1. =Male Pelvis.= When the removal of the external genitals is
permitted the fundus of the bladder is taken in the left hand and
pulled toward the head of the cadaver while the anterior wall is
separated from the pubis. This can be done with the fingers of the
right hand or the point of the knife. The loose connective-tissue
is torn on both sides around the urethra and rectum until the hand
can be passed beneath the rectum, completely encircling it and the
prostate which must be freed as far as its anterior border. The
legs of the cadaver are then separated, and an incision is made
with the large section-knife, through the skin, beginning above at
the root of the penis, at the termination of the main incision, and
following the arch of the pubis around the external genitals down to
the left, passing around the anus to the coccyx. A similar incision
is then made on the right side of the external genitals to meet the
first incision behind the anus. The outer genitals are then held in
the left hand and pulled downward between the legs while they are
dissected from the pubis, cutting the suspensory ligament of the
penis, to the level of the posterior border of the symphysis. The
knife is then run through into the pelvis just beneath the symphysis,
and while traction is made upon the external genitals toward the
right, a sweeping cut is made downward to the left along the pubic
arch, severing the insertion of the cavernous portion of the penis on
that side. A similar cut is then made on the right side. The penis
thus freed is then pushed up beneath the symphysis into the pelvis
and the scrotum pulled up after it, putting the perineum on the
stretch and pulling up the anus so that it can be seen. While the
external genitals are forcibly pulled upward in the pelvic cavity
toward the head, the encircling incision behind the anus is deepened,
cutting the fat-tissue, connective-tissue, and muscle around and
behind the rectum, until the whole mass of genital organs and rectum
is so loosened that it strips up easily to the brim of the pelvis,
where any remaining attachments of peritoneum or blood-vessels are
severed and the entire mass removed for examination on the board.
Public-domain text, read in full here on John Shaqi.
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