Résumé
La poussée abdominale, par le biais de l’hyperpression répétée, est impliquée dans la physiopathologie des prolapsus génitaux. Toutefois, cette hyperpression n’est pas le seul mécanisme en cause. Elle n’a d’impact sur les organes pelviens (l’utérus en particulier) que si les tissus de soutien sont lésés (ligaments, fascias et parois vaginales). Sur le plan de la gêne fonctionnelle aux toilettes, l’existence d’un prolapsus utérin isolé (hystéroptose) gêne moins la miction qu’une cystocèle. Toutefois, l’hystéroptose est rarement isolée et, si elle est importante, le col utérin prolabé extériorisé peut lui aussi constituer une gêne au niveau de l’introïtus.
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© 2013 Springer-Verlag Paris
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Deffieux, X. (2013). Poussée, vagin, utérus et prolapsus. In: Pathologies des toilettes. Springer, Paris. https://doi.org/10.1007/978-2-8178-0356-2_17
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DOI: https://doi.org/10.1007/978-2-8178-0356-2_17
Publisher Name: Springer, Paris
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