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The cystocele in this region of the vagina is thought to be due to a cardinal ligament defect. [16] [25] Medial cystocele forms in the mid-vagina and is related to a defect in the suspension provided by to a sagittal suspension system defect in the uterosacral ligaments and pubocervical fascia. The pubocervical fascia may thin or tear and ...
The uterosacral ligaments (or rectouterine ligaments [1]) are major ligaments of uterus that extend posterior-ward from the cervix to attach onto the (anterior aspect of the [2]) sacrum. [ 3 ] Structure
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The contents of the broad ligament include the following: [3] Reproductive uterine tubes (or fallopian tube) ovary (some sources consider the ovary to be on the broad ligament, but not in it.) [4] vessels ovarian artery (in the suspensory ligament) [5] uterine artery (in reality, travels in the cardinal ligament) ligaments ovarian ligament
The cervix protrudes into the vagina. The uterus is held in position within the pelvis by ligaments, which are part of the endopelvic fascia. These ligaments include the pubocervical ligaments, the cardinal ligaments, and the uterosacral ligaments. It is covered by a sheet-like fold of peritoneum, the broad ligament. [5]
The uterosacral ligaments are especially important in providing support to the uterus by attaching and holding the uterus, cervix, and upper vagina to the sacrum. [ 2 ] [ 3 ] Schematic of the female reproductive system with a frontal view. 43 depicts the pelvic floor muscles that support the uterus in the pelvic cavity.
As it is the furthest point of the abdominopelvic cavity in women, it is a site where infection and fluids typically collect. [5] The rectouterine pouch can be used in the treatment of end-stage kidney failure in patients who are treated by peritoneal dialysis. The tip of the dialysis catheter is placed into the deepest point of the pouch.
The vesicouterine pouch is a fold of peritoneum over the uterus and the bladder, forming a pelvic recess. [1] It is continued over the intestinal surface and body of the uterus onto its vesical surface, which it covers as far as the junction of the body and cervix uteri, and then to the bladder.