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Article
December 25, 1897

REMARKS ON THE RELATION OF THE UTERUS TO DESCENT OF THE PELVIC FLOOR, AND TO GENITAL PROLAPSE.

Author Affiliations

GYNECOLOGIST TO METHODIST HOSPITAL. PHILADELPHIA.

JAMA. 1897;XXIX(26):1305. doi:10.1001/jama.1897.02440520015001e

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Abstract

As the title implies, it is not intended here to formally cover the field of genital prolapse but to remark upon one phase of it, and to emphasize the fact that the uterus is not the sole offender, but that, in greater or less degree, all the other pelvic organs and tissues are involved to such an extent in some cases that even after the uterus is completely restored to its position, the prolapse of vagina, rectum, bladder and tissues of the pelvic floor continues.

There seems to be, in the minds of some, an idea that the uterus descends alone through a normal tube, the vagina, because of some relaxation of suspending supports above. This idea leads to attempts to cure prolapse by shortening round ligaments alone, by fixation (literal) of the uterus alone to the abdominal wall, or even to the performance of hysterectomy followed by fastening the

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