A 55-year-old woman with complete uterine prolapse has an elongated cervix that reaches the introitus while the uterine body remains in the pelvis. This is distinguished from true uterine prolapse by which clinical finding?

• A The external os is directed anteriorly
• B There is associated cystocele
• C The uterus is retroverted
• D The distance between the external os and the uterine fundus is increased ✓

Explanation

Cervical elongation is characterized by an elongated supravaginal cervix with the uterine body remaining in its normal position. The key distinguishing feature is that the distance between the external os and the uterine fundus is increased, whereas in true uterine prolapse, the entire uterus descends. On bimanual examination, the fundus remains at its normal position in cervical elongation, which is the discriminating finding.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.