Vaginal Prolapse (cont.)
Vaginal Prolapse Pictures
Sites where a rectocele may occur. Click to view larger image.
The vagina and supportive structures. The paracolpium extends along the outside wall of vagina. Click to view larger image.
Level I is suspension and level II is attachment. The paracolpium suspends the vagina from the lateral pelvic walls in level I. These fibers extend vertically and posteriorly toward the sacrum. The vagina in level II is attached to the arcus tendineus fascia of pelvis and superior fascia of levator ani Click to view larger image.
Level II and III detail. In level III, the vagina is fused to the medial surface of the levator ani muscles, urethra, and perineal body. The anterior surface of the vagina at its attachment to the arcus tendineus fascia pelvis forms the pubocervical fascia, while the posterior surface forms the rectovaginal fascia. Click to view larger image.
Enterocele and massive vaginal eversion. Posthysterectomy vaginal vault prolapse. Click to view larger image.
Relaxed vaginal outlet. This elderly woman had a large rectocele and pronounced perineal body relaxation. The anterior repair and incontinence procedure had already been performed.
Medically reviewed by Steven Nelson, MD; Board Certified Obstetrics and Gynecology
MedscapeReference.com. Uterine prolapse in Emergency Medicine.
Medically Reviewed by a Doctor on 11/6/2014
George Lazarou, MD, FACOG
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