[Vesical flexion and vaginal prolapse of sows as an obstetrical problem].

The evaluation of 523 clinically supervised parturitions of swine from the last ten years showed that vesical flexion and vaginal prolapse as a complex range together (with 9.4%) on place three of the causes of dystocia. There were 16 cases of vesical flexion (= 3.1% of dystocia) and 33 cases of vaginal prolapse (= 6.3% of dystocia). Both groups showed a lot of mutualities. For example most cases in both groups were shortly before the third parturition. 50% of vesical flexions and 78.8% of vaginal prolapses appeared within one week before parturition concerning the third pregnancy in 25 and 27.3% of the cases. Both kinds of illness often were accompanied by a further dislocation of rectal tissue. This concerned 31.2% of the patients with vesical flexion and 21.2% of those with vaginal prolapse. The patients in 81.2% of vesical flexions and in 72.7% of vaginal prolapses were not taken to the clinic before dislocation of tissue appeared stationary. To make sure the diagnosis "vesical flexion" and to differentiate it from vaginal prolapse several methods are available. The most important one is catheterization of the bladder. This was done in 56.2% of the cases for diagnostical as well as for therapeutical reasons. To avoid relapses the foley-catheter had to be left in the bladder for maximal 19 days and for 6 days on an average. The vaginal prolapse after reposition was treated in 60.6% of the cases by a vaginal fastening. This was done to 75% of these patients according to Bühner.(ABSTRACT TRUNCATED AT 250 WORDS)