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Question

Procidentia as a degree of uterovaginal prolapse is characterised by descent of

The correct answer is
uterine cervix body with fundus outside vagina with eversion of entire vagina

Procidentia in Uterovaginal Prolapse

Procidentia refers to the most severe degree of uterovaginal prolapse. It signifies the complete descent of the pelvic organs.

Understanding Procidentia Characteristics

The defining feature of Procidentia is the extensive descent of the uterus and vagina. Let's analyze the options:

  • Option 1: uterus into vagina - This describes a milder degree of prolapse (Stage I or II), where the uterus descends but remains partially within the vagina.
  • Option 2: uterine cervix outside vagina but uterine body inside vagina - This indicates a more advanced prolapse (Stage II or III), but the entire uterus has not descended completely outside.
  • Option 3: uterine cervix below ischial spine - While the position relative to the ischial spines is used for grading prolapse severity, this statement alone does not fully define Procidentia, which specifically involves protrusion outside the vaginal opening.
  • Option 4: uterine cervix body with fundus outside vagina with eversion of entire vagina - This option accurately describes Procidentia. It indicates that the entire uterus (cervix, body, and fundus) has prolapsed completely outside the vaginal introitus, often accompanied by the eversion of the vaginal walls.

Conclusion on Procidentia

Procidentia is characterized by the complete protrusion of the uterus and the entire vagina outside the body.

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Important Questions from Displacement of Uterus

  1. Which of the following symptoms can be associated with pelvic organ prolapse?
    1. Difficulty in passing urine
    2. Incomplete evacuation of urine
    3. Urgency and frequency
    Select the correct answer using the code given below:
  2. Which of the following is NOT an ideally suited condition for use of ring pessary in case of uterine prolapse?

  3. In POPQ classification for uterovaginal prolapse, the only measurement done after reducing the prolapse is
  4. Which of the following are essential steps of Fothergill's operation? 

    1. Laparoscopic or vaginal ligation 

    2. Amputation of cervix 

    3. Plication of Mackenrodt's ligaments in front of cervix 

    4. Ant colporrhaphy 

    Select the correct answer using the code given below.

  5. The reference point 'zero' in POPQ (Pelvic Organ Prolapse Quantification) classification is taken as
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