. The Principles and practice of gynecology : for students and practitioners. ad water and laudanum, orsedative suppositories in the rectum, may give relief. If the irrita-tion is very great, the compress may be saturated with a 5 per cent,solution of cocaine muriate. The medicinal treatment will be the sameas for gonorrhoea in the male. Urotropin is recommended highly. URETHRITIS. 315 Cliroiiic inflammation in Skenes trlands, especially if gonorrhcTeal,usually resists all conservative measures, jf it does not yield to theaj)plication of nitrate of silver fused on a fine probe, or to injection
. The Principles and practice of gynecology : for students and practitioners. ad water and laudanum, orsedative suppositories in the rectum, may give relief. If the irrita-tion is very great, the compress may be saturated with a 5 per cent,solution of cocaine muriate. The medicinal treatment will be the sameas for gonorrhoea in the male. Urotropin is recommended highly. URETHRITIS. 315 Cliroiiic inflammation in Skenes trlands, especially if gonorrhcTeal,usually resists all conservative measures, jf it does not yield to theaj)plication of nitrate of silver fused on a fine probe, or to injectionsof disinfectants, the entire lenj^th of the tubules should be laid openon the vaginal side, using a ]>rolK as a guide. The glandular struct-ures are then to be destroyed by caustic or by excision with scissors,and the surfaces made to heal by granulation. To fuse the silvernitrate on the probe, let the salt be melted in a small receptacle overa spirit-lamp, and dij) the end of the jirobe into it repeatedly so as tocoat it over with a thin layer of the salt. Figure Emmets button-hole operation. Treatment of Urethral Stricture.—The inflammatory process mayhave been so intense as to produce contracting cicatricial tissue andconsequent stricture. The cause of this uncommon lesion is usuallygonorrhoea or trauma. The treatment is dilatation by means ofgraduated sounds, as in stricture of the male urethra. Should dilata-tion fail, a urethrovaginal fistula may be made and the vaginalmargins sutured to the urethral margins of the opening. When theedges have healed securely, the fistula may be closed by denudationon the vaginal surface, the interrupted silkworm gut sutures being soplaced as to give ample calibre to the restored urethra. See Figure144. 316 INFECTIONS, INFLAMMATIONS, AND ALLIED DISORDERS. URETHRITIS COMPLICATED BY PROLAPSE OF URETHRAL MUCOSA. Description.—Prolapse of the urethral mucosa and submucosa,with complicating urethritis, has been described by Emmet.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
