When I again take the liberty of bringing the subject of operative treatment of cystocele and prolapse of the uterus, already threshed over in many gynecological societies, before this scientific body, it is not my intention to add to the large supply of methods in vogue a new procedure, substantiated perhaps by two or three operations, but to point out a few thoughts which I believe to be altogether timely.
There has been and still seems to be a great difference of opinion in regard to the question whether retroversion or retroversio-flexion of the uterus, so often connected with cystocele, is the antecedent and primary cause of the cystocele and prolapse or whether, as H. W. Freund1 expresses himself in his article, "Ueber Moderne Prolapse-operationen," "The descent of the anterior vaginal wall is usually primary, as shown by the extended observation of puerperal cases." There is, in my opinion,
THIENHAUS CO. REMARKS ON THE METHODS OF OPERATIONS IN VOGUE FOR CYSTOCELE WITH AND WITHOUT PROLAPSE OF THE UTERUS.. JAMA. 1902;XXXIX(12):687–692. doi:10.1001/jama.1902.52480380023002b
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