A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . ese solid tumors may be fibrous or fatty. Usu-ally but one side is affected in the same person. Diagnosis. The diagnosis of either of these conditions is to be madeby physical examination. There is no opportunity to bemistaken in regard to their nature. The question of greatestinterest is regarding their treatment. Treatment The enlargement of the clitoris usually demands no treat-ment. It has been amputated, but the operation is not rec-ommended. The enlargement of the nymphae is sometimes such a,so
A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . ese solid tumors may be fibrous or fatty. Usu-ally but one side is affected in the same person. Diagnosis. The diagnosis of either of these conditions is to be madeby physical examination. There is no opportunity to bemistaken in regard to their nature. The question of greatestinterest is regarding their treatment. Treatment The enlargement of the clitoris usually demands no treat-ment. It has been amputated, but the operation is not rec-ommended. The enlargement of the nymphae is sometimes such a,source of irritation and annoyance as to demand is easily and safely accomplished with scissors, afterplacing the patient under the influence of an anaesthetic.(See Fig. 69.) The hemorrhage is usually not severe, and 726 EATON ON DISEASES OF WOMEN. may be arrested by applications of cold cloths. If a blood-vessel is cut of any size, it may be twisted with forceps,or ligated. The Ferri persulph. should, however, be at handin case of troublesome oozing of blood. The entire nymphse. Fig. No. 69.—Emmets Curved Scissors. need not be removed, as the excision of the excess of devel-opment is all which is required. In hypertrophy of the labia majora nothing need be doneunless the enlargement is so excessive as to obstruct thelimbs in walking, in which case the enlargement is usuallydue to the growth of a tumor in its substance, or pudendalhematocele. This may be removed by incising the mucousmembrane, and enucleating the tumor, if possible. This canreadily be accomplished in case the tumor is fibrous, hard,encysted, or fatty; but when cystic it is sometimes impossi-ble, in which case we may evacuate the cyst, and attemptto peel off the cystic wall with the fingers, or the handle ofthe scalpel, being careful about incising the deep tissues ofthe labia. If we can not detach the cyst wall we may mopit out with Tr. of Iodine, and apply compression. After the removal of the tum
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