The abdomen should be palpated to determine the presence of suprapubic fullness suggestive of bladder distension. A palpable left lower quadrant mass can indicate fecal impaction. A genital ...
The vaginal mucosa is dissected free until a finger can be inserted retropubically and the arcus tendineus can be palpated. Sutures are placed through the arcus tendineus and then through the ...