In the anatomical position four-fifths of uteruses are anteverted and one-fifth retroverted, at vaginal examination, about 40% are anteverted, 40% axial and 20% retroverted
Symptoms of genital prolapse are variable and do not bear much relation to the physical signs found on examination but more to the degree of traction on the pelvic ligaments
Many types of pessary and support have been devised for prolapse
Indications for pessaries: prolapse during pregnancy, prolapse immediately after delivery, when another pregnancy is desired within a short time, in patients unfit for operation on medical grounds, in patients who decline an operation
Surgical interventions might include anterior or posterior colporrhaphy (to repair a cystocele or rectocele) and vaginal hysterectomy (for uterine prolapse)
Vaginal hysterectomy is the treatment of choice for uterine prolapse
Can be combined with an anterior and posterior repair if a cystocele or rectocele is present