The Principles and practice of gynecology - for students and practitioners (1904) (14581484340)

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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which, bydrawing the uterus upward and backward, puts the vesicovaginal wallon the stretch; this causes traction upon the neck of the bladder andconsequent bladder and urethral irritation, and may be the starting-point of cystitis and urethritis. ANTEVERSION AND ANTEFLEXION OF THE UTERUS. 689 Vesical irritation causotl by postutcrinc inHaiiimatioii and conse-qncnt contraction of the nterosacral ligaments often is attributedwrongly to the mechanical pressure of the anteflexed corpus uteri uponthe bladder ; this is manifestly impossible, for the contracted ntero-sacral supports hold the entire uterus far away from the bladder. Uterine Symptoms.—When the flexure has gone beyond thenormal limit antl become pathological, two principal results may occur,especially if there be immobility at the angle of flexure : 1. Collapse of the blood-vessels at the angle of flexure, with conse-quent obstruction of the circulation, passive congestion, and hyper-secretion of a vitiated mucus. FiGUKE 397.

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Acquired anteflexion with postuterine fixation. Want of mobility at angle of flexure. 2. Collapse and obstruction of the uterine canal at the angle offlexure, with consequent retention of the uterine secretions. Thesecretions may decompose and become a potent source of irritation ; theuterine mucosa could then neither perform its normal part in men-struation nor furnish a safe resting-place for the impregnated ovum.The possible symptom-group dependent upon these two forms ofobstruction includes endometritis, di/smenorrhoea, and sterility. Endometritis may be caused and perpetuated by the endometrialand vascular obstruction. The causation of rhinitis from obstructionin the nasal passages and of cystitis from stricture of the urethra isanalogous. 690 DISPLA CEMENTS. Dysmenorrhoea may depend upon collapse and constriction of theuterine canal at the angle of flexure. This causes the blood to accu-mulate and to coagulate in the body of the uterus, from which it isexpelled at intervals by u

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1904

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