. Clinical gyncology, medical and surgical. projectingfrom the vestibule and filling up the vulvar orifice. The external meatusof the urethra, situated in the centreof the tumor, was dilated and funnel-shaped, resembling very much theostium of a Fallopian tube greatlyhypertrophied and swollen. Thetumor bled easily when touched. Thegrowth was removed with the scalpel,and the urethral mucous membranestitched to the external mucosa withinterrupted silk sutures. Recovery. Case III.—A child, seven yearsof age, had been suffering from hema-turia for some days. Examinationdemonstrated a dark-red or p
. Clinical gyncology, medical and surgical. projectingfrom the vestibule and filling up the vulvar orifice. The external meatusof the urethra, situated in the centreof the tumor, was dilated and funnel-shaped, resembling very much theostium of a Fallopian tube greatlyhypertrophied and swollen. Thetumor bled easily when touched. Thegrowth was removed with the scalpel,and the urethral mucous membranestitched to the external mucosa withinterrupted silk sutures. Recovery. Case III.—A child, seven yearsof age, had been suffering from hema-turia for some days. Examinationdemonstrated a dark-red or purpletumor, about the size of a cherry,projecting from the vestibule, the meatus being situated a little below thecentre of it. It bled easily when touched, and on inquiry it was foundthat the child had from time to time suffered from hemorrhages, but hadat no time complained of pain. The same procedure was adopted as inCase II., with entire success. (Fig. 2.) Etiology.—A relaxed condition of the urethra, together with a loose Fig. Prolapse of urethral mucous membrane in achild. (Bagot.) 1 Dublin Journal of the Medical Sciences, September, 1891. 830 DISEASES OF THE URETHRA, BLADDER, AND URETERS. attachment of its mucous membrane to the submucous structures, is gen-erally assumed as a predisposing cause of the prolapse. Age and debilityundoubtedly favor its development. Vesical or rectal tenesmus of whatever origin, and, in children, violentand prolonged paroxysms of coughing, are regarded as exciting causes. Bagot observes that in the cases reported by him the results of micro-scopical examination went to confirm the opinion that cases which arecommonly described as complete prolapse of the urethral mucous mem-brane are rarely, if ever, instances of true primary prolapse, but that theprolapse of the mucous membrane is secondary to some neoplastic changein it, the most usual being, according to the investigations of Ruge andMartin, angioma. Symptoms.—Vesical tenesmus a
Size: 1679px × 1488px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgynecology, booksubjectwomen, bookyea
