File:The Principles and practice of gynecology - for students and practitioners (1904) (14745184096).jpg

Identifier: principlespracti00dudl (find matches)
Title: The Principles and practice of gynecology : for students and practitioners
Year: 1904 (1900s)
Authors: Dudley, E. C. (Emilius Clark), 1850-1928
Subjects: Gynecology
Publisher: Philadelphia : Lea Brothers & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ion or collapse of the uterine canal at the pointof flexure may, by confining the secretions above, produce inflamma-tion in the body of the uterus, Fallopian tubes, and ovaries. This is 688 DISPLA CEMENTS. analogous to the cystitis, urethritis, pyelitis, and nephritis which fol-low stricture of the male urethra. As the fecal matter passes thecervix during defecation, force is applied to the posterior cervical wallin the direction of the lower arrow. Figure 396. At the same timefixation of the abdominal muscles due to straining, whether in urina-tion or defecation, results in the application of force upon the corpusuteri in the direction of the upper arrow. Thus the flexure is in-creased and perpetuated with defecation and urination. Symptoms, Course, and Complications of Anteflexion. The numerous symptoms due to the inflammatory and other com-plications should not be confounded with those that directly dependupon the displacement. The symptoms of anteflexon usually may be Figure 396.
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The arrows show the influence on the displacement of the forces produced by straining at stool. referred, first, to the bladder and urethra ; and, second, to the uterusitself. The Vesical and Urethral Symptoms are produced either byrigidity of the uterine tissue at the angle of flexure, which preventsthe corpus uteri from rising out of the way of the filling bladder; orby inflammatory shortening of the uterosacral ligaments, which, bydrawing the uterus upward and backward, puts the vesicovaginal wallon the stretch; this causes traction upon the neck of the bladder andconsequent bladder and urethral irritation, and may be the starting-point of cystitis and urethritis. ANTEVERSION AND ANTEFLEXION OF THE UTERUS. 689 Vesical irritation causotl by postutcrinc inHaiiimatioii and conse-qncnt contraction of the nterosacral ligaments often is attributedwrongly to the mechanical pressure of the anteflexed corpus uteri uponthe bladder ; this is manifestly impossible, for the contracted ntero-sac

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