Gynaecology for students and practitioners . artholins gland ; B, Bartholins duct; C, fatty tissue of vulva ;D, branches of internal pudic artery, which correspond to the artery tothe bulb in the male ; E, inset to show actual size of the microscopicslide. The portion forming the gland is about the size of a pea or small horse-bean. levator ani, and the superficial perineal muscles. By voluntaryaction these muscles can constrict the ostium, and from reflex irrita-tion, spasmodic contraction may occur, giving rise to the conditionknown clinically as vaginismus {see pp. 146 and 371). 64 GYNECOLO
Gynaecology for students and practitioners . artholins gland ; B, Bartholins duct; C, fatty tissue of vulva ;D, branches of internal pudic artery, which correspond to the artery tothe bulb in the male ; E, inset to show actual size of the microscopicslide. The portion forming the gland is about the size of a pea or small horse-bean. levator ani, and the superficial perineal muscles. By voluntaryaction these muscles can constrict the ostium, and from reflex irrita-tion, spasmodic contraction may occur, giving rise to the conditionknown clinically as vaginismus {see pp. 146 and 371). 64 GYNECOLOGY Bartholins Glands. Bartholins glands are a pair of small, oval,glandular structures about | inch in diameter, lying at the sides of-the lower end of the vagina beneath the superficial perineal fasciaat the posterior end of each vestibular bulb {see Fig. 41). Theyare the homologue of Cowpers glands in the male. Under normal conditions the Bartholin gland cannot be felt, butwhen indurated and enlarged by chronic inflammation, as frequently. Fig. 43. Tkajnsveksj!; bjKuTiuiM TnROuun ^ s Gj^iijsD, (showingtubules lined by columnar epithelium. The branching or racemose arrange-ment is shown in the section. The branches of the duct are lined by lowcubical epithelium which, towards the commencement of the duct, becomes squamous. occurs in gonorrhoea, it can be palpated by pinching up the tissuesat the sides of the vulva between the finger passed inside and thethumb outside. The gland hes deeply, near the ascending ramus ofthe ischium {see Fig. 41), and can often there be felt as a hard,movable body, the size of a haricot bean. Each gland has a single,long narrow duct {see Fig. 42) which opens laterally at the base ofthe hymen. The mouth of the healthy duct may often be detectedby the presence of a minute drop of clear secretion ; otherwise it isvery inconspicuous, unless reddened by inflammation. The gland itself is a compound racemose structure enclosed in afibrous capsul
Size: 1581px × 1581px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
