Identifier: transactionsofam2519amer (find matches)
Title: Transactions of the American Association of Obstetricians and Gynecologists for the year ...
Year: 1912 (1910s)
Authors: American Association of Obstetricians and Gynecologists
Subjects: American Association of Obstetricians and Gynecologists Gynecology Obstetrics Gynecology Obstetrics
Publisher: Philadelphia : The Association
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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ike a girl, and consequently sprinkled the earthwherever he went, an object of absolute misery. He was placedin the Childrens Free Hospital, in Louisville, June 7, 1907,and after spending eighteen days getting the part into the bestcondition possible, the first attempt at repair was done on June25, nearly three weeks being required to improve the local con-dition and get rid of the calcareous deposits about the parts.The epispadic penis was very short and drawn back into a sulcusat the lower part of the opening. The posterior bladder wall,with discharging ureters, presented a convex surface far in frontof the abdominal plane, about the size of the half of a baseballor larger. When recumbent or in the Trendelenburg position,a concave sulcus of corresponding dimensions presented. ABDOMINAL CASE. 191 Thje first step in the operation was to separate the skin fromthe mucous membrane on either side of this sulcus, down to theend of the flat penis, one-third of the circumference at the top \
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Fig. 2.—Case II being left. Then, by careful dissection, I loosened up the over-lying pudendal tissues. This dissection was done with the fingerand was carried well out toward the groin. Then with strong 192 A P - M O R G A N \ A N C E , forceps making traction upward and invvard, I still furtherloosened the tissues thus freed, bringing the mucous membranealong with the skin. When this loosening and stretching hadbeen done sufficiently to allow the separated pudendal structuresto be brought together in the middle line, they were closed withtwo sets of sutures; one line of buried chromicized catgut No. i,which inverted the inner or mucous membrane side, and another

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