File:Operative gynecology - (1906) (14760586056).jpg

Identifier: operativegynecol001kell (find matches)
Title: Operative gynecology :
Year: 1906 (1900s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Gynecology Gynecology Gynecologic Surgical Procedures
Publisher: New York and London : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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le someof them are painless, the majority cause exquisite pain during urination. Oneof Simpsons patientssuffered so that she wasin the habit of going somedistance from the houseto urinate, so that hermoans and screamingmight not be heard. An-other patient, a younggirl at puberty, wouldhold her water for twelvehours at a time to escapethe pain of passing it,looking foward with hor-ror to the time when thebladder must be emptied.In married women thesexual relation is oftenintolerable. From thesite of the growth thepains radiate up throughthe pelvis into the blad-der, vagina, and uterus,and down the thighs.The wear and tear of theextreme suffering on the nervous system is so great that the health may be completely wrecked, and thepatient does little else than nurse her misery. William Goodell ( Lessons in Gynecology, Phila., 1879, p. 26) presents a typical picture of an extreme case—that of a young married woman who was broken down in mind and body by her sufferings. She was peevish,26
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Fig. 242.—Urethral Caruncle occupying the Posterior andLateral Margins of the Urethra (Ur) and lying in Frontof the Vaginal Outlet (Va). The growth is crescentic, and concave on its inner surface, andhas a broad base with a narrow outer margin. It is smooth and glis-tening, slightly papillary, pink at its base, and deep red at the outermargin. Path. No. 1356. Oct. 24, 1896. 392 AFFECTIONS OF THE URETHRA AND BLADDER. morose, and melancholic, and had dysmenorrhea and every imaginable ache.Coitus had not been indulged in for months, and she had taken to her bed.Neither her medical attendant nor myself could believe that the presence of aurethral caruncle satisfactorily accounted for pale lips, hollow cheeks, sunkeneyes, and for her grave mental and physical manifestations. . . . Yet afterwe removed the caruncle she became another woman. As if by magic, all herpains and aches, even her dysmenorrhea, left her. When the growth is unusually vascular and its dilated vessels lie near thesurf

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