Popis: |
Anterior displacement of the bladder, imprint of the uterus upon the posterosuperior surface, and partial elimination of the segment of bladder posterior to the urethrovesical junction, are three abnormal alterations in urethrovesicopubic relationships. They occur as the result of extravesical pressure. First observed after uterine suspension, these relationships have been noted to occur also in association with pelvic tumors. They stand out in contrast to the usual downward and backward rotatory changes incident to parturition. Urinary stress incontinence may accompany either type of change. It is the purpose of this report to evaluate the importance of the anatomic changes which occur as the result of posterosuperior extravesical pressure. |