. The Principles and practice of gynecology : for students and practitioners. Same as Figure 270. The index-finger in the rectum forces the rectocele forward through the vulva. LACERATIONS OF Till: PERINEUM. 533 FioriiK Cystocele and rectocele consequent on injury to the vaginal outlet. The downward force of strainina^ at stool to empty the bladder andrectum increases the prolapse of the vaginal wall, which, being Figure 273.


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