Gynaecology for students and practitioners . Fig. 317. Relaxation of the Ostium Vagina in a Parous Woman, due to laceration of the posterior vaginal wall. The skin-surface of the perineal body is uninjured. (From a photograph.) presence of shallow radial folds of skin around the anus indicates itsfunctional activity (.see Fig. 317); when the anterior part of the musclehas been involved in a perineal laceration these radial folds, thoughstill seen at the sides and posteriorly, are absent in front, the anteriorwall of the anus being represented by a band of smooth cicatricialtissue. The ends of
Gynaecology for students and practitioners . Fig. 317. Relaxation of the Ostium Vagina in a Parous Woman, due to laceration of the posterior vaginal wall. The skin-surface of the perineal body is uninjured. (From a photograph.) presence of shallow radial folds of skin around the anus indicates itsfunctional activity (.see Fig. 317); when the anterior part of the musclehas been involved in a perineal laceration these radial folds, thoughstill seen at the sides and posteriorly, are absent in front, the anteriorwall of the anus being represented by a band of smooth cicatricialtissue. The ends of the torn muscle have retracted so that it is now 598 GYNECOLOGY horseshoe shaped, and the position of the retracted ends is oftenindicated by a shallow pucker or dimple in the skin on each side. As arule the retracted ends are not precisely opposite one another {see , p. 819). Cystocele. In this condition the anterior vaginal wall, and withit the base of the bladder and the urethra, protrude from the vulva {see.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
