A textbook of obstetrics . d on pressure discharging the pus slowly and imperfectly intothe urethra through the opening of Skenes glands. The abscessshould be opened through the The diseases of the vulva are also largely due to an in-creased blood-supply. 1 Archives de Tocol., Oct., 1894. 2 [8 PREGNANCY Varices in the labia majora may attain a large size. Theyhave been ruptured by muscular strain in an effort to preservethe equilibrium, by sitting down violently upon a hard sub-stance, or by a kick. The hemorrhage is always dangerous,and has proved fatal. Vegetations of the vulva may
A textbook of obstetrics . d on pressure discharging the pus slowly and imperfectly intothe urethra through the opening of Skenes glands. The abscessshould be opened through the The diseases of the vulva are also largely due to an in-creased blood-supply. 1 Archives de Tocol., Oct., 1894. 2 [8 PREGNANCY Varices in the labia majora may attain a large size. Theyhave been ruptured by muscular strain in an effort to preservethe equilibrium, by sitting down violently upon a hard sub-stance, or by a kick. The hemorrhage is always dangerous,and has proved fatal. Vegetations of the vulva may reach excessive size in preg-nancy. They are likely to give rise to an irritating, foul secre-tion. It is sometimes possible to excise the growth. Excessivehemorrhage, however, is to be feared, and the operation mightterminate pregnancy. Pruritus vulva? may be a neurosis or may be due to irritatingvaginal discharges and to glycosuria. The disease is oftentimesmost intractable to treatment. Antiseptic vaginal injections may. Fig. 150.—Hypertrophy of the urethral walls in pregnancy (authors case). be tried, or a wash of two per cent, solution nitrate of silver(Zweifel) ; menthol ointment, and other analgesic applications;very hot water, vinegar, and an infusion of tobacco are house-hold remedies of some value. In the worst cases the womanbecomes almost maniacal. She may walk the floor all night,tearing at the vulva with her finger-nails until the labia are rawand her fingersare stained with blood. In such cases the induc-tion of labor must be considered. Hdema of the vulva maybe unilateral or bilateral, and in somepregnant women reaches an extreme degree. It is due to pres-sure upon the pelvic veins, to kidney insufficiency, or, in the uni-lateral form, t labial abscess. There are some women who DISEASES OF THE VULl A. 1 I 9 develop a vulvovaginal abscess regularly in every pregnancy, and not at other times. Treatment.—If the cause can be removed, the edema disap-pears. The t
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