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Article
December 3, 1904

TREATMENT OF COMPLETE UTERINE AND VAGINAL PROLAPSE.

JAMA. 1904;XLIII(23):1692-1696. doi:10.1001/jama.1904.92500230001f
Abstract

So much diversity of opinion still exists among gynecic surgeons as to the proper treatment to be employed for the cure of complete uterine and vaginal prolapse, that it seems timely to again bring this subject forward for discussion; and for this reason I desire to bring up for consideration the method of treatment which in my experience has proven the most satisfactory.

Before doing this, however, a few words in regard to the pathology of the disorder may be of interest.

The condition is best described as a reducible hernia through the pelvic floor, the sac being the inverted vagina, containing beside the uterus, tubes, ovaries, bladder and rectum, a large portion of the small intestines.

The causation of the disorder, as is well known, is primarily a separation—often submucous—of the tendons of the muscles forming the pelvic floor where they unite in the median line, and is

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