. Atlas and epitome of gynecology . t-sided hernatometra,hematosalpinx. Symptoms.—The symptoms of the genital atresiasvary, and appear at different periods of life, according totheir nature. Every new-born child should be care-fully examined as to the per-meability of the urethra andanus. This is frequentlyneglected, and anal atresia,or even complete closure ofthe urethra, is discoveredonly after days, either byaccident or through symp-toms of retention. The hymen also deservesattention, for although atre-sia in this situation is usually first discovered at puberty,there are recorded cases in
. Atlas and epitome of gynecology . t-sided hernatometra,hematosalpinx. Symptoms.—The symptoms of the genital atresiasvary, and appear at different periods of life, according totheir nature. Every new-born child should be care-fully examined as to the per-meability of the urethra andanus. This is frequentlyneglected, and anal atresia,or even complete closure ofthe urethra, is discoveredonly after days, either byaccident or through symp-toms of retention. The hymen also deservesattention, for although atre-sia in this situation is usually first discovered at puberty,there are recorded cases in which the menses had never appeared, owing to the pres-ence of this anomaly, andyet the condition remainedunrecognized until thepatient assumed the maritalrelation. The cardinalsymptom of all genital atre-sias, with the exception ofthose cases of uterus bi-cornis in which one sideis patulous, is nonappear-ance of the menses. In-creasing distention of thegenital tract by mucus andby menstrual blood is thecause of the earliest dis-. Fig. 12.—For the sake ofsimplicity, the two Miilleriauducts are drawn one behind theother, instead of side by empty into the cloaca,which connects the bladder(allantois, V) and the rectum(B), and which has no externalopening. A slight invaginationindicates the position of thefuture anus, and a similar one,the urogenital sinus. turbances. According tothe location of the atresia, we have a hematocolpos, ahernatometra, or a hematosalpinx. The symptoms are as follows : Pain, at first periodic 26 ANOMALIES OF FORMATION.
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