Stricture of the urethra, its complications and effectsChurchill, 1860 - 354 pages |
Common terms and phrases
abscess afterwards application of potassa applied the potassa become bladder blood bougie Brodie bulb cause caustic potash cicatrix Civiale contraction corpus spongiosum cure difficulty dilatation disease effect elastic enlarged external extravasation false passage fever fistulous frequently gentleman gleety discharge gonorrhoea gradually gum catheter Guthrie hæmorrhage impermeable inches incision increased induration inflammation injections instances instru introduction of instruments irritable stricture latter less lining membrane lobe membranous portion ment method micturition mucous membrane muscular nitrate of silver observed occasionally occur operation opium organs orifice pain passed his urine patient penis perineal section perineum potassa fusa practice pressure previously prostate gland recourse rectum relief remedy removed result retention of urine scrotum silver catheter slight sometimes spasm spasmodic spermatorrhoea steel sound stream of urine stric stylet suffered sufficient surgeon surgical symptoms thickened tion tissue treatment ulceration urethra urethral canal urethral obstruction urethral stricture urethrotome urinary usually vesical whilst
Popular passages
Page 51 - The outer layer of the muscular coat of the bladder, on the contrary, passes forwards on the outside of the prostate gland, and laterally and inferiorly joins the fibres derived from the inner coat in front of the prostate gland, to assist in forming the organic muscular covering of the membranous portion of the urethra ; whilst superiorly, or on the upper surface of the gland, these external longitudinal fibres are arranged in two or more bundles, which are attached, as Mr. Guthrie pointed out in...
Page 93 - Before using the potash, a bougie should be passed down to the stricture, that its distance from the orifice of the urethra may be correctly