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File:The Principles and practice of gynecology - for students and practitioners (1904) (14767923505).jpg

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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

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matory process mayhave been so intense as to produce contracting cicatricial tissue andconsequent stricture. The cause of this uncommon lesion is usuallygonorrhoea or trauma. The treatment is dilatation by means ofgraduated sounds, as in stricture of the male urethra. Should dilata-tion fail, a urethrovaginal fistula may be made and the vaginalmargins sutured to the urethral margins of the opening. When theedges have healed securely, the fistula may be closed by denudationon the vaginal surface, the interrupted silkworm gut sutures being soplaced as to give ample calibre to the restored urethra. See Figure144. 316 INFECTIONS, INFLAMMATIONS, AND ALLIED DISORDERS. URETHRITIS COMPLICATED BY PROLAPSE OF URETHRAL MUCOSA. Description.—Prolapse of the urethral mucosa and submucosa,with complicating urethritis, has been described by Emmet. The pro-lapsed mucosa projects from the upper or lower margin of the meatusor surrounds the outlet of the urethra. The urethra is obstructed, FiGUKE 145.
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Emmets operation for prolapse of the urethra. and as the obstruction increases there is frequent or constant urethraltenesmus. Finally the entire urethral mucosa and submucosa maybe rolled out so as to resemble a greatly prolapsed anus. Theurethral canal dilates, and, as the circulation is obstructed, the rolled- URETHR TTIS COM I \L I(. (TED 11Y SI Hi UR KTIIR A L A BSCESS. 31 7 out .structures become (iHlcmatous. Cystitis miuI infection of thekidney are possible results. AVlien the prolapse is confined to the upper or lower wall ol theurethra and the outroUed tissues are from the outlet of the canal, theyresemble hemorrhoids, and may, as in the operation for hemorrhoids,be removed by ligature. When tiie prolapse is extensive and circular, removal in a mass isprohibited, first, because more prolapsed tissue usually follows andpromptly takes the place of that which has been removed ; second,because a distressing- stricture of the urethra may result. J^rolapseof the urethra may be the

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  • bookid:principlespracti00dudl
  • bookyear:1904
  • bookdecade:1900
  • bookcentury:1900
  • bookauthor:Dudley__E__C___Emilius_Clark___1850_1928
  • booksubject:Gynecology
  • bookpublisher:Philadelphia___Lea_Brothers___Co_
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:327
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
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28 July 2014

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