Physical Therapy Assistant Practice Exam

Which condition is characterized by the weakening of uterine supporting structures?

1. Cystocele

2. Rectocele

3. Uterine prolapse

4. Enterocele

The correct answer is: Uterine prolapse

The condition characterized by the weakening of uterine supporting structures is uterine prolapse. This occurs when the pelvic floor muscles and ligaments that support the uterus become weakened or stretched, leading to the descent of the uterus into the vaginal canal. This condition often follows childbirth, menopause, or hormonal changes that affect tissue integrity. Uterine prolapse can present with symptoms such as a feeling of heaviness, pelvic pressure, or the sensation of something falling out of the vagina. It is important to recognize this condition specifically as it directly involves the uterus and its support structures. In contrast, the other conditions mentioned refer to different issues related to pelvic floor dysfunction. A cystocele involves the bladder protruding into the anterior wall of the vagina, a rectocele involves the rectum bulging into the posterior wall of the vagina, and an enterocele involves the small intestine protruding into the space between the vagina and rectum. Each of these conditions can occur due to similar weakness in the pelvic structures, but they specifically involve other organs rather than the uterus itself.