Treatise on gynæcology : medical and surgical . Fig. 245.—Schultzes Pessary with CervicalRest, ok Sleigh Fig. 34(5.—Fritschs Pessary. Whatever the form adopted, there are many cases where it is abso-lutely impossible to maintain the reduction. Sanger,23 from carefulstatistics of 57 cases treated by pessaries in his practice, obtained but7 cures, or $; 27 were improved, or $; in 15 cases there wasno result ($) beyond moderation of the subjective symptoms. The causes of failure with pessaries may be either extreme mobil-ity of the uterus or relaxation of the vagina and peri
Treatise on gynæcology : medical and surgical . Fig. 245.—Schultzes Pessary with CervicalRest, ok Sleigh Fig. 34(5.—Fritschs Pessary. Whatever the form adopted, there are many cases where it is abso-lutely impossible to maintain the reduction. Sanger,23 from carefulstatistics of 57 cases treated by pessaries in his practice, obtained but7 cures, or $; 27 were improved, or $; in 15 cases there wasno result ($) beyond moderation of the subjective symptoms. The causes of failure with pessaries may be either extreme mobil-ity of the uterus or relaxation of the vagina and perineum; in thelatter condition they may be combined with the use of a perinealcushion, which often affords much relief. If there is at the sametime procidentia uteri or vagin?e, plastic operations are of greatservice in providing a point of support for the pessary. Patients are always relieved, especially when the abdomen is verylarge, by an abdominal supporter which takes off the weight of theviscera. Whatever the prothetic measures adopted, there are many patientswho cannot be cured by them; in such cases w
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