286 Surgical Diseases and Surgery of the Dog 



has sufficient pedicle, remove it by means of the small-sized emas- 

 culator; if it possesses a broad base, use a scalpel, making a fusi- 

 form incision. The mucosa must be sutured to prevent hemorrhage 

 which is otherwise copious owing to the turgescence of the parts. 

 Previous application of adrenalin chloride solution minimizes hem- 

 orrhage. The Thomas stitch should be employed (see Sutures). 

 Suturing the vagina is always difficult but this part of the operation 

 may be simplified by applying the sutures immediately beneath the 

 clamped emasculator before the latter is removed and while the area 

 of operation is within easy reach. Or if the mass is to be removed 

 by dissection apply the first stitch just beyond the upper angle of 

 incision, before using the knife. By means of this presection stitch 

 the field of operation can be kept in view while the suturing is being 

 completed. No after-treatment is necessary, but the urinary ap- 

 paratus must be closely watched for the first few succeeding days 

 for occlusion of the lumen of the urethra from swelling incident to 

 the wounded mucosa. 



Other methods of removal are by clamp and cautery, by ecra- 

 seur or by ligature and subsequently allowing the mass to slough 

 off, but they are none of them so satisfactory as the method advo- 

 cated. 



Venereal Granulomata. These tumor-like formations which 

 have already been described as occurring in the male similarly affect 

 the vaginal mucosa of the female. It is an inoculable disease and 

 is probably always conveyed by the act of copulation, hence sexual 

 intercourse should be prohibited. The growth appears as a soft or 

 firm, single or multiple, not particularly sensitive, wart-like nodular 

 protuberance. It is commonly situated on the floor of the vagina 

 between the vulva and the urethral orifice, though when long- 

 standing it may extend throughout the length of the vagina and 

 protrude from the vulva. It is a progressive neoplasm, grows 

 slowly at first but quite rapidly later and may reach its maximum 

 growth within a year. It then infiltrates the perivaginal tissues. 

 Occasionally metastasis takes place to the inguinal glands. In the 

 advanced stages it is accompanied by cachexia and emaciation. 



Symptoms and Diagnosis. As in the male, it usually escapes 

 notice until it has advanced to the ulcerative stage when a non- 

 purulent evil-smelling, bloody discharge escapes from the vagina. 

 Palpation and examination with the aid of a speculum reveals the 



