Page:Transactions of the Provincial Medical and Surgical Association, volume 1.djvu/92

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ON


IMPERFORATE HYMEN.


BY JAMES MILMAN COLEY, ESQ.


BRIDGNORTH:


Member of the Royal College of Surgeons, in London; Member of the Medical and Philosophical Society at St. Bartholomew's, &c.


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The obstruction in the vagina, occasioned by a preternatural formation of the hymen, may be either complete or incomplete. In the former case the imperfection may remain undiscovered, until the menstrual secretion has accumulated within the cavities of the uterus and vagina, and has distended the former, so as to excite suspicion of the existence of pregnancy. As the aggregation of the menses, and consequent enlargement of the uterus advance, some difficulty in discharging the urine takes place, constituting dysury; but I am not aware that any instance has been hitherto recorded, in which retention of urine, from the above cause, requiring the continued use of the catheter, has occurred. Such a disease is no where described,[1] either in the nosological systems of Linnaeus, Vogel, Sagar, Cullen,

  1. A case, with suppression of urine, related by Benevoli, is referred to in Burn's Principles of Midwifery, Ed. 6, p. 64; and others are noticed by Dr. Davis.—C.