EVERSION OP THE BLADDER 97 



Eversion 



This may occur from the same causes that pro- 

 duce prolapse, from which it differs only in that the 

 bladder is inverted upon itself and that it may 

 occur without rupture of the floor of the vagina. 

 It is differentiated from prolapse by the symptoms 

 given under that head. Remedial measures differ 

 somewhat. 



Treatment. — In inversion, after thoroughly clean- 

 ing the mucous coat the hind quarters of the patient 

 are elevated and the bladder pushed back through 

 the uretha with the finger or a smooth rounded 

 article, such as a thermometer or fountain-pen case. 

 The bladder must then be washed out with a two- 

 'per-cent solution of tannin, and strainfng prevented 

 by anodynes — such as H-M-C or morphin. In cases 

 of recurrence, laparotomy may be performed and the 

 bladder sutured to the abdominal walls, thus effect- 

 ually preventing further trouble. 



