When the external genitals cannot be removed, the _testicles_ can be
examined by enlarging the inguinal rings and canal, and forcing each
testicle up from below, through the ring. The gland is then sectioned
and, after examination, returned to the scrotum. The anterior wall
of the bladder is then separated from the pubis and the tissues
about rectum and prostate loosened until the hand can completely
encircle the rectum and prostate. These organs and the bladder are
then pulled up firmly toward the head of the cadaver, and with the
cartilage-knife hugging the pubic bone the rectum is cut just above
the internal sphincter, and the urethra just anteriorly to the
prostate. When it is desired to get as much of the penis as possible,
its attachments to the pubis are cut from the pelvic side, and the
body of the penis pulled up into the pelvis, while the skin of the
organ is loosened as far as the glans. The body of the penis may be
severed from the glans or the glans may be freed from the prepuce
and removed with the entire organ, leaving only the skin to be used
for the restoration of the part. After the rectum and urethra are
severed, the mass of pelvic organs is stripped up to the brim of the
pelvis and removed, as given above. They are examined upon the board,
opening first the _rectum_, then the _seminal vesicles_, _prostatic
urethra_, _bladder_ and _prostate_. The prostatic urethra and
anterior bladder-wall are cut with the small probe-pointed shears,
while the prostate is cut transversely with the long section-knife.
The _bladder_, _prostate_ and _seminal vesicles_ may be examined
in situ, or separated from the rectum and examined outside of the
body. The anterior wall of the bladder is freed from the pubis,
and the lateral connections of the prostate separated. The bladder
is then opened in its anterior wall by an incision from its fundus
into the prostatic portion of the urethra. The prostate is then
cut transversely at about its middle, the cut extending entirely
through the organ. The fore-finger of the left hand is then hooked
underneath the prostate, and the bladder stripped forcibly from the
rectum, upward toward the pelvic brim. The base of the bladder is
thus brought up into view, exposing the seminal vesicles, which are
examined by transverse incisions.
In the employment of any one of these methods, the urine, if it is to
be saved for examination, should first be drawn through a catheter.
This is also the cleanest way of emptying the bladder, particularly
when it is greatly distended. The employment of force to squeeze the
urine out of the bladder through the urethra is not advisable when
there is any disease of bladder or urethra present.
[Illustration: FIG. 46.—Section of female pelvic organs. Urinary
bladder bisected and vagina opened in anterior median line. Arrows
show direction of incisions. (After Nauwerck.)]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account