Volume 1

Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton-Jones.

  • Macnaughton-Jones, H. (Henry), 1844-1918.
Date:
1904
Catalogue details

Licence: In copyright

Credit: Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton-Jones. Source: Wellcome Collection.

    63/712 (page 17)
    leads to congestion, congestion to hyperplastic eliusion, and both to tissue-formation, tending ultimately to contraction, and resulting flexion. Flexion produces narrowing or twisting of the uterine canal at this spot, and stenosis, with all its consecutive ills. Such a sequence of changes produces congestion of the fundus uteri, stenosis of the cervix, hyperplastic effusion, versions, flexions, fll^roid developments, hardness of the cervix, amenorrhcea, dysnie- norrhcea, and sterility. This freedom of movement teaches us also the importance of not ovovloolcinQ the utevus cis (i souvee of vsnicul lrritatio7i, retention, or ineontineiice of urine. Cure of Chronic Incontinence of Urine by Rectification of Displacement. A patient for twelve years had had incontinence of urine, until, ultimately, she was shut out from the enjoyment of society, and had always to wear a diaper or urinal. Her life was miserable, from the constant passing and dribbling of the urine. She had been under a variety of treatment. The ante-flexed uterus was gradually straightened by the use of the sound and stem pessaries. The bowel was carefully attended to, and the general health restored by suitable tonics. She recovered perfect health and comfort, nor was there at any time the least tendency to unusual irritation of the bladder. Such a case 'would now he one for treatment hy eentro-suspension or fixation. Cure of Incontinence of Urine by Ventro-fixation.^ A lady, aged forty-eight, sulfercd from incontinence of urine, she having for some time been obliged to wear a urinal. During my examination the urine was flowing from the bladder. There was a large ante-flexed uterus, the fundus of which lay directly forward on the neck of the bladder. There was also anterior vaginal prolapse. Three days after the operation of ventro-fixation was i>erformed sire passed her urine naturally, and there was five hours’ interval between the emptying of the bladder. From that time to the present she has passed water naturally, and can retain it without dis- tress for seven hours. [I quote this case as it was the first 1 treated by tins operation. Since then I have completely relieved several equall\' obstinate cases of incontinence by ventro-suspension.] Histological Bearings on Clinical Conditions.—In studying interstitial changes in the uterine wall, and the invasion of the endometrium and submucosa with inflammatory products, as w'cll as the extension of inflammation to the peritoneum, it is important to keep in mind— 1. The thickness of the muscular coat of the uterus. This is * Transactions Obstetrical Society, vol. lx., 1899, p. *227. C