[Skip to Content]
[Skip to Content Landing]
Article
March 22, 1924

TRANSILLUMINATION OF THE VESICOVAGINAL SEPTUM

Author Affiliations

Philadelphia

JAMA. 1924;82(12):965. doi:10.1001/jama.1924.26520380003012c

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

The ease with which the base of the female bladder can be transilluminated prompts me to call attention to the method. With an electrically lighted cystoscope in the fluid filled bladder, the perineum is retracted with a Sims speculum, and the room is darkened. The lamp is carried close to the base of the bladder, and therefore an instrument of the "convex" type is preferable; but if one also wishes to palpate the structures between the beak of the cystoscope, using it as a sound, and a finger in the vagina, then the "concave" cystoscope should be selected.

The procedure has occasionally been found helpful: (a) in orientation, for example, by easily locating on one side of the septum a point readily visible on the other side, such as the orifice of a small vesicovaginal fistula; and (b) in seeing the relative thickness of the intervening tissues, for example, in

First Page Preview View Large
First page PDF preview
First page PDF preview
×