File:Gynecology (1916) (14592375709).jpg

Identifier: gynecologygrav2 (find matches)
Title: Gynecology
Year: 1916 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia and London : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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be borne in mind. The treatment of simple urethral caruncle is removal under cocain, if possible.Sometimes, however, the growth is so tender that the patient will not even allowthe application of cocain, so that complete anesthesia is necessitated. Thecaruncle may also be removed by fulguration. It is advisable not to attempt the removal of the extensive multiple carunclesby surgical dissection, for they usually recur. The best treatment is by repeatedapplications of the high-frequency current, by which means they are more easilykept under control, though not always permanently cured. 248 GYNECOLOGY URETHRA Prolapse of the urethral mucous membrane is most commonly an affectionof old age, though it may appear in infants or in girls before the age of puberty. Prolapse of the urethra in the adult is usually a result of senile atrophy, andis apparently due to traction of the shrinking skin of the vestibule on the loosemucous membrane of the urethra. In its simplest and most common form it
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Fig. 67.—Prolapsed Urethral Mucous Membrane.Low power. The crypts in the mucous membrane are seen in cross-section. The epithelium islike that of the urethra. This distinguishes the condition from the true urethral caruncle, which iscovered with simple squamous epithelium. The stroma contains many blood-vessels filled with cor-puscles and is infiltrated with leukocytes. appears as an eversion or ectropion of the urethral mucous membrane, whicheither in part or in its entire circumference rolls out into view. The affectionis often mistaken for caruncle. In the simple form it ordinarily gives no dis-comfort, but under certain conditions it may be the source of serious trouble.Congestion and constriction of the blood-vessels may produce a change similarto that seen in hemorrhoids, with thrombosis, swelling, and bleeding. In extremecases there may be gangrene and sloughing of the protruding membrane. NEW GROWTHS 249 Prolapse of the urethra in which thrombosis has occurred may simulate c

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