Identifier: textbookofgynaec00berk (find matches)
Title: A text-book of gynaecological surgery
Year: 1911 (1910s)
Authors: Berkeley, Comyns, 1865-1946 Bonney, Victor, 1872-1953
Subjects: Gynecology Genitalia, Female
Publisher: New York : Funk and Wagnalls Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 39.—Cauterization ofa urethral caruncle. mucous membrane. The rather free bleeding is then stoppedeither by cauterization or by passing a fine suture fromone cut edge of the mucous membrane through the under-lying muscle to the other cut edge and tying it.(Fig. 40.) Dressing and after - treatment. — See Chapter xxxn. URETHRAL CARUNCLE 89 Some patients after this slight operation get retentionof urine. This may last for one or two days. It can berelieved by the usual methods, and is of no seriousimportance. The patient may be allowed to get up thenext day. Recurrence.—Urethral caruncles have a marked ten-dency to recur, and in some cases more than one operation
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Fig. 40.—Excision of a urethral caruncle. is necessary to cure this condition. Therefore, althoughthe operation is a simple one, it behoves the operator todo it very thoroughly, in order to obviate recurrence ifpossible. In addition, it is desirable that the patientshould be informed of this tendency to recurrence, leston its taking place she should suspect the operator ofbeing unskilful. 90 GYNAECOLOGICAL SURGERY PROLAPSE OF THE URETHRAPreparation of the patient.—See pp. 78-82.Instruments.—Clovers crutch, dissecting forceps, two pairs of Spencer Wells forceps, two curved needles No. 13, scissors, and silk No. 1. Operation.—That portion of the urethra which is

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