. Atlas and epitome of gynecology . l wall; beginning retroversionof the uterus. There are cases, however, in which solid, and evenliquid, stools can be voluntarily controlled. This is dueeither to an intact portion of the external sphincter, thetear not extending 1| cm. into the rectum, or to the factthat the lowest portion of the rectum has undergone cica-tricial contraction. Such cases are not easy to diagnose,because these rectal scars become pigmented and coveredwith epidermoid tissue. The scars may be the seat of neuralgias or pruritus. Iffissures form, burning and tenesmus are present.
. Atlas and epitome of gynecology . l wall; beginning retroversionof the uterus. There are cases, however, in which solid, and evenliquid, stools can be voluntarily controlled. This is dueeither to an intact portion of the external sphincter, thetear not extending 1| cm. into the rectum, or to the factthat the lowest portion of the rectum has undergone cica-tricial contraction. Such cases are not easy to diagnose,because these rectal scars become pigmented and coveredwith epidermoid tissue. The scars may be the seat of neuralgias or pruritus. Iffissures form, burning and tenesmus are present. Thecontinual moisture of the prolapsed vaginal walls, with orwithout discharge or intertrigo, is a constant source of an-noyance ; there arises a dragging sensation, as if the inter-nal organs would fall out. The deficient closure of thevulva, which increases with the senile atrophy of fattytissues, allows air to enter the vagina ; any increase of theabdominal tension will force this air out in an audiblemanner—garrulitas
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