. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 187.—Enlarged diagram ofsutures in Fig. 186. 700 DISEASES OF WOMEN. left is to close the vagina, so that the patient may menstruateinto the cavity which contains the urine. This is a simpleoperation. The objection to it is that it unfits the patientfor married life, and that the pouch in which the urineis contained is not like the bladder, a bag which can beemptied, but a space which is never quite emptied, in whichthere is always some residual urine, and in which, therefore,. Fig. 188.—Stanniore Bishops operation for
. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 187.—Enlarged diagram ofsutures in Fig. 186. 700 DISEASES OF WOMEN. left is to close the vagina, so that the patient may menstruateinto the cavity which contains the urine. This is a simpleoperation. The objection to it is that it unfits the patientfor married life, and that the pouch in which the urineis contained is not like the bladder, a bag which can beemptied, but a space which is never quite emptied, in whichthere is always some residual urine, and in which, therefore,. Fig. 188.—Stanniore Bishops operation for vesico-vaginal Temporarysutures drawn in through urethra. decomposition of urine and formation of a phosphatic calculusis likely to take place. I know not whether in all such casesa calculus forms, nor know I whether by diligent washing outof such a cavity the formation of a calculus might be pre-vented. From these two drawbacks it follows that kolpo-kleisis, although it stops the constant dribbling of urine, is yetnot a satisfactory cure of vesico-vaginal fistula. Method of operation.—Colpocleisis is an easy away with a tenotomy knife a strip of mucous membraneat least half an inch in breadth all round the vagina. Thebroader the raw surface, the surer you will be of gettingunion. Then put in stitches so as to bring the raw surfaces
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Keywords: ., bookcentury1800, bookdecade1890, bookpublishern, booksubjectwomen
