Annals of surgery . l tract of the female are further advanced even than themore recent anatomies in their anatomic description. Thisshows that the subject courts farther investigation. The writer has found, after having made a number offemale bladder dissections (the last ones being made inWeichselbaums Pathologic Laboratory in Vienna), that thedeep urethral glands of the female were located midway be-tween the neck of the bladder and the meatus urinarus exter-nus; placed laterally to the urethra, above the vesico-vaginalfascia, and having ducts which empty just internal to the exter-nal meat
Annals of surgery . l tract of the female are further advanced even than themore recent anatomies in their anatomic description. Thisshows that the subject courts farther investigation. The writer has found, after having made a number offemale bladder dissections (the last ones being made inWeichselbaums Pathologic Laboratory in Vienna), that thedeep urethral glands of the female were located midway be-tween the neck of the bladder and the meatus urinarus exter-nus; placed laterally to the urethra, above the vesico-vaginalfascia, and having ducts which empty just internal to the exter-nal meatus. When hypertrophic the gland encroached upon thebladder-neck, the changes in shape during hypertrophy beingsimilar to the male prostate during its outcroppings of lobules.(See Fig i.) In the majority of gonorrhoeas of the female the urethrais invaded. During this urethritis the deep urethral glandsare constantly in danger. Should they become infected thepathology present is much similar to gonorrhoeal prostatitis. I.—I, left hypertrophic gland; 2, right glandular lobulethai acted as bolt valve in urethra ; 3. wires sounding left ureth-ral ; 4, same in right urethral ; 5 and 6, left and right hypertro-phied gland of Bartholin; 7, tiny probe in duct of deep urethralgland. THE FEMALE PROSTATE. 579 in the male. Should pus form and the abscess break, the solu-tion of continuity will either be toward the urethra or towardthe vagina. Should the vaginal route be taken, there is greatdanger of an urethro-vaginal fistula, which is practically avesico-vaginal fistula. The vesico-vaginal fascia is so thin and so lacking in tonequality that an abscess penetration of it is effected with nogreat effort. Should the urethra remain competent the drain-age opening will close and the abscess will reform ad libitumuntil surgical help is called. Should this infection be not suf-ficiently virulent to produce a breaking down of the tissues,there will remain a passive inflammation that by th
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
