Volume 1

Cyclopaedia of obstetrics and gynecology ... / [edited] by Egbert H. Grandin.

Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Cyclopaedia of obstetrics and gynecology ... / [edited] by Egbert H. Grandin. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    of the vagina, and between the two labia minora, and is covered by their internal surface. This opening is often placed at the centre of a small, round and projecting cushion, sometimes even on the level of the mucous membrane of the surrounding parts. This arrangement allows it to be found on examination without uncovering the woman. After confine- ment, the swelling and the deformity of the parts, sometimes render it difficult to find, and makes catheterism very difficult, even when the woman is uncovered. The best procedure is to separate the labia minora with the index and middle finger of the left hand, drawing them at the same time slightly upward. The orifice of the meatus then opens a little and the catheter can be easily introduced. If done gently and lightly this small operation is scarcely painful even in women whose genital parts are swollen. [As is noted further on, the catheter should never be passed by touch, but always by sight—Ed.] The Yulyo-vaginal Seceetory Glands. The glands which compose the vulvo-vaginal secretory organs are the sudoriparous glands, the sebaceous glands, the muciparous follicles, and two special glands, the vulvo-vaginal glands. Sudoriparous Glands.—They are found on the mons veneris and the external surface of the labia majora. They are mingled with the sebaceous glands and surround the base of the hair follicles. Sebaceous Glands.—They occupy the mons veneris, the internal surface of the labia majora, the two surfaces of the labia minora, the fourchette, and the prepuce of the clitoris, but they are never found in the vestibule, or at the circumference of the urinary meatus. M^iciparous Follicles.—They appear in two forms, either singly or in groups. Sappey denies their existence. Huguier describes four groups. 1st. Vestibular Follicles.—2> or 10 single ones; they are only recesses in the cul-de-sac of the mucous membrane. 2d. Urethral Follicles.—They are numerous according to Huguier; and scarce according to Eobert. Several of these follicles are sunk in the cellulo-vascular tissue of the urethra, and open at the surface of the median tubercle situated immedialjely below the meatus. 3d. Lateral Urethral Follicles.—They are smaller and all their orifices are united at the bottom of a conical depression. They do not invariably exist. 4th. Lateral Follicles at the Entrance of the Vagi7ia.—These are two or three, and they are situated on the lateral portions of the entrance of the vagina, immediately below the hymen or the myrtiform caruncles. The Vulvo-vaginal Glandt.—{The glands of Bartholin, Duverney, and Cooper.) They have been studied by Huguier, who called them the vulvo-vaginal glands. They belong to the class of globular glands. There are two of them, a right and left, situated in the lateral and pos-