. The Principles and practice of gynecology : for students and practitioners. u-dative cystitis intensified. The diagnosis between the two formsdepends upon the macroscopical and microscopical character of themasses removed or thrown off from the bladder. The disease wasdescribed early and fully by Boldt.^ Etiology.—Exfoliative cystitis is associated usually with one ormore of the following mechanical conditions : 1. Retroversion of the gravid uterus in 50 per cent, of cases. 2. Protracted birth in 25 to 30 per cent, of cases. 3. Incarcerated pelvic tumors. 4. Retention of urine, especially in
. The Principles and practice of gynecology : for students and practitioners. u-dative cystitis intensified. The diagnosis between the two formsdepends upon the macroscopical and microscopical character of themasses removed or thrown off from the bladder. The disease wasdescribed early and fully by Boldt.^ Etiology.—Exfoliative cystitis is associated usually with one ormore of the following mechanical conditions : 1. Retroversion of the gravid uterus in 50 per cent, of cases. 2. Protracted birth in 25 to 30 per cent, of cases. 3. Incarcerated pelvic tumors. 4. Retention of urine, especially in puerperal cases, — 1. Membrane expelled in urine. 2. Membrane may obstruct the urethra, causing retention. 3. Membrane in the bladder causes vesical tenesmus; expulsion of it causes pain and straining. 1 Adaptation from Senu. 2 American Journal of Obstetrics, June, 1889, CYSTITIS. 325 4. Death may occur (Voiu : a, sepsis; h, iiniMnia; <•, |)y(li(is;(1, Fissure Cystitis.— Fissure cystitis is causcil by inlcctiou tliiou^li FlCFRK ^\. Stone in the bladder, a cause of foreign-body cystitis. a traumatism at the neck of the bladder or in the trigone. As seentluough the cystoscope, the fissure is covered usually by a brownishor yellowish exudate surrounded by an oederaatous area. Figure 148.
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