. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 60.—Hodges pessary anteverting uterus. 154 DISEASES OF .Fig. 61.—Ring pessary anteverting uterus. should antevert the uterus; no part of the vagina should feeltense; and the pessary should cause no pain. Some inventorshave made the lower end narrow, or pointed, and curved down, in accordance with the curveof the vagina. This curve isunnecessary. If the anteriorend be curved up, and isbroad, it is held in the upperpart of the vagina, and incase of expulsive effort isheld in place by the pubicbones. Others have
. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 60.—Hodges pessary anteverting uterus. 154 DISEASES OF .Fig. 61.—Ring pessary anteverting uterus. should antevert the uterus; no part of the vagina should feeltense; and the pessary should cause no pain. Some inventorshave made the lower end narrow, or pointed, and curved down, in accordance with the curveof the vagina. This curve isunnecessary. If the anteriorend be curved up, and isbroad, it is held in the upperpart of the vagina, and incase of expulsive effort isheld in place by the pubicbones. Others have madethe posterior end of thepessary very thick, or con-cave, that its pressure onthe body of the uterus maybe more diffused, and therefore less painful. But the pessaryought not to press on the body of the uterus at all.* If you can get a pessary to fulfil the above requirements,you will almost completely relieve your patient. As inprolapse, the cure by a pessary is notquite complete. With the most effectivethere is still a little bearing-down onexertion, and a little irritation of bladder,but these troubles are reduced to trifles.
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Keywords: ., bookcentury1800, bookdecade1890, bookpublishern, booksubjectwomen
