Pathology and treatment of diseases of women . agina in large canals are, as a rule, only short, the edges stretched to fine fistula runs obliquely through the septum vesico-vaginale. In other OPERATIONS FOR UROGENITAL FISTULA 309 •cases it is located in the vault close in front of the cervix uteri, deepvesico-vaginal fistulae (Fig. 139). The fistulae become much moreirregular in their course as soon as the uterus is involved. In suchvesico-uterine fistulae (Fig. 140) a part of the anterior cervical lip maybe torn off, or the fistula may terminate in the cervical c
Pathology and treatment of diseases of women . agina in large canals are, as a rule, only short, the edges stretched to fine fistula runs obliquely through the septum vesico-vaginale. In other OPERATIONS FOR UROGENITAL FISTULA 309 •cases it is located in the vault close in front of the cervix uteri, deepvesico-vaginal fistulae (Fig. 139). The fistulae become much moreirregular in their course as soon as the uterus is involved. In suchvesico-uterine fistulae (Fig. 140) a part of the anterior cervical lip maybe torn off, or the fistula may terminate in the cervical canal, and the shapeof the external uterine orifice is unchanged (Fig. 141). These vesico-cervical fistulae occur probably not so rarely, as one might deduce fromreports in literature,236 as they are seldom diagnosed. After a not smallnumber of difficult labors with a narrow pelvis we hear the puerperacomplain on the third to the fifth day of incontinence of the bladder andescape of urine from the vagina. Thereby it is difficult to determine.
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
