involved.
Associations
Pelvic MRI
Features include
H and M lines are elongated.
vagina loses its normal vertical-oblique orientation and can be directed in a more horizontal axis
if accompanied by a bladder prolapse, a cystocele may be present.
may show herniations of associated structures such as fibroids.
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1. Dietz H & Lekskulchai O. Ultrasound Assessment of Pelvic Organ Prolapse: The Relationship Between Prolapse Severity and Symptoms. Ultrasound in Obstet & Gyne. 2007;29(6):688-91. doi:10.1002/uog.4024 - Pubmed
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2. Shek K & Dietz H. Assessment of Pelvic Organ Prolapse: A Review. Ultrasound in Obstet & Gyne. 2016;48(6):681-92. doi:10.1002/uog.15881 - Pubmed
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3. Chamié L, Ribeiro D, Caiado A, Warmbrand G, Serafini P. Translabial US and Dynamic MR Imaging of the Pelvic Floor: Normal Anatomy and Dysfunction. Radiographics. 2018;38(1):287-308. doi:10.1148/rg.2018170055 - Pubmed
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4. Carley M & Schaffer J. Urinary Incontinence and Pelvic Organ Prolapse in Women with Marfan or Ehlers Danlos Syndrome. Am J Obstet Gynecol. 2000;182(5):1021-3. doi:10.1067/mob.2000.105410 - Pubmed
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5. Broekhuis S, Fütterer J, Barentsz J, Vierhout M, Kluivers K. A Systematic Review of Clinical Studies on Dynamic Magnetic Resonance Imaging of Pelvic Organ Prolapse: The Use of Reference Lines and Anatomical Landmarks. Int Urogynecol J. 2009;20(6):721-9. doi:10.1007/s00192-009-0848-3 - Pubmed
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