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January 1966

Prolapse of the Vagina Following Total Hysterectomy: Treatment by Abdominal Suspension With Dacron Graft

Author Affiliations

From the Department of Surgery, Washington Hospital Center.

Arch Surg. 1966;92(1):20-22. doi:10.1001/archsurg.1966.01320190022004

W HILE a certain degree of frequently asymptomatic vaginal prolapse follows probably every hysterectomy, not too infrequently a marked or even complete prolapse of the vagina is seen. The patient afflicted with this condition has often already undergone one or more previous surgical procedures by the vaginal route for the purpose of correcting a large cystocele associated with urinary-stress incontinence and a large rectocele. The prolapse may have developed gradually over a period of years, and while the patient originally was able to adjust to her symptoms, she eventually is brought to the physician by complaints of a constant bearing-down feeling, pelvic pressure, discomfort on walking and sitting, urinary stress incontinence, and inability to empty her rectum without replacing a large rectocele digitally. An enterocele can frequently be detected on vaginal examination above a protruding rectocele. Decubital ulcers may be present over the posterior vaginal wall causing discharge or even

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