Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . vesical mu-cous membrane may be the seat of the hemorrhage. Where absence of the uterus or ovaries is suspected, the tissues abovethe vaginal pouch may be searched with tolerable accuracy between the GYNECOLOGICAL EXAMINATION. 59 finger in the rectum and a catheter or sound in the bladder. This man-ipulation is particularly valuable in suspected congenital absence of theorgans named, and in inversion of the uterus. Wh
Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . vesical mu-cous membrane may be the seat of the hemorrhage. Where absence of the uterus or ovaries is suspected, the tissues abovethe vaginal pouch may be searched with tolerable accuracy between the GYNECOLOGICAL EXAMINATION. 59 finger in the rectum and a catheter or sound in the bladder. This man-ipulation is particularly valuable in suspected congenital absence of theorgans named, and in inversion of the uterus. When it appears desirable to inspect the mucous surface of the ure-thra, the expansion of the canal by any dilating instrument, such as ordi-nary dressing-forceps or uterine dilator, will often suffice. Thus an ordi-nary hairpin, with its points fixed in a cork, may dilate the meatus suffi-ciently to give a view of the first half of the canal. Special instrumentsfor the purpose have been devised by Barnes, Skene, and recently byDr. Alex. W. Stein, of New York. Barness instrument acts on the prin-ciple of a tubular speculum, the slit being for the purpose of catching a car-. Fig. 29.—Skenes urethral endoscope. umcle, and presenting it ready for removal; Steins speculum is a simpletubular dilator, which is to be gradually pressed inward until it passesthe neck of the bladder, and then used as an endoscope for that organ,the different sections of the mucous membrane being one after the otherbrought into its focus. It is a very serviceable instrument, decidedly su-perior to that of Barnes, both for inspection and operation. A usefulurethral dilator is the ordinary nasal speculum. Besides the speculumshown in the cut, Dr. Skene has devised an endoscope for the urethraand bladder, which consists of a glass tube, precisely like an ordinarytest tube, varying in size according as it is to be used merely for urethralexploration, or is to be passed into the bladder, and of a section of ac
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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
