Treatise on gynaecology : medical and surgical . ° com-prise the great majority of those reported. They are usually menwith hypospadias where there is a perineo-scrotal fissure, and nume-rous autopsies have determined their exact signification. I have de-scribed three cases from the living individual,^^ and all three were builtupon exactly the same plan, in accord with cases described by mypredecessors. These persons are generally regarded as of the femi-nine sex at their birth, are registered as girls, and are dressed and ed-ucated as of the female sex. Many of them have been married, andnear
Treatise on gynaecology : medical and surgical . ° com-prise the great majority of those reported. They are usually menwith hypospadias where there is a perineo-scrotal fissure, and nume-rous autopsies have determined their exact signification. I have de-scribed three cases from the living individual,^^ and all three were builtupon exactly the same plan, in accord with cases described by mypredecessors. These persons are generally regarded as of the femi-nine sex at their birth, are registered as girls, and are dressed and ed-ucated as of the female sex. Many of them have been married, andnearly all were able to have intercourse with their husbands by the MALFORMATIONS OF THE VULVA, AND HEEMAPHRODISM. 451 urethral orifice, which was transformed into an infundibulum, ratherthan by the depression which existed below; but at the same time,many of them have had a taste for women and performed a more orless complete coitus. In some of these cases there was the appear-ance of irreoular menses from hemorrhages of the dilated and irritated. Tig. 146.—Pseudo-Hermaphrodism Proper, by Hypospadias. External genital organs of Julie D. (man).Masculine appearance of the parts with the penis depressed and the thighs together. urethra; ^^ but there are other cases where there was undeniableevidence of menstruation, although feeble and intermittent, and theanatomical condition of the parts was fully explanatory of the fact. The external conformation resembles that of an embryo seenthrough a magnifying glass; the penis projects or is fastened to thepnbes and maintained below^ by a frsenum; the gians is as large as inthe child or youth, and is imperforate, but its extremity is marked by 452 CLIlsriCAL AND OPERATIVE GYlSriECOLOOT. a groove with a fleshy band prolonged from its inferior part towardthe perineum. This bridle, well described by Bouisson from a sur-gical point of view, and which I have shown to be homologous withthe frsenum vestibuli of the female, extends from the glans
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