Identifier: principlespracti00dudl (find matches)
Title: The Principles and practice of gynecology : for students and practitioners
Year: 1904 (1900s)
Authors: Dudley, E. C. (Emilius Clark), 1850-1928
Subjects: Gynecology
Publisher: Philadelphia : Lea Brothers & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
hrovaginal wall. Dropsof pus are shown issuing from the ducts on digital pressure in Figure142. A purulent discharge from the urethra is strong clinicalevidence of gonorrhoeal infection. Tubercular infection of the glandshas been observed repeatedly. Treatment of Urethritis. The milder non-gonorrhoeal form, if not complicated by cystitis,may usually be cured promptly by a few applications made at inter-vals of four or five days of a 3 per cent, solution of silver nitrate. Theapplication is made by an applicator wound with cotton, through aurethral speculum. Extreme forcible dilatation of the urethra hasbeen much practised for the relief of this and the more intense formsof urethritis, and often has given prompt and pronounced relief. Per- URETHRITIS. 313 niiinent injurv to tlio iirctlira anil consequent ineuniUle incontinenceof urine have resulted, however, about three times in a hundred ofsuch dilatations. The safe limit of dilatation is not over five-eighths FiGTTRE 136. Figure 137.
Text Appearing After Image:
Figure 136.—Normal meatus urinarius. The openings of the ducts leading from Skenesglands are hidden just within the meatus in a line connecting the letters A, A. The black andwhite dotted line indicates the direction of an incision by which the meatus may be laid open,so as to expose the openings of the ducts. Figure 137.—Meatus laid open by a vertical incision; the openings of the duets leadingfrom Skenes glands exposed. They are represented by black dots on a line drawn betweenthe letters A, A. Figure 138 —Urethral mucosa dissected out and laid open by the incision. Two fine probesare introduced into the ducts leading from Skenes glands, A, A. Figure 139.—U, cross-section ot urethra; A, A, cross-section of Skenes ducts. to three-fourths of an inch. Emmets so-called button-hole operation,described under stricture of the urethra, answers the therapeuticindication of dilatation, and does not im))air the retentive power; it 314 INFECTIONS, INFLAMMATIONS, AND ALLIED DISORDERS als

Note About Images