Gynecology Question??!

A patient of 55 years old has addressed to the gynaecologist with complaints of constant nagging pain in the lower abdomen, difficulty of urination!. In the anamnesis one labor with a large fetus which has become complicated by perineal rupture of II degree!. The somatic anamnesis is not burdened!. Postmenopause lasts for 4 years!. The gynaecologic status: there are disjointed pedicles of the muscles lifting the anus; at staining effort outside the vulvar ring the uterus is defined, enlongated and hypertrophic cervix!. The anterior and posterior walls of the vagina are lowered!. The diagnosis:
A!. Inversion of the uterus!.
B!. An incomplete prolapse of the uterus, failure of the muscles of the pelvic floor, enlongated cervix!.

Answers:

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