. The diagnosis and treatment of diseases of women. Fig. 295. Prolapse of the Uterus in a Virgin.(Kustner—Kurzes Lehrbuch der Gynalcoloc/ie.) HYPERTROPHY OF THE CERVIX UTERI 219 Elongation of the Cervix produces a condition which is not infrequently mistakenfor prolapse. If the hypertrophy affects only the infra-vaginal portion of the cer-vix (Fig. 297-a)the vaginal walls are not carried down but remain in normal position,producing the condition shown in Figs. 298 and 299. When the elongation affects thesupra-vaginal portion(Fig. 297-c), both vaginal walls are carried down with the pro-. Fig.


. The diagnosis and treatment of diseases of women. Fig. 295. Prolapse of the Uterus in a Virgin.(Kustner—Kurzes Lehrbuch der Gynalcoloc/ie.) HYPERTROPHY OF THE CERVIX UTERI 219 Elongation of the Cervix produces a condition which is not infrequently mistakenfor prolapse. If the hypertrophy affects only the infra-vaginal portion of the cer-vix (Fig. 297-a)the vaginal walls are not carried down but remain in normal position,producing the condition shown in Figs. 298 and 299. When the elongation affects thesupra-vaginal portion(Fig. 297-c), both vaginal walls are carried down with the pro-. Fig. 296. Locating the body of tlie Uterus by recto abdominal palpation,in a case of suspected Prolapse. (Asbton—Practice of Gynecology.) trucling cervix, producing a condition (Fig. 300) very likely to be mistaken foruterine prolapse, unless the depth of the uterine cavity be measured or the body ofthe uterus be carefully outlined by bimanual palpation. In these cases the drag-ging of the relaxed and redundant vaginal walls, seems to be an important factor inproducing the elongation of the the hypertrophy or stretching, as thecase may be, affectsthe intermediate por-tion of the cervix(Figs. 297-b), the an-terior vaginal wall isusually carried downwhile the p o s te r i o rwall remains in place(Fig. 301). The time-honored division of thecervix into three por-tions, as indicated inFig. 297, is convenientfor fixing in mind theconditions ordinarilypresent in these cases,


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