Wrong position of the uterus

The position of this or that organ abdominal cavity, including pelvic not be considered in isolation. All the organs directly adjacent to one another, and through mutual support are in more or less constant balance that is created in the abdominal cavity mutual influence of the aperture of the abdominal and pelvic floor. Ligaments and connective tissue muscles apparatus of small pelvis help pelvic organs to keep its place in the basin, and to a certain extent can resist increased pressure in the abdomen, created due to physiological or pathological conditions.
In relation to the uterus should be borne in mind that the status of neighboring organs (bladder and bowel) is also reflected in its position.
The uterus has known mobility, and therefore it is impossible to speak of any permanent, notably its normal position, but only on the situation, most for her typical.
The uterus is located in the middle of the pelvis, her bottom turned anterior upward, and vaginal part directed downwards and backwards. Such position of the uterus is called the obliquity - versio. Depending on where will be placed the body of the uterus, are distinguished: anteversio - normal (or typical) position - the body of the uterus facing forward: lateroversio to the side of the pelvis: retroversio - backwards.
At the junction of the cervix into the body is formed obtuse angle, outdoor anteriorly; angle vertex corresponds to the internal OS. Such location of the cervix in relation to the body of the uterus is called inflection, inflections (flexio). Similarly, as with the inclination of the uterus, depending on where you opened the angle can be anteflexio - normal, typical her position, retroflexio - break uterine backwards, lateroflexio - bend to the side wall of the pelvis.
Normal (typical) status (anteflexio-versio uteri) are considered to be one in which the angle between the body of the uterus and the cervix is open anterior to, the body of the uterus is also directed to the front, and vaginal part - backwards and downwards, and the outer cervix the cervix is at the level of interspinal lines, i.e. line connecting spinae ischii.
Full bladder rejects the body of the uterus back, filled rectum removes the cervix anterior upward.
If a change is detected, the provisions of the uterus that is very different from the typical, then we speak of an abnormal (pathological) position of your uterus.
There are the following modifications of the provisions of the uterus:
1) changed position (positio), i.e. the displacement of the uterus entirely in the pelvic cavity;
2) the inclination of the entire uterus to horizontal (versio), and the angle between the body of the uterus and the cervix is almost smoothed (ante-, Korean-, lateroversio);
3) enhanced or modified break (flexio) - more acute the angle between the neck and body (anteflexio pathologica, retro-, late-roflexio);
4) rotate the uterus along its longitudinal axis (torsio);
5) eversion of the uterus (inversio uteri).
The displacement of the uterus (dispositio) is this abnormal position of the body when the whole uterus pulled forward, backward or sideways, or elevated above the norm (elevatio), or lowered (descensus uteri), or, finally, falls outside the genital slit (prolapsus uteri). Depending on where you want to offset the uterus, there are antepositio - forward, retropositio - offset ago, lateropositio - aside. The change of position may be the result of pressure on the uterus tumor or pull her adhesion to the walls of the pelvis. Anterior displacement of the uterus (antepositio) (Fig. 53) is invoked located in dopasowa space tumors, hemorrhage. Artificially this situation is created by the operation of attaching the uterus to the abdominal wall (entropically of the uterus).
The displacement of the uterus backwards (retropositio) is called for the most part, shortening Sacro-uterine ligaments and joints in the previous inflammatory processes. Rarely is offset from the posterior uterine tumors, located ahead of her.
In the study you must always offer to empty your bladder as crowded bubble delays the body of the uterus backwards. When retropositio. the whole uterus sometimes lies in the concavity of the sacrum bone (Fig. 54).
A shift towards (lateropositio) is a consequence of forcing the uterus to the side of the pelvis tumors, located in the opposite half of the pelvis, or infiltration in the tissue. In addition, the shift may be due to the wrinkling wide uterine ligaments after suffering inflammatory processes.
Lifted position (elevatio) is the result of the displacement of the uterus cavity, small pelvis misvote located tumors appendages, tumors of the vagina, the accumulation of blood in the vagina when atresia last (hematocolpos), tumours of the rectum, etc. Artificially such a situation can be created in high-fixing bottom of the uterus to the abdominal wall.