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July 19, 1890

A NEW OPERATION FOR PROLAPSUS OF THE ANTERIOR VAGINAL WALL.Read in the Section of Obstetrics and Diseases of Women, al the Forty-first Annual Meeting of the American Medical Association, at Nashville, Tenn., May, 1890.

Author Affiliations


JAMA. 1890;XV(3):95-96. doi:10.1001/jama.1890.02410290015001b

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With the exception of vesico-vaginal fistula the lesions of the anterior vaginal wall are more or less ignored by the majority of the profession, or if not ignored are considered of less importance than they actually are. Especially is this the case with prolapsus, which may exist alone, or in connection with descent of the bladder, uterus, posterior wall or rectum. Prolapse of the vagina does not necessarily signify prolapse of the blad der and rectum, and errors of diagnosis in this direction are frequently made through examinations which are not sufficiently careful. In either case the vaginal lesion demands operative treatment, but the symptoms are usually much more urgent if rectum or bladder has descended than when this is not the case. The vaginal wall is one of the means by which the weight of the bladder is sustained and such portions of the in testines as may

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