Uterine Retroversion

A condition in which the UTERUS is found tilted backward toward the spine. The uterus is more commonly found in a straight vertical or anteverted (tipped forward) position. Although retroverted uterus is a normal variant position without symptoms, it is sometimes associated with pain, discomfort and other pregnancy complications.

Also Known As:

Incarcerated Retroverted Uterus; Retroflexed Uterus; Retroverted Gravid Uterus; Retroverted Uterus; Tipped Uterus; Uterine Retroflexion; Gravid Uterus, Retroverted; Retroflexion, Uterine; Retroflexions, Uterine; Retroversion, Uterine; Retroversions, Uterine; Retroverted Uterus, Incarcerated; Uterine Retroflexions; Uterine Retroversions; Uterus, Incarcerated Retroverted; Uterus, Retroflexed; Uterus, Retroverted; Uterus, Retroverted Gravid; Uterus, Tipped

Networked: 53 relevant articles (0 outcomes, 1 trials/studies)

Disease Context: Research Results

Related Diseases

1.	Neoplasms (Cancer)
2.	Dyspareunia
3.	Pelvic Pain
4.	Leiomyoma (Uterine Fibroids)
5.	Uterine Perforation

Experts

1.	Carlan, Steve J: 1 article (03/2022)
2.	Carroll, Alexandria: 1 article (03/2022)
3.	Paradise, Courtney: 1 article (03/2022)
4.	Schellhammer, Shannon Scott: 1 article (03/2022)
5.	Schuemann, Katie: 1 article (03/2022)
6.	Xiao, Songshu: 1 article (10/2020)
7.	Xue, Min: 1 article (10/2020)
8.	Zou, Ziang: 1 article (10/2020)
9.	Achkar, Samir: 1 article (07/2020)
10.	Andraud, Mickaël: 1 article (07/2020)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Uterine Retroversion:

1.	SuspensionsIBA 11/01/2015 - "Uterine Retroversion in Rectosigmoid Endometriotic Nodule Affected Women: A New Technique for Uterine Suspension." 07/01/1992 - "Laparoscopic uterine suspension is an effective method of correcting symptomatic uterine retroversion. " 05/01/1949 - "Suspension and the retroflexed uterus; a review of cases." 07/01/2007 - "Pregnancy after laparoscopic uterine suspension for the treatment of dyspareunia caused by a retroverted and retroflexed uterus." 03/01/2002 - "Forty-six women underwent uterine suspension for treatment of chronic pelvic pain due to uterine retroversion over a period of five years. "
2.	Vasopressins (Vasopressin)IBA 06/01/2016 - "To our knowledge, we report the first case of a 31-year-old woman presenting at 8 weeks' gestation with acute urinary retention caused by a retroflexed, retroverted uterus with a 6-cm posterior uterine fibroid leading to syndrome of inappropriate antidiuretic hormone secretion and severe hyponatremia requiring intensive care unit admission. "
3.	Oxytocin (Pitocin)FDA LinkGeneric 08/01/2010 - "The odds of a large defect increased with cervical dilatation at caesarean (0 cm, 1-4 cm, 5-7 cm, 8 cm or more; odds ratio [OR] 4.4 [95% CI 0.7-28.5]; 26.5 [4.3-161.8]; and 32.4 [6.1-171.0]; P < 0.001), station of the presenting part at caesarean below pelvic inlet (OR 14.1 [4.6-43.1]; P < 0.001), duration of labour at caesarean (0 hour, 1-4 hours, 5-9 hours, 10 hours or more; OR 2.0 [0.2-23.8]; 13.0 [2.2-76.6]; and 33.1 [6.6-166.9]; P < 0.001), oxytocin augmentation (OR 6.3, [2.3-17.3]; P < 0.001), retroflexed uterus at ultrasound examination (OR 2.9 [1.0-8.3]; P = 0.047). "
4.	Heparin (Liquaemin)FDA LinkGeneric 11/01/1971 - " Her operation for retroverted uterus and tubal sterilization was followed the next day by a severe pulmonary embolism treated with heparin. "
5.	N 30IBA 04/01/1998 - "A relatively homogeneous group of patients (N = 62) with symptomatic uterine retroflexion was randomly allocated to laparoscopic retroperitoneal uterine suspension (n = 32, group I) and diagnostic laparoscopy (n = 30, group II). "
6.	ML 23IBA 02/01/2007 - "Apart from prevalence figures, comparative associations were sought for (3) age; (4) parity; (5) presenting symptoms; (6) presence of at least one (medically) documented UTI in the previous 12 months; (7) two or more (recurrent) documented UTIs in the previous 12 months; (8) prior hysterectomy; (9) prior continence surgery; (10) menopause; (11) menopause and HRT use; (12) sign of clinical stress leakage; (13) retroverted uterus; (14) anterior vaginal wall prolapse; (15) uterine prolapse; (16) posterior vaginal wall prolapse; (17) apical vaginal prolapse; (18, 19) maximum, average urine flow rate (MUFR, AUFR) centiles, Liverpool Nomograms; (20) median residual urine volume (RUV) in milliliters; (21, 22) voiding difficulty: VD1,VD2 (MUFR, AUFR under 10th centile Liverpool Nomogram and/or RUV >30 ml); (23) diagnosis of urodynamic stress incontinence and (24) diagnosis of uterine and/or vaginal prolapse (grade >0). "
7.	A-factor (Streptomyces)IBA 03/01/1988 - "Taking into account the rapid growth of the conceptus and the exponential increase of serum beta-hCG by a factor of 1.7 per day at this early gestational age, we presume that a gestational sac at beta-hCG concentrations of 750 mIU/ml should not be missed by vaginosonography (safety margin of the discriminatory zone), even in instances of a retroverted uterus. "
8.	glucose utilization inhibitor (IGU)IBA 07/01/2023 - "IGU occurs when the retroverted uterus in a gravid patient becomes trapped in the pelvis during the second trimester. "
9.	salicylhydroxamic acid (SHAM)IBA 03/01/1999 - "Forty-five female Wistar rats were assigned randomly to three groups: 15 unmanipulated rats, 15 rats that underwent uterine retroversion, and 15 rats that underwent sham uterine retroversion (exposure of the uterus to air followed by closure of the abdominal cavity). " 03/01/1999 - "In the group of rats that underwent uterine retroversion, BMC, BMD, and BMC corrected for final body weight were significantly lower (P<0.001) than in the unmanipulated control and sham uterine retroversion groups. "

