Nonoperative treatment of prolapsus uteri : the Schatz pessary, etc. / by Kate Campbell Mead.

  • Hurd-Mead, Kate Campbell, 1867-1941.
Date:
1905
Catalogue details

Licence: In copyright

Credit: Nonoperative treatment of prolapsus uteri : the Schatz pessary, etc. / by Kate Campbell Mead. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    of procidentia, and perhaps no artificial support will ever be made to take the place of normal perinaeum and normal suspensory ligaments, but the most satisfactory artificial aid in this respect for cases of prolapsus uteri with rectocele and cystocele is a pessary invented by Professor Schatz, of Rostock University in Mecklenburg, Germany. This particular pessary is saucer shaped, made of hard rubber, and perforated lib- erally so as to allow for the exit of secretions. It is made in many sizes from 6 cm. to 9 or 10 cm., and is the only one I have ever seen which can be retained in cases of prolapse or procidentia with torn perinaeum and flabby vaginal walls. The old cup pessary is ruinous to the patient’s mucous membrane, of little value as a support, and actual- ly harmful if worn long. The Hodge or Thomas Smith pessaries cannot be retained unless the pel- vic floor is whole. The ring pessaries are of more value than some of the others, but frequently are so bulky as to be uncomfortable. Professor Schatz (5) formerly recommended the egg or ball pessaries in cases of large inoperable genital pro- lapse. These pessaries are hollow, very light in weight, and are frequently used in the clinics abroad, particularly in Rome. The suction of the vagina holds this artificial egg in place with such strength that frequently to remove the pes- sary it is necessary to soften a small area in its surface with ether or chloroform and extract it with tenacula or forceps. Professor Schatz, having used these various pessaries and realized their imperfections, made