. Atlas and epitome of gynecology . ch of Douglas, and of the contiguous portion of therectum. The latter cases are usually associated with vasomotor andmotor disturbances of innervation of the parts. (See the authorspaper in the uMon. f. Geb., January, 1898.) Coccygodynia is a local hyperesthesia of the plexus coccygeus. Treatment.—Hydrotherapy, or, in extreme cases, extirpation ofthe os coccygeus. Sometimes confusion may arise from a pain, which is experiencedin the coccygeo-anal region, but the location of which may be shownto be considerably higher—in the posterior vaginal fornix or about


. Atlas and epitome of gynecology . ch of Douglas, and of the contiguous portion of therectum. The latter cases are usually associated with vasomotor andmotor disturbances of innervation of the parts. (See the authorspaper in the uMon. f. Geb., January, 1898.) Coccygodynia is a local hyperesthesia of the plexus coccygeus. Treatment.—Hydrotherapy, or, in extreme cases, extirpation ofthe os coccygeus. Sometimes confusion may arise from a pain, which is experiencedin the coccygeo-anal region, but the location of which may be shownto be considerably higher—in the posterior vaginal fornix or about thepouch of Douglas; not rarely varicoceles in the broad ligament andhemorrhoids high up in the rectum may be demonstrated. In thepuerperium, immediately after delivery, and sometimes even occasion-ally during pregnancy, an analogous pain is experienced, which isfalsely ascribed to the coccyx, to pressure on its plexus, to periosteitis,to luxations, etc. Careful palpation from the rectum and externallyexcludes these


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