Therapies and Procedures

1.	Brachytherapy 01/01/2005 - "Brachytherapy management of the retroverted uterus using ultrasound-guided implant applicator placement." 01/01/2005 - "The purpose of this study was to evaluate the efficacy and outcome of ultrasound-guided brachytherapy applicator placement and intraoperative uterine anteversion in patients with gynecologic malignancies, who have a retroverted uterus. " 07/01/2023 - "Using example cases, we discuss strategies for the placement of brachytherapy applicators in patients with anatomical considerations such as large obstructing uterine fibroids and the retroverted uterus. " 01/01/2005 - "Thirty-three brachytherapy insertions were performed in 18 patients with retroverted uterus (cervical cancer, 17; vaginal cancer, 1). " 01/01/2005 - "Patients with a retroverted uterus present a dilemma for brachytherapy in gynecologic malignancies because of the challenges of the procedure and the risk of uterine perforation. "
2.	Cesarean Section (Caesarean Section) 10/25/2020 - "Results PCSD was more severe (high score) in patients who experienced caesarean section with one of the following conditions: age >30 years old, without medical indications or retroflexed uterus. " 06/03/2019 - "The risk factors of isthmocele proven to date include retroflexed uterus and multiple cesarean sections. " 11/01/2017 - "Defect volume >600 mm3, interval from caesarean section to symptom emerging >3 months and straight or retroflexed uterus are protective factors of poor effect (defined as menstruation period >10 days after surgery), and repeated caesarean section is a risk factor. " 11/01/2017 - "Through multivariate logistic analysis, four factors were found dependently associated with poor effect (defined as menstruation period >10 days after surgery): repeated caesarean section (OR 9.75, 95%CI 2.30-41.36, 0.002) was a risk factor, while defect volume >600 mm3 (OR 0.14, 95%CI 0.03-0.56, 0.006), interval from caesarean section to symptom emerging >3 months (OR 0.25, 95%CI 0.07-0.94, 0.041) and straight or retroflexed uterus (OR 0.19, 95%CI 0.05-0.79, 0.022) were protective factors. " 11/03/2009 - "This case report discusses the diagnosis and management of (recurrent) incarceration of the retroverted uterus at term resulting in two successful transvaginal caesarean sections. "
3.	Contraindications 11/01/2000 - "Retroverted uterus should be considered as a relative contraindication to THL. " 03/01/1985 - " Among contraindications to use of the device were retroverted uterus, pelvic inflammatory disease, insufficiently large tubal opening, and sinuosity of the interstitial segment. " 01/01/1993 - " The physician did not consider uterine scars (especially cesarean section scars), uterine malposition, and painless uterine retroversion as absolute contraindications. " 02/01/1981 - " Contraindications to laparotomy are obesity, fixed uterine retroversion, and suspected adnexal pathology; in most patients who are nonobese, however, suprapubic minilaparotomy with Pomeroy tubal ligation, Yoon banding, or clip application is simpler, safer, and less expensive. "
4.	Hysterotomy 07/01/2012 - "Incarceration of the retroverted uterus in the early second trimester performed by hysterotomy delivery." 02/01/2006 - "We describe a case of cesarean delivery by posterior hysterotomy in a woman with uterine torsion secondary to a blocked retroverted uterus. "
5.	Therapeutics 01/01/1955 - "[Therapy of uterine retroversion]." 10/01/1958 - "[Method of vaginal hysteropexy isthmic retrouterine ligamentopexy in therapy of uterine retroversion with genital prolapse]."