. Clinical gyncology, medical and surgical. female, which is, however, veryrare, or more commonly a per-sistent opening of the bowel intothe vestibule in front of thehymen. To this condition thename of atresia ano-vaginalis iscommonly given, a name notstrictly accurate, for there is, ofcourse, not a complete atresia ofthe anus, but simply an abnor-mal position. Rarely there may be, coincident with this abnormal Anus vestibularis, aiimmelfarb), urethral orifice; , labium minus; v, vaginal entrance andopening of the bowel into the hymen; , posterior commissure; a, anus; a, peri- vest
. Clinical gyncology, medical and surgical. female, which is, however, veryrare, or more commonly a per-sistent opening of the bowel intothe vestibule in front of thehymen. To this condition thename of atresia ano-vaginalis iscommonly given, a name notstrictly accurate, for there is, ofcourse, not a complete atresia ofthe anus, but simply an abnor-mal position. Rarely there may be, coincident with this abnormal Anus vestibularis, aiimmelfarb), urethral orifice; , labium minus; v, vaginal entrance andopening of the bowel into the hymen; , posterior commissure; a, anus; a, peri- vestibule, a patent anus in the neum- normal situation, showing conclusively the growth inward of skin and connective tissue to meet the downward growth of septum between the genital and intestinal tracts. The failure on the part of these two processes to unite may residt in an opening at once into the vagina and externally between the buttocks in the normal situation. Hyperplasia <nnl Hypertrophy of the Vulva.—Hypertrophy of the labia 16. : 242 ANOMALIES OF DEVELOPMENT IN THE GENITAL TRACT. majora is a very rare occurrence. The writer has seen hut a single example,in which the labia projected an inch and a half from the surrounding skinand measured each one inch and three-quarters transversely. Supernu-merary development of the labia minora is likewise extremely rare. Boththese conditions are of interest to the scientific student, but call for nogynaecological treatment. Hypertrophy of the labia minora is a more common condition. It isFig. 33. found normally in certain races, as the Hottentots, andis occasionally seen in Cau-casian women. If the liv-pertrophied nymphse areirritated and inflamed, sothat locomotion is difficult,or if they interfere withcoition, they should be ex-cised. Non-Development of theVulva.—If the internal geni-talia are defective, the labiamajora and minora may besmall and flat, the vestibuleshallow and narrow, themons veneris not prominentand
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