. Gynecology : . Fig. 251.—Operation for Cystocele. (Authors method.)Sutures tied, operation completed. The anterior vaginal wall should at the finish of the operation have a concave contour. If the cystocele is very marked it is a good plan to enfold the bladder by arow of buried No. 00 catgut sutures before placing the main sutures. It should be remembered that this operation, like all plastic operations onthe anterior wall, cannot be depended on of itself to maintain a permanentreduction of the cystocele if there is present at the same time a prolapse of theuterus. As prolapse and cystocele
. Gynecology : . Fig. 251.—Operation for Cystocele. (Authors method.)Sutures tied, operation completed. The anterior vaginal wall should at the finish of the operation have a concave contour. If the cystocele is very marked it is a good plan to enfold the bladder by arow of buried No. 00 catgut sutures before placing the main sutures. It should be remembered that this operation, like all plastic operations onthe anterior wall, cannot be depended on of itself to maintain a permanentreduction of the cystocele if there is present at the same time a prolapse of theuterus. As prolapse and cystocele usually go hand in hand, the operation forcystocele is valuable chiefly when used in combination with an appropriatesuspensory operation for relief of the prolapse. 614 GYNECOLOGY OPERATION FOR FUNCTIONAL INCONTINENCE OF URINE Numerous operations have been devised in times past for functional incon-tinence. One type of operation is based on the principle of narrowing the ex-ternal orifice, another of reduplica
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