Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: another common local cause in the male subject. I have several times observed it as an effect of stone in the bladder, and frequently as the result of violent straining accompanying bad cases of urethral stricture. Inflammation of the bladder in either sex, and various diseases of the womb and vagina, will likewise produce it. Prolapsus may depend on relaxation of the sphincter ani, arising simply from muscular debility, or as an effect of some perversion of nervous function or lesion of the spinal cord. Debility of the intestine itself from over distension produced by excessive faecal accumulations, or the habitual use of large enemata, also the extraction of large foreign bodies from the rectum. In children, the most frequent causes are urinary calculi, intestinal irritation produced by acrid secretions, or the presence of entozoa, and the irritation that often exists during the period of dentition. The symptoms produced by prolapsus recti are various, according to the duration of the disease, and the extent to which the bowel is protruded. The tumour in children is red, pyramidal, and coiled in form; in adults it is either globular, cylindrical, or appears as lateral folds on each side of the anus. The amount of intestine protruded varies from a mere fold of the mucous membrane to several inches of the whole of the tissues. In the case of a child with stone in the bladder, which was successfully removed, the intestine was prolapsed to the extent of six inches.At the commencement of the affection, the intestine is retracted spontaneously after the passage of the motion, but ultimately it becomes necessary to replace it with the hand. Sometimes the protrusion increases very rapidly, especially in children; but if the patient is an adult, and not advanced in life, or labouring ...