File:Gynaecology for students and practitioners (1916) (14594933589).jpg

Identifier: gynaecologyforst00eden (find matches)
Title: Gynaecology for students and practitioners
Year: 1916 (1910s)
Authors: Eden, Thomas Watts, 1864-
Subjects: Gynecology Gynecology
Publisher: New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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cles are sometimes very sensitive, but observershave not succeeded in detecting nerves in them. The chief symptom to which urethral caruncles give rise is painfuland frequent micturition. Others cause such severe pain on micturi-tion as to lead to retention of urine. Sometimes slight irregularhaemorrhage occurs from a caruncle, and sometimes the sensitive onesoccasion dyspareunia. Many caruncles give rise to no symptomswhatever, and are discovered, if at all, by accident. The treatment is excision (see p. 832). Recurrence after operation DISEASES OF THE URETHRA 375caruncle may occur. Occasionally a growth at first regarded as arecurs, and ultimately reveals the characters of epithelioma. Compound papillomata have been found growing from the edges ofthe urethra. Mucous polypi and fibromata are very rare ; their naturehas to be proved by microscopic examination. Carcinoma of the Urethra. This disease may be secondary tocancer of the vulva, vagina, cervix or bladder, the urethra becoming
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Fig. 182. Adeno-carcinoma of the Paraurethral Glands, formingA Tumour in the Floor of the Urethra. In size and colour it resembled a black cherry. involved by direct continuity. Primary cancer is very rare in thefemale urethra, which may be due to the fact that leucoplakia of thevulva never affects the vestibule or urethral orifice. Chronic inflamma-tion probably plays a part in the etiology of malignant diseases hereas elsewhere (Halle). The symptoms occur late, they are painful micturition, hgemor-rhage, and discharge. When ulceration is established pain occursindependently of micturition. The disease is rare ; Beckwith Whitehouse has collected forty-three 376 GYNECOLOGY cases, and three others have been reported by one of us. Whitehouse divides cancer of the urethra into vulvo-urethral and urethral varieties.The vulvo-urethral variety presents three forms, (1) an irregular dark purple papillomatous growth which bleeds on contact, and which has to be diagnosed from a large urethralc

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