Constance sought help from two doctors. One of them was a "nerve doctor" from Heidelberg, Germany, who resorted to dubious remedies. The second doctor—Luigi Maria Bossi—conducted two operations (for uterine fibroid) in 1895 and 1898, the latter of which ultimately led to her death. According to "The Lancet", "the surgery Bossi performed in December 1895 was probably an anterior vaginal wall repair to correct urinary difficulties from a presumed bladder prolapse. In retrospect, the actual problem was probably neurogenic and not structural in origin".