Femina, A Work for Every Woman — John Stuart Mill — John Shaqi
Femina, A Work for Every Woman
John Stuart Mill · en
Professor Simon, of Heidelberg, was the inventive genius of this
improved method of examination, by means of a series of graded specula
or hard rubber bougies, which are known by his name. The specula are
simply small, smooth, pin-shaped, hard rubber bougies, about three
inches in length, beginning with a size that is three-tenths of an
inch in diameter, to the largest, which is eight-tenths of an inch
in thickness. These are carefully introduced into the urethra,
commencing with the smallest size, which is retained for a few minutes
and then withdrawn, and the next size inserted, and this continued
until the largest one has been inserted, or the required dilatation
accomplished, either for the purpose of introducing the finger into
the bladder, or exposing its lining membrane for inspection. While
this procedure does not fall into the sphere of home treatment, it
is of sufficient interest to women in general that they should know
what can actually be accomplished by the expert specialist. Were I
to review the malformations, or dislocations, of the bladder, or the
history of stones in the bladder, or other foreign bodies, that the
female specialist is very seldom called upon to treat, I should only
worry the patience of the reader with things that she would not readily
understand. The same is true of growths and tumors of the bladder,
which have principally a scientific interest for the practitioner of
medicine, but for the casual reader they are too profound in their
details for a clear understanding.
INFLAMMATION.
Inflammation of the bladder is in medical language termed cystitis.
It presents itself under two varieties or subdivisions, _acute_ and
chronic, depending on the duration, whether recent or protracted.
The disease begins in the mucous membrane, and the acute inflammation
comes on suddenly. It rarely occupies the entire mucous surface of the
bladder, but usually occurs in irregular spots. Some spots are as large
as the palm of the hand, while others are only the size of a ten-cent
piece. The parts that are most frequently affected, are the neck of
the bladder and its posterior wall, although no portion of its lining
membrane is exempt from inflammation.