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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se in which there seemed to bea communication between the cyst and the peritoneal cavity ; atleast the fluid could be forced by pressure inside the abdomen. Thewriter never has observed a case of hydrocele in the round ligament. The Differential Diagnosis is from myoma of the ligament and in-guinal hernia. From myoma it is distinguished by the sense of fluc-tuation and by exploratory puncture. From hernia the growth isdistinguished by not transmitting an impulse on coughing, by failureto reduce by taxis, and by fluctuation. The Treatment is extirj^ation of the sac and direct suturing. TUMORS OF THE URETHRA. 469 Sarcoma and Carcinoma are so rare as to be of interest chiefly as pathological curiosities. TUMORS OF THE URETHRA. Tlic principal varieties of urethral tumor are caruncle, mucouspolypu.s, condyloma, wart, carcinoma, and sarcoma. The most fre-(pient seat is the meatus urinarius. Carcinoma and sarcoma are aptto occur by extension from the vulva or vagina. Chapter XXV. FlGCEE 212.
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Polypus in the bladder. Urethral Caruncle is a growth which occurs quite frequentlv innervous, irritable women, and, although no age is exempt, it is mostfrequent near the menopause. Pathology.^—Urethral caruncles are usually of the granuloma,papilloma, or telangiectatic (dilated blood-vessels) type. Etiology.—Irritating discharges from above, especially the dis-charges of gonorrhoea, senile endometritis, and vulvovaginitis, arethe commonly assigned causes. 1 M. Lange. Zeitschrift fiir Geburtshiilfe und Gynakologle. 470 TUMORS, TUBAL PREGNANCY, MALFORMATIONS. Diagnosis.—This growth is of frequent occurrence, and is a small,soft, red, friable, hemorrhagic mass situated usually at the marginand on the vaginal side of the meatus urinarius. It may, however, beanywhere in the urethra. There is usually a previous history ofpelvic disease. There often is associated great sensitiveness or ex-treme pain on urination ; but, according to Lange, this pain is due notso much to the growth its

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