DISEASES OF THE VAGINA. 



discharge, which begins in a few days. Local examination is the 

 only means of certain diagnosis. Where a large or putrefied pes- 

 sary has caused the inflammation, its removal, and the use of luke- 

 warm, and later of cold and astringent, injections, ordinarily suffice 

 to cure the disease. The affection usually disappears readily also if 

 a large polypus, that has forcibly distended the vagina, be removed. 

 On the other hand, where sloughing cancer or vesico-vaginal fistula 

 has caused the disease, we must limit ourselves to a palliative treat- 

 ment. In those cases occurring in the course of infectious diseases, 

 it is usually sufficient to attend to cleanliness, as the secondary dis- 

 ease generally passes off with the primary. 



