Excerpt from Prolapse of the Womb: With Especial Reference to the (So-Called) Hypertrophic Elongation of the Supra-Vaginal Portion of the Cervix, With Report of a Case
The causes, both predisposing and exciting, are the same in each of these divisions of simple pro lapse, the difference between them being one solely of degree and not of kind. We may, therefore, study them together.
Advanced age, laborious occupation, habitual constipation, and childbearing, predispose this con dition, whilst any cause which tends to increase the weight of the organ or to weaken its support will also prove an exciting factor.
The symptoms occurring in this prolapse are manifestly present either in a greater or less degree in the other two, and may be considered better in that form of prolapsus which this paper is meant particularly to describe.
The treatment consists in replacing the organ into its normal position and in sustaining it in the same by means of supports, in the shape of the various forms of pessaries in the market, which must be adapted to the needs of each particular case. The bowels should be carefully regulated, all heavy work and straining at stool avoided, astringent vaginal injections may be used with advantage, and rest in bed is often productive of good. Any complication which may exist, such as inflammation, ulceration, or hypertrophy must receive attention.
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