Gynecological diagnosis . mon condition in female infantsand children. Some; authors consider that the prepuce is adherentnormally. W. A. Edwards (supplement to Keatings Cyclopediaof Diseases of Children, p. 872) noted adhesions of the labiaminora nine times in his private records of the births of two hundredand fifty female children. He says further thai he has been accus-tomed to see several cases of adherent prepuce in children everyyear. It is doubtful whether adherent prepuce is often a cause of 558 INFANCY AND CHILDHOOD grave nervous disease, but this acts sometimes as a cause of localir
Gynecological diagnosis . mon condition in female infantsand children. Some; authors consider that the prepuce is adherentnormally. W. A. Edwards (supplement to Keatings Cyclopediaof Diseases of Children, p. 872) noted adhesions of the labiaminora nine times in his private records of the births of two hundredand fifty female children. He says further thai he has been accus-tomed to see several cases of adherent prepuce in children everyyear. It is doubtful whether adherent prepuce is often a cause of 558 INFANCY AND CHILDHOOD grave nervous disease, but this acts sometimes as a cause of localirritation and of enuresis in children. In cases of wetting of thebed the genitals should be inspected carefully to rule out thisabnormality. The irritation caused by the adhesion of the prepuceis thought to be a cause of masturbation,—at any rate theprepuce is often found adherent in masturbators. Labial Hernia.—An inguinal hernia sometimes passes along theround ligament and appears in the labium ma jus. This condition. Fig. 204.—Longitudinal Median Section of the Pelvis of a New-born Child.(After Webster.) Showing relatively long cervix and vagina, retropositionwith anteflexion, straight sacrum and cartilaginous coccyx. is seen in late childhood occasionally, and not rarely in infants. Thehernial sac may contain omentum, intestine, or ovary and of the ovary, sometimes accompanied by its tube, has beenmet fairly often in female infants under eighteen months of age, itbeing due apparently to the normal position of the ovaries andtubes in infancy close to the internal openings of the inguinalcanals (sec Fig. 206), to a patent canal of Nuck, or a shortenedround ligament. ,,The protrusion can be traced to the externalabdominal ring above, and is limited to the upper portion of the ANOMALIES 559 labium. If it contains omentum it is irregular to the feel and flatto percussion, and if intestine it is smooth and has a tympaniticnote. The sac is generally reducible by t
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