How can a retroverted uterus - backward tilted uterus -be treated?

At one time operations designed to antevert the retroverted uterus (ventrosuspension) were frequently undertaken in the belief that this could cure virtually every gynaecological symptom including infertility, menstrual disturbance, pelvic pain and backache. Scientific validation of the benefits of such surgery were not undertaken. Nowadays, surgery to antevert the uterus is rarely performed. When symptoms develop relatively late in the reproductive years they are more likely to result from disease processes such as endometriosis, fibroids or prolapse.

It is generally considered prudent to introduce a Hodge vaginal pessary as a test (Figure 23.4). This pessary is designed to temporarily keep the uterus in an anteverted position. If the symptoms resolve with the pessary and return when the pessary is removed there would be some evidence that surgery may be beneficial. There are several operations to antevert the uterus. They tend to shorten the round ligaments; these are attached to the top corners of the uterus and reach the pelvic side wall. The ligaments may be stitched to the ligamentous tissue at the front of the abdominal wall. These operations are relatively simple to perform but as with any operation, they are not without potential complication (surgery risks).

Women's Health

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  • 18 What is endometriosis?
  • 19 How prevalent is endometriosis?
  • 20 What causes endometriosis?
  • 21 How can my endometriosis be treated?
  • 22 How can my doctor determine the cause of my pelvic pain?
  • 23 What investigations might be recommended by my gynaecologist to investigate my pelvic pain?
  • 24 What is laparoscopy?
  • 25 What are pelvic adhesions?
  • 26 I have chronic pelvic pain. Could this be related to adhesions?
  • 27  What is uterine retroversion (retroverted uterus)
  • 28  Does a retroverted uterus (backward tilted uterus) cause symptoms?
  • 29 How is a retroverted uterus - backward tilted uterus - treated?
  • 30 What is pelvic congestion?
  • 31 What causes pain associated with sexual intercourse (dyspareunia)
  • 32 How can painful sexual intercourse (dyspareunia) be treated?
  • 33 What is a pelvic mass?

  • 34 What is irritable bowel syndrome?
  • 35 How can we find out if I have irritable bowel syndrome?
  • 36 Is irritable bowel syndrome (IBS) a common condition?
  • 37 What causes IBS?
  • 38 What is the pain associated with IBS like?
  • 39 Can IBS be mistaken for gynaecological problems?
  • 40 How can my IBS be treated?
  • 41 What other treatments are available for IBS?
  • 42 What can be done to reduce the amount of bowel gas(flatus)
  • 43 What is constipation?
  • 44 What causes constipation?
  • 45  How can constipation be treated?
  • 46 How could we summarise the treatments that are available for my pelvic pain?
  • 47 Where can I obtain more information?
  • 48 Pelvic Pain Support Groups.
  • 49 Endometriosis Support Groups.
  • 50 IBS Support Groups.
  • Women's Health

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    This is the personal website of David A Viniker MD FRCOG, retired Consultant Obstetrician and Gynaecologist - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
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