Physical Therapy Assistant Practice Exam

Which type of pelvic condition is commonly diagnosed in women who have undergone a hysterectomy?

1. Cystocele

2. Rectocele

3. Enterocele

4. Uterine prolapse

The correct answer is: Enterocele

The correct answer is enterocele because this condition often arises in women who have had a hysterectomy. An enterocele occurs when the small intestine descends into the pelvic cavity, which can happen due to weakened pelvic support structures after the removal of the uterus. A hysterectomy can lead to changes in pelvic floor dynamics, potentially increasing the risk of a herniation of the intestine. Cystocele, which involves the bladder bulging into the anterior wall of the vagina, and rectocele, where the rectum bulges into the posterior vaginal wall, are also potential complications after a hysterectomy but are more directly associated with the bladder and rectum, respectively. Uterine prolapse, though a common concern related to pelvic floor disorders, is not applicable in the context of women who have undergone a hysterectomy since the uterus has been removed. Thus, enterocele is the most relevant diagnosis in the context of post-hysterectomy pelvic conditions.