Gynaecology for students and practitioners . Fig. 183. Primary Car-cinoma of THE Urethra : PAPILLIFEROUS TyPE. The pointer is in theurethral Fig. 184. Vulvo-urethral Carcinobia of the Squamous-cblled Type, The floor of the urethra is the part first attacked, and the growthspreads thence along the entire canal from the meatus to the bladder. DISEASES OF THE URETHRA 377 The inguinal glands are involved in at least 20 per cent, of cases(Karaki). The disease may spread over the vestibule and through thevaginal wall, but shows little tendency to attack the bladder. The treatment consists in
Gynaecology for students and practitioners . Fig. 183. Primary Car-cinoma of THE Urethra : PAPILLIFEROUS TyPE. The pointer is in theurethral Fig. 184. Vulvo-urethral Carcinobia of the Squamous-cblled Type, The floor of the urethra is the part first attacked, and the growthspreads thence along the entire canal from the meatus to the bladder. DISEASES OF THE URETHRA 377 The inguinal glands are involved in at least 20 per cent, of cases(Karaki). The disease may spread over the vestibule and through thevaginal wall, but shows little tendency to attack the bladder. The treatment consists in free excision of the urethra and theinguinal glands on both sides. If a portion of the proximal end of theurethra can be saved, it should be stitched to the anterior vaginal wall,but in such cases incontinence of urine usually results. If the sphincterof the bladder is injured or partially removed in the operation, the neckof the bladder should be closed and a permanent suprapubic fistulaestablished. Sarcoma of the Urethra is very rare ; up to 1911 only fourteen caseshad been recorded. Two of these occurred in women over fifty yearsof age an
Size: 1578px × 1583px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
