Physical Therapy Assistant Practice Exam

What structure is primarily weakened in cases of uterine prolapse?

1. Bladder

2. Rectum

3. Uterus

4. Small bowel

The correct answer is: Uterus

In cases of uterine prolapse, the structure that is primarily weakened is the uterus itself. Uterine prolapse occurs when the pelvic floor muscles and supportive tissues become weakened or stretched, leading to the uterus descending into the vaginal canal. This is often due to factors such as childbirth, aging, hormonal changes, or increased abdominal pressure. The uterus is normally held in place by a complex system of muscles and ligaments in the pelvic region. When these structures become compromised, it can lead to the downward displacement of the uterus into the lower pelvic cavity. This condition can result in various symptoms, including a feeling of heaviness or pressure in the pelvic area, urinary difficulties, and discomfort during intercourse. Other structures like the bladder, rectum, and small bowel may also be affected by pelvic floor dysfunction and can exhibit issues in conjunction with uterine prolapse, but the primary weakening specifically associated with uterine prolapse pertains to the uterus itself.