. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 28.—Descent of pelvic floor, with slight (first degree of) prolapse. (Frommeasurements.) the result of this, together with the obstructed circulation, isulceration; a depressed granular surface secreting pus andcovered with granulation tissue instead of epithelium ; not anew growth of gland tissue like a granular erosion. Some-times these ulcerations are covered with a diphtheritic-looking UTEUIXE DISPLACEMENTS: PROLAPSE. 119 pellicle, (d) Elongation. There is jet another change to benoticed (Fig. 31). Most cases of p
. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 28.—Descent of pelvic floor, with slight (first degree of) prolapse. (Frommeasurements.) the result of this, together with the obstructed circulation, isulceration; a depressed granular surface secreting pus andcovered with granulation tissue instead of epithelium ; not anew growth of gland tissue like a granular erosion. Some-times these ulcerations are covered with a diphtheritic-looking UTEUIXE DISPLACEMENTS: PROLAPSE. 119 pellicle, (d) Elongation. There is jet another change to benoticed (Fig. 31). Most cases of prolapse of the uterus begin withprolapse ot the vagina. The anterior wall of the vagina firstdescends, and drags down the cervix uteri. The body of the. Fig. 29.—Showing second degree of prolapse ; elongation of cervix and body ofuterus; swelling of part outside vulva; cystocele {It. Barnes). (From aspecimen in the AJweum of St. Thomass Hospital.) uterus being held in place by its own attachments, thetraction on the cervix pulls it from the body, and lengthensthe part of the cervix which is above the insertion of thevagina. This may be so stretched that the uterine cavitycomes to measure five inches long. Pathology of hypertrophic elongation of the cervix.—The pathology of the lengthening of the uterine canal which 120 DISEASES OF WOMEN. goes with the second stage of prolapse is not yet perfectlyunderstood. Its common name, hypertrophic elongation ofthe cervix, implies that there is new growth as well as
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