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December 14, 1907


JAMA. 1907;XLIX(24):1982-1984. doi:10.1001/jama.1907.25320240018001e

Cystocele is a hernia of the bladder into or through the vaginal opening. Usually cystocele is described as a prolapse of the anterior vaginal and bladder walls. Cystocele as a separate condition is rarely seen. As a rule it is a part of a complex condition, consisting of a laceration of the sacral segment of the pelvic floor (perineum), with prolapse of the anterior and posterior vaginal walls and of the uterus. In order to understand the nature of cystocele and the operative procedures necessary for its cure a knowledge of the anatomy of the female pelvis and of the nature of the supports of the pelvic viscera is necessary. This knowledge is best summed up in the work of Hart and Barbour1 on the nature of the pelvic floor, of Schultze2 on the proper supports of the uterus and their functions, and of Foster3 on the nature

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