Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

    66/332 (page 46)
    through an arc of a circle, by raising the handle and passing it forward until it lies beneath the symphysis pubis and between the external labia anteriorly. The rough surface of the handle will look first upwards, then forwards (Fig. 33). This resembles the tonr-de-maitre in passing the male catheter. It is wrong and dangerous to attempt to rotate the sound on the long axis of its stem. The bulbous end is now at the internal os uteri; bring the handle directly back to the perineum, and it will gradually glide into the uterine cavity (Fig. 34). Fig. 33. Fig. 34. Method of passing the sound (3rd stage). Left hand carrying handle for- ward above right hand, finishing anterior rotation. (From a photo- graph.) Method of passing the sound (Last stage). Left hand draws handle directly backwards: the perineum is re- tracted, and by slight upward pres- sure the sound passes into the uterus. (From a photograph.) Difficult Conditions for Passage of the Sound: (1) Acutely anteflexed uterus. Here the cervix should be pulled down by a tenaculum, and the fundus pushed up by the examining finger. The canal is thus straightened. Another method consists in bending the sound to the shape of the anteflexed uterus. (2) Spasmodic stenosis of the internal os uteri. In many cases, immediately the bulb of the sound touches the internal os uteri considerable pain is experienced. If firm pressure be exerted against the contracted opening, it will usually give way and the sound pass by.