The diagnosis and treatment of sexual disorders in the male and female : including sterility and impotence / by Max Huhner.

  • Huhner, Max, 1873-1947
Date:
[1945], ©1945
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis and treatment of sexual disorders in the male and female : including sterility and impotence / by Max Huhner. Source: Wellcome Collection.

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    carbon dioxide tank contains hot boiled water or some mild antiseptic solution. The cervix is exposed by means of the speculum; the vagina is carefully wiped clean and the cervix is cleansed dry and painted with tincture of iodine. If there is any uncertainty regarding the direction of the uterine cavity, it may be de¬ termined by passing the sound. The cervix is steadied with tenaculum forceps grasping its anterior lip. The carbon dioxide, which has been released from the tank and regulated, is now al¬ lowed to pass from the water bottle through the glass and rubber connecting tubing to which the metal cannula is at¬ tached. By pinching the rubber tubing near the cannula one can make sure that all the joints are air tight. The mercury immediately rises in this case. If there is some leakage between the carbon dioxide source and the cannula, the pressure will be negative. This is a very important point to be observed. Having made certain of the pressure, the air valves in the manometer are opened and the catheter is then inserted into the uterine cavity to a point well beyond the internal os. This is done so that there is no immediate escape back along the cer¬ vical canal and out into the vagina. The rubber urethral tip, placed ordinarily from 1]^ to 2 inches away from the cannula tip, is then fitted into the external os, insuring better obturation. This is not essential in the nulliparious intact cervix, but is re¬ quired in the irregular patulous external os resulting from previ¬ ous operations or from lacerations attending childbirth. The air valves are now closed. Within a few seconds after the carbon dioxide enters the uterine cavity, the pressure as noted in the mercury manometer will rise; and in the patent cases the mer¬ cury reaches its maximum point within from one half to three quarters of a minute. It then fluctuates for a few seconds or drops rather sharply from 10 to 30 points, maintaining the last level more or less for the rest of the time. There may be a slight