Chronic catarrhs of the womb are especially suited for galvanic
treatment, and when the inflammation invades the muscular structure
of the uterus, giving rise to what was described as chronic metritis,
there is no remedy that will yield the same positive and satisfactory
result as electricity. Plate V gives a practical illustration of the
employment of electricity for chronic inflammation of the uterus; the
internal or negative pole is introduced into the uterine cavity and
held there by the operator, the external or dispersing pole spreads
over and rests on the abdomen.
Subinvolution of the uterus. I have already referred to this affection
as an arrested involution of the womb after confinement at the end
of the natural term, and after abortion. The womb in this condition
remains permanently and preternaturally enlarged, and its entire
tissue becomes the seat of a subacute or chronic inflammatory process.
The vagina is also more or less relaxed, so that the heavy uterus
sinks down into the pelvis, imparting to the patient a dragging or
bearing-down sensation, which makes walking or any other exertion
exceedingly difficult. In subinvolution an extra uterine electrode is
not required, but only a vaginal electrode, so employed that a current
of high intensity is passed through the uterus; this varies from 50
to 150 milliampères. The duration of each galvanization is from eight
to ten minutes, and should be repeated every third or sixth day. I
succeed as a rule in six to eight weeks in restoring the organ to its
normal size, which I ascertain through comparative measurement at the
beginning and end of the treatment.
If the subinvolution is complicated with _retroflexion_, then
intra-uterine galvanization after the organ is replaced is the most
effective treatment. Old pelvic adhesions and exudations as a result of
pelvic cellulitis or peritonitis are amenable to galvanization after
hot douches, sitz baths, and other discussives have failed to excite
absorption.
Hemorrhoids and prolapse of the rectum; the former is a frequent
concomitant of constipation, and the latter may be the result of an
imperfect involution after confinement. I have employed galvanism for
either with the most brilliant results.