Pathology and treatment of diseases of women . Fig. 138.—Vesico-Vaginal Fistula. Fig. 139.—Deep Vesico-Vaginal Fistula. After Schroeder, Handbuch der weiblichen Geschlechtsorgane. B, bladder; S, vagina; U, uterus. soon as it is anyway extensive, the bladder falls into the fistulae andappears as a bright red, velvetlike mass in the lumen of the some cases the urine retains continuously its normal character, inwhich case the vaginal mucous membrane and the vulva may remainapproximately healthy in spite of the continued moistening. Intenseirritation of the moistened parts occurs in case
Pathology and treatment of diseases of women . Fig. 138.—Vesico-Vaginal Fistula. Fig. 139.—Deep Vesico-Vaginal Fistula. After Schroeder, Handbuch der weiblichen Geschlechtsorgane. B, bladder; S, vagina; U, uterus. soon as it is anyway extensive, the bladder falls into the fistulae andappears as a bright red, velvetlike mass in the lumen of the some cases the urine retains continuously its normal character, inwhich case the vaginal mucous membrane and the vulva may remainapproximately healthy in spite of the continued moistening. Intenseirritation of the moistened parts occurs in case of decomposition of theurine, which may lead to extensive ulcerations and the formation of largedefects, in which uric acid salts deposit and form very extensive incrus-tations. The most frequent form, the vesico-vaginal fistula (Fig. 138), ismostly round or oval, or also distorted like a cleft by cicatricial contrac-tion. The vesical mucosa prolapses into the vagina in large canals are, as a rule, only short, the edge
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
