Identifier: medicalsurgicalr1904stluuoft (find matches)
Title: Medical and surgical reports
Year: 1904 (1900s)
Authors: St. Luke's Hospital, Chicago
Subjects:
Publisher: Chicago
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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Liability of myomatous uteri to cancer,is however, manifestly lessened by the fact thai the patientis often sterile, and is spared the traumata of parturitionwhich afford an anatomical basis for the cancer. In themajority of cases, however, there would be symptoms whichwould make ns suspicions of carcinoma and prevent theuse of the bandage. An infected condition of the tubes and ovaries, as wellas a degeneration of the tumor itself would also contra-indicate the use of the Esmarch bandage. With these limitations, there is still a large number ofcases in which in my opinion, the Esmarch bandage couldIn- applied with henetit to the paiicni and satisfaction tothe operator. .12 BUILDING A NEW URETHRA. liv E. (. Dudley, M. I >.Gynecologist to Si. Lukes Hospital. Hypospadias is usually ;i congenital defect. Ii may however, result from traumatism, that is the urethro-vaginalwjiII may be surgically divided or may slough out in con-sequence of pressure necrosis in labor. Whatever the cause
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Km. I. tIG. ii. of the condition ni;iv lie, if there is incontinence of urine,a plastic operation should be made toconstrucl an artificialurethra. Emmel was the principal pioneer in this opera-tion. His method was to utilize the labia minora as ma-terial ou1 of which to make the new urethra. He denudeda longitudinal strip on the inner surface of each labium,and then united them by means of interrupted sutures,and in this way was successful in securing more or lessretentive power, The writer has for several yours em- ...lLS... ployed ;i some\vh,a1 differenl method with gratifying i*<suits. Dudleys Principle and Practice of Gynecology.4th Edition,, page 510. This method is illustrated inFigures 1 to 1. Figure 1. Building of a urethra. Congenital or trau-matic absence of urethra. Black and while dotted linesindicate area to be denuded in the construction oj a newurethra. Figure 2. Building of a urethra. Same as Figure 1.

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