A Text-book of Diseases of WomenPenrose, Charles B. (Charles Bingham)
Science
A Text-book of Diseases of Women
Penrose, Charles B. (Charles Bingham)
Women -- Diseases
=Urethral Cysts.=--Small cysts are occasionally found in the course
of the urethra. They may occur at any point from the internal to the
external meatus. They are caused by obstruction and distention of the
urethral glands. They produce no symptoms unless large enough to cause
obstruction to the flow of urine. They may be seen by the endoscope or
may be palpated through the vaginal wall.
The _treatment_ consists of incision and removal of part of the
cyst-wall.
=Polypus.=--Mucous polyp of the urethra is of very rare occurrence.
The tumor generally has a delicate pedicle, and may protrude from the
meatus. It is painless, and causes discomfort only by obstructing the
flow of urine.
The _treatment_ consists of removal by torsion, ligature, or excision.
=Sarcoma= and =cancer= of the urethra have rarely been observed. The
phenomena are those similar to cancer in other parts of the body.
The _treatment_ consists in thorough removal.
DISEASES OF THE BLADDER.
The urinary bladder has three coats--an outer incomplete peritoneal
investment, a middle muscular coat, and an inner lining of mucous
membrane.
The empty bladder is always collapsed, its walls being in apposition.
A median sagittal section of the bladder and urethra shows a
Y-shaped fissure lying between the symphysis pubis and the
uterus, the uterus lying anteverted upon the upper surface of the
bladder.
For convenience of description the bladder is divided into three
parts--the corpus, or body, the fundus, or base; and the cervix, or
neck.
The body of the bladder is all that portion that lies above the plane
of the vesical orifices of the ureters and the center of the symphysis
pubis.
The part lying below this plane is the base.
The vesical triangle, or the trigone, is that triangular area in the
base of the bladder, the angles of which are marked by the vesical
orifices of the ureters and the internal meatus of the urethra.
The neck of the bladder is the funnel-shaped portion where the bladder
merges into the urethra.
The mucous membrane of the bladder is covered partly with squamous,
partly with cylindrical epithelium. The mucous membrane is loosely
attached to the muscular coat throughout the body of the bladder, so
that when the organ is contracted the membrane is thrown into uneven
folds. The mucous membrane is much more closely attached to the
underlying structures in the region of the vesical triangle, and it
here preserves a smooth surface when the bladder is collapsed.
The vesical triangle is more richly supplied with nerves than are the
other portions of the bladder, and is consequently the most sensitive
portion.
The vesical orifice of the ureter appears as a dimple, a small
truncated cone, or a pin-hole or slit on the mucous membrane.
A transverse band or fold of mucous membrane, known as the
intra-ureteral ligament, extends between the orifices of the ureters.
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