EVERSION OF THE BLADDER.

This is really invagination into the female urethra and bladder. It has

only been seen in mares, and then by reason of the extreme dilatability

of the urethra. A pyriform, red, perhaps rugose tumor shows between the

lips of the vulva, during straining. It is covered by mucosa, and on its

upper surface near to its neck are two small orifices from which urine

oozes or comes in jets during active expulsive efforts. It soon becomes

muco-purulent on the surface, and even excoriated. Urine escaping

continuously trickles down the thighs with much fœtor. It occurs

especially during violent expulsive efforts as in parturition or

constipation.

_Treatment_ essentially surgical consists in uniform compression to

expel blood and exudate followed by the pushing of the fundus through

the bladder and urethra. The more recent the case, the easier is the

process. Pressecq claims to have cured an obstinately recurring case, by

cauterizing the urethra up to the cervix vesicæ with a round iron rod an

inch in diameter. The resulting loss of substance, with the neoplasia

and constriction effectually prevented renewed eversion even during

parturition. Other veterinarians have successfully excised the bladder,

but this entailed incontinence and constant offensive soaking of the

thighs with urine.

Text book of veterinary medicine, Volume 3 (of 5) · 第 102 / 294 题