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As a rule the cervix has to be specially treated. If the 
cervical canal is narrow and crooked and its mucosa injected, 
secernating and covered with a mucous, greasy excretion, 
then all these parts have to be cleaned with diluted alcohol 
and cotton, and afterwards painted with astringent solutions. 
For a while I used ac. pyrolignos. crud., but gave it up on 
account of its persistent odour; I am using now tinct. of 
iodine (1:10) or Lugol solution (1:3:17). 
If the lesions are very prominent and the portio vaginalis 
is very much swollen and deformed, as is quite often the case 
in cows with nymphomania, then the treatment must be re- 
peated several times before satisfactory results are attained. 
I prefer therefore in these cases to remove the pathological 
parts of the mucosa with the knife or the scissors. The 
operation is not very painful, and the hemorrhages are al- 
ways insignificant; since the tissue is, however, rather tough, 
it is necessary to have sharp and strong instruments. If 
there are considerable lesions of the cervix I have daily in- 
fusions made with a solution of sodium carbonate. 
The pyometra is treated, just like the acute septic metri- 
tis, by cleaning the uterus and subsequent disinfection. As 
a rule a mandrin has to be used to introduce the catheter, as 
the cervix is generally swollen and the cervical canal is very 
narrow and crooked. The contents of the uterus have to be 
removed by massage from the rectum; there are often con- 
cretions. The discharge may be thick, and has then to be 
diluted, or it may be purulent, fetid or odourless. It may 
amount up to 12 liters. After the removal of the secretion 
the uterus collapses and can be encompassed by the hand. 
The walls are nearly always very thin, and the introduction 
of even a soft catheter has to be done with the utmost care 
so as not to perforate the walls. In some cases the uterus 
does not collapse; the walls are then thick and contract into 
folds. If the horns of such an uterus are massaged one feels 
that an inside membrane becomes detached; in the ends of 
the horns generally necrotic tissue is found. 
