PMC6217878_01
PMC6217878_02
Ring pessary.
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fig1
Ap+3, Ba+6, Bp+6, C+6, D+1, gh 5, pb 1, tvl 10 ). A no. 5 ring pessary in size of 7x7 cm (see Figure 1) was applied to keep the uterus inside the pelvic cavity after manual reposition.
Pelvic floor four-dimensional ultrasound of Case 2. Pelvic floor four-dimensional ultrasound indicated that residual urine was 0 ml, thickness of detrusor was normal, internal orifice of urethra was closed, posterior angle of bladder was intact, and there was no dark area of liquid and scattered point of calcification around urethra in quiescent condition. CDFI revealed that sparse color flow signals were seen around the urethra, the bladder neck was 19 mm above the pubic symphysis, the uterus was 17 mm above the pubic symphysis, and ampulla portion of rectum was located at the pubic symphysis. Bladder neck displacement was 15 mm, bladder neck was located 9 mm below the pubic symphysis, posterior angle of bladder was intact, the uterus was 35 mm below the pubic symphysis, ampulla portion of rectum was located at the pubic symphysis, rectocele was not seen, and anal sphincter was complete in Valsalva.
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fig2
Figure 2). Follow-up is on-going.