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Pubocervical Ligament

ligamentum pubocervicale

The pubocervical fascia (ligament) is the fascial condensation connecting the cervix to the pubic bones anteriorly, providing the primary support for the anterior vaginal wall and the bladder base. Its defects produce anterior vaginal wall prolapse (cystocele) that allows the bladder to herniate into the vagina. Paravaginal repair restores the lateral pubocervical fascial attachments.

Anatomical Data

Attachments

Origin	Posterior pubic body
Insertion	Anterior cervix and vaginal vault

Biomechanics

Function & Actions

Actions	Supports the anterior vaginal wall and bladder base prevents anterior vaginal prolapse and cystocele

Supports the bladder base and anterior vaginal wall by anchoring the cervix to the pubis.

Clinical Relevance

Clinical Notes

Anterior compartment pelvic organ prolapse (cystocele) is the most common form of prolapse, resulting from pubocervical fascia defects either central (midline) or lateral (paravaginal), where the fascia detaches from the arcus tendineus fasciae pelvis. Anterior vaginal wall repair addresses central defects and paravaginal repair reattaches the lateral edge to the arcus. Native tissue or mesh-augmented repairs are performed depending on severity and recurrence risk.

Pathology

Common Injuries & Conditions

Cystocele

Bladder herniation through pubocervical fascia defects producing anterior vaginal wall prolapse managed with anterior repair or paravaginal repair.

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