Gynaecology for students and practitioners . Fig. 321. The Watch-spring Ring Fig. 322. How to hold the Pessary for introduction. sufficient size to prevent the anterior vaginal wall from sagging throughit. This instrument does not interfere with marital intercovirse. In cases of cystocele a ring pessary is seldom successful, for theanterior vaginal wall and bladder will protrude through it if the cysto-cele is of considerable size. Ring pessaries with a perforated rubberdiaphragm are sometimes used for this purpose, but this device is ob -jectionable, as it prevents the free escape o
Gynaecology for students and practitioners . Fig. 321. The Watch-spring Ring Fig. 322. How to hold the Pessary for introduction. sufficient size to prevent the anterior vaginal wall from sagging throughit. This instrument does not interfere with marital intercovirse. In cases of cystocele a ring pessary is seldom successful, for theanterior vaginal wall and bladder will protrude through it if the cysto-cele is of considerable size. Ring pessaries with a perforated rubberdiaphragm are sometimes used for this purpose, but this device is ob -jectionable, as it prevents the free escape of the uterine and vaginalsecretions. For slight cases of cystocele a Hodge pessary to the lowerend of which a transverse bar has been added is useful ; severe cases ofcystocele can only be dealt with efficiently by operation {see p. 806). Cases of prolapse in which the retentive power of the vagina hasbeen lost are, generally speaking, unsuitable for treatment by pessaries,and in almost all cases operative measures should be advised. Some- 606 GYNAECOLOGY times, however, in such ca
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
