Re: uterine inversion

From: Exuma Pierre Tony (ptexuma2@yahoo.com)
Sat Aug 30 01:42:25 2003


No way to do a "Nomenclature War". Anyone can say that the picture do not refer to a uterine inversion.

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Category : Subcategory 1621:49:14 - Tuesday, October 24, 2000Procidentia. Total prolapse of the bladder and uterus to the outside of the body. A rectocele is almost always also present. This is a result of severe pelvic floor deficiency. Unfortunately it is quite common. See next image and commentary regarding classification and staging. 8221:25:35 - Tuesday, January 30, 2001Another example of complete eversion of the vagina. This is an example of stage IV prolapse. The leading edge of the prolapse is the uterine cervix. According to the International Continence Society's (ICS) classification system, this will be stage IV C Prolapse. It could further be described (according to the ICS), as: +3,+5,+7,+6,+3,+4,7,5,3. (This is only of interest to gynecologists and the patient does not have to concern herself with the classification system. Suffice to say, that this prolapse is as bad as it gets.

http://www.pelvicfloor.com/library/library.html?show=yes&subcategoryid=7

Best Regards! Dr EXUMA Pierre Tony, OBGYN, SHOG/Haiti..

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"Joanne Bulley, MD" <islesannie@yahoo.com> wrote: I could be wrong - I don't have a text book here at home to check!

I learned that "procidentia" was exactly what was pictured - the complete prolase of the uterus - so the vagina is 100% "wrong side out" - just as it is in this picture. Are you saying that "procidentia" refers to any level of prolapse? We alwyas used procidentia for the total prolapse.

I can learn new things.

Can someone clarify this (since no textbook is near me at this moment!)

Joanne

At Fri, 29 Aug 2003, Exuma Pierre Tony wrote: >
>Agree with you about the definition of uterine inversion but that's not Procidentia either.
>The Picture posted is a Total Uterine Prolapsus one. The uterine Shape can be seen in his entire parts: the cervix, the isthmus and the fondus protruding thru the vulva.
>
>Best Regards!
>
>Dr EXUMA Pierre Tony, OBGYN, SHOG/Haiti..
>
>"Joanne Bulley, MD" wrote:
>That is Procidentia - Inversion is when the uterus turns inside out -
>usually with the delivery of the placenta - so the endometrium iw the
>outermost surface. The picture posted here is Procidentia - the mucosal
>surface of the vagina is the outermost surface of the protusion.
>
>Joanne
>
>At Fri, 29 Aug 2003, Cecile Graf wrote:
>>
>>http://www.obgyn.net/women/conditions/prolapse.jpg
>>

--
Joanne Bulley, MD
Keene, NH, USA

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