Manual of gynecology . Fig. being produced by digital pressure in posterior fornix. and pressure made there in the direction of the anteroposterior axis ofthe fornix, the following results may be noted :— (1.) The posterior vaginal wall is elongated, the cervix drawn back,and the uterus, if anteverted, becomes more so (Fig. 66). ANATOMY OF THE FEMALE PELVIC ORGANS. 83 (2.) If the uterus is retroflexed, the flexion is not remedied. Shouldthe fundus be fixed, the retroflexion is increased as the cervix is drawnback while the fundus remains. Similarly, if pressure be made in the an
Manual of gynecology . Fig. being produced by digital pressure in posterior fornix. and pressure made there in the direction of the anteroposterior axis ofthe fornix, the following results may be noted :— (1.) The posterior vaginal wall is elongated, the cervix drawn back,and the uterus, if anteverted, becomes more so (Fig. 66). ANATOMY OF THE FEMALE PELVIC ORGANS. 83 (2.) If the uterus is retroflexed, the flexion is not remedied. Shouldthe fundus be fixed, the retroflexion is increased as the cervix is drawnback while the fundus remains. Similarly, if pressure be made in the anterior fornix :— (1.) The uterus becomes elevated and slightly rotated backwards,because the cervix is pulled forwards (Fig. 67). (2.) If the uterus is anteflexed, the flexion is not diminished. By pressure in these fornices, therefore, we only act on the cervix,. Fig. of uterus produced by digital pressure in anterior fornix. unless the uterus is very much retroverted or anteverted. The body ofthe uterus is acted on only indirectly, through its union with the cervix. Consequently, no vaginal pessary can undo the flexion of a retroflexedor anteflexed uterus. RELATION OF POSTURE TO EXAMINATION AND TREATMENT. We have already mentioned several postures as being the proper onesfor certain manipulations; and we here sum up briefly what it is of use toknow in regard to these. The side-lateral, where the patient lies on her side in the ordinary way,is convenient for vaginal examination ; passage of Fergussons, Neuge-bauers, or Cuscos speculum ; passage of the sound and catheter. 84 MANUAL OF GYNECOLOGY. The dorsal posture is imperative for abdominal examination and thebi-manual. The semiprone is the best posture for the passage of Sims speculum ;vesico-vaginal fistula operation. The lithotomy posture is specially valuable for operation
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