title: Value of vaginal cervical position in estimating uterine anatomy.
abstract: The anatomy of the uterus is defined with the angles of the vagina, cervix and uterine corpus. Hereunder there are angles of version and flexion. The cervical position observed during the vaginal speculum examination, may give information about the uterine anatomy. In this study, we investigated the place of the cervical position in the estimation of the uterine anatomy observed during the cervical examination. We enrolled 240 patients in our study, who applied to our routine gynecology outpatient clinic with various complaints. We divided these patients into two groups according to the cervical position (anterior cervical position and posterior cervical position) observed during the speculum examination. We recorded the uterine anatomy also with the transvaginal ultrasonography. During the speculum examination, we determined that 90% of the cases with posterior fornix position were anteverted and 10% retroverted; 64.2% of the cases with anterior fornix position were anteverted and 35.8% retroverted. According to these findings, cervical position observed during the speculum examination might be useful in the estimation of the uterine anatomy regarding the angles of the version. However, the ultrasonographic examination is essential for a definitive determination of the uterine anatomy. Clin. Anat. 30:404-408, 2017. © 2017 The Authors. Clinical Anatomy published by Wiley Periodicals, Inc. on behalf of American Association of Clinical Anatomists.
authors.affiliation: Department of Obstetrics and Gynecology, University of Health Sciences Gülhane Medical Faculty, 06010, Keçiören-Ankara, Turkey.
authors.forename: Ulaş
authors.initials: U
authors.lastname: Fidan
authors.affiliation: Department of Obstetrics and Gynecology, University of Health Sciences Gülhane Medical Faculty, 06010, Keçiören-Ankara, Turkey.
authors.forename: Uğur
authors.initials: U
authors.lastname: Keskin
authors.affiliation: Department of Obstetrics and Gynecology, University of Health Sciences Gülhane Medical Faculty, 06010, Keçiören-Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ulubay
authors.affiliation: Bakırköy Dr. Sadi Konuk Education and Research Hospital, Obstetrics and Gynecology, Bakırköy, İstanbul, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Öztürk
authors.affiliation: Department of Obstetrics and Gynecology, University of Health Sciences Gülhane Medical Faculty, 06010, Keçiören-Ankara, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Bodur
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D005260:Female; D058869:Gynecological Examination; D006801:Humans; D014463:Ultrasonography; D014599:Uterus / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D014621:Vagina / Q000033:anatomy & histology* / Q000000981:diagnostic imaging
keywords: cervical position; ultrasonography; uterine anatomy; vaginal examination