The surgical diseases of children . if the foetus declare for a female, thesefolds grow into the labia majora, and hide the clitoris;if a male, they are joined across the median raphe toform the halves of the scrotum. In the female, thelips of the uro-genital canal become the nymphie ; inthe male, they join along the under surface of thepenis, to enclose the urethra. Just before birth, thetestes descend into the lateral halves of the scrotum. A partial arrest of development may occur at any 278 The Surgical Diseases of Children. stage ; if the development proceed from the indifferentto the hig
The surgical diseases of children . if the foetus declare for a female, thesefolds grow into the labia majora, and hide the clitoris;if a male, they are joined across the median raphe toform the halves of the scrotum. In the female, thelips of the uro-genital canal become the nymphie ; inthe male, they join along the under surface of thepenis, to enclose the urethra. Just before birth, thetestes descend into the lateral halves of the scrotum. A partial arrest of development may occur at any 278 The Surgical Diseases of Children. stage ; if the development proceed from the indifferentto the highest type a male foetus will be the result,and if it stop short of this, a female. A not uncommon type of hermaphroditism resultswhen development leaves the penis without the ex-tension of the incurved ridges below it to form theurethra, the integumental folds, though containingthe testes, not being joined in the middle line to formthe scrotum. Such a child, at the age of sixteenmonths, was brought by its mother to see if anything. Fig. 40.—Mistaken Sex. Variety of Hypospadias. could be done to improve the appearance. Those whohad seen the child at birth had no doubt of its sex,and it was registered by the name of Florence labia seemed normal; the clitoris apparently washypertrophied, and hooded with a redundant prepuce,and beneath it opened the urethra; there was novagina. But later on the testes could be detected inthe lateral integumental folds ; the subject was de:clared an imperfectly developed male, and the motherwas advised to register him ag;iin with a boys three years later the patient was again seen,and dres-sed as a boy ; he looked a strong and sturdylittle fellow ; the accompanying illustration was madewhen he was between four and five years old. chap, xx.] Occlusion of Vagina. 279 It is necessary that the sex of such a child bedetermined at the earliest possible moment, otherwisegreat disappointment or trouble may be entailed. With simple hyp
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
