Albany medical annals . Fig. IV. Albany Medical Annals. i7 time to time for examination — she was lost sight of, andit is only since my return from Baltimore that we have been ableto locate her. After some difficulty, she was found July 30, 1897,four years after the adjustment of cup and stem, and we are ableto make the following interesting report of her condition. She states that she wore the cup and stem for nearly a yearwithout removing it, and without discomfort. She then removedit to adjust new rubber straps, and failed to re-introduce the stem,which she finally had removed from the cup,
Albany medical annals . Fig. IV. Albany Medical Annals. i7 time to time for examination — she was lost sight of, andit is only since my return from Baltimore that we have been ableto locate her. After some difficulty, she was found July 30, 1897,four years after the adjustment of cup and stem, and we are ableto make the following interesting report of her condition. She states that she wore the cup and stem for nearly a yearwithout removing it, and without discomfort. She then removedit to adjust new rubber straps, and failed to re-introduce the stem,which she finally had removed from the cup, and has since usedthe cup alone, removing it daily, and has very little discomfort. Examination. — Outlet enormously relaxed with prolapsingvaginal walls, especially the posterior, producing a large recto-. Fig. v. cele. We had much difficulty in locating the uterus, owing tothe thick and rigid abdominal walls and relaxed vagina. Theuterus was found to be very small (no inversion present), butevidently marked atrophy had taken place; it is freely movableand descends well into the vagina when patient makes expulsiveefforts (Fig. V). From the above it is evident that in the courseof four years our patients condition has changed from one ofcomplete inversion, with partial inversion of vagina, to one ofsimple prolapsus uteri, with markedly relaxed and redundant i8 Albany Medical Annals. vaginal walls, which a plastic operation on vagina and outlet,owing to the atrophied condition of the uterus, would be likely tocure. Just how much can be attributed to the stem in effectingthis desirable change must remain a matter of speculation. Itseems to us, however, not unreasonable to believe that the uteruswas placed by reason of the stem and cup in the most favorableposition for rapid contraction, po
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