Albany medical annals . which timemethods of irritated and excoriated the parts to such a degreethat patient jcould not wear it. It then occurredto nt tjxat/wc might utilize in, t&is case the prin-e cjples of the intra-uterine stem -pessary in con--Junction with a Mcintosh cup by a^jitsljng anintra-?te,ru\e-stem ptvpifcrm in , 3-i incheslong aiK«. an inch in rhameter at its greatest cir-cumference, and attached to the cup of Mcintoshsinstrument by a screw joint (Fig. III). We introduced this stem into the uterine cavity,adjusted the supporter as before, and allowed thepatient to


Albany medical annals . which timemethods of irritated and excoriated the parts to such a degreethat patient jcould not wear it. It then occurredto nt tjxat/wc might utilize in, t&is case the prin-e cjples of the intra-uterine stem -pessary in con--Junction with a Mcintosh cup by a^jitsljng anintra-?te,ru\e-stem ptvpifcrm in , 3-i incheslong aiK«. an inch in rhameter at its greatest cir-cumference, and attached to the cup of Mcintoshsinstrument by a screw joint (Fig. III). We introduced this stem into the uterine cavity,adjusted the supporter as before, and allowed thepatient to walk about (Fig. IV). We have purposely delayed the publicationof this case until the results of this mechanicaltreatment could be subjected to that crucial testalone enables us to apply to all new or uniquetreatment- Soon after adjusting this apparatus to my patient — with the instruction to present -herself from. 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-


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Keywords: ., bookauthorm, bookcentury1800, bookdecade1890, booksubjectmedicine