August 28, 1948


Author Affiliations

Buenos Aires, Argentina

From Alvear Hospital.

JAMA. 1948;137(18):1578-1581. doi:10.1001/jama.1948.02890520010003

In 1946 I published with E. G. Murray a paper on the morphology of the bladder in cystocele.1

The present paper deals with the dependence between the urinary reservoir and the anterior vaginal wall, as well as with the various physiopathologic disturbances of urination following genital prolapse in its different degrees.

The particular forms that the vesical cavity adopts, the modifications of its different diameters, the important changes in the vesical neck and their effect on micturition, and the possibilities of recovery from such urinary complaints will be discussed.

When genital prolapse takes place, the bladder is dragged backward and downward and the so-called cystocele is formed. The organ undergoes decided changes in form which, affecting directly its normal functioning, bring about subsequent alterations in its kinesis and evacuation of urine. Besides, when the lower part of the vesical wall is dragged by prolapse, pronounced alterations in kinesis of

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