Treatise on gynaecology : medical and surgical . rotal Hypospadias. External organsof Julie D. (man). CV* Fig. 149.—Details of the Hymen and ;NuMrVestibuli in the Same Subject, g, Glans; gl, labiamajora; p?, nymphae; mtt, meatus; ov, vulvar ori-fice; liy^ hymen; /, fourchette. this canal that ejaculation occurs at the moment of orgasm. Dur-ing erection the penis is held in a curved position by the bridle. The prepuce is open below and is disposed as in the case of theclitoris; there are rudimentary labia minora and well-marked labiamajora. The testicles are always rudimentary and secrete a
Treatise on gynaecology : medical and surgical . rotal Hypospadias. External organsof Julie D. (man). CV* Fig. 149.—Details of the Hymen and ;NuMrVestibuli in the Same Subject, g, Glans; gl, labiamajora; p?, nymphae; mtt, meatus; ov, vulvar ori-fice; liy^ hymen; /, fourchette. this canal that ejaculation occurs at the moment of orgasm. Dur-ing erection the penis is held in a curved position by the bridle. The prepuce is open below and is disposed as in the case of theclitoris; there are rudimentary labia minora and well-marked labiamajora. The testicles are always rudimentary and secrete a semenwhich is sterile like that of cryptorchids; at times they descend, atother times they remain at the ring or within the abdomen. 454 CLINICAL AJSTD OPEEATIVE GYISTJECOLOGT. The development of tlie breasts is often feminine, as also the ap-pearance of the buttocks and thighs, where the panniculus adiposusis usually very thick. The larynx does not project and the voice iswomanish; the pelvis is masculine and the beard is either very scanty. Fig. 150.—rsEUDO-HERiiAPHRODisM Proper. External organs of Louise B, (man), g, Glans; 6, fraenum;ov, vulvar orifice; hy, hymen; /, fourchette; pi, nymphse; gl, labia majora. or well grown; and when the latter character accompanies well-devel-oped breasts, the case is particularly striking. Ordinarily, rectal touchand the use of the catheter fail to discover any trace of a uterus, orgenerally of a prostate, and bimanual palpation does not reveal thepresence of ovaries. MALFOEMATIOXS OF THE VULVA, AND IIERMAPHKODISM. 455 These individuals are of feeble siDirit or, if intelligent, are not wellbalanced ;^^ their antecedents are often marked by nervous phenom-ena; and the coincidence of similar deformities in the same family-has been observed.^* True Hermaphrodisin.—Although admitted without hesitationby the older writers, who have instanced a number of examples, theexistence of true hermaj)hrodism is to-day strongly contested. Klebs off
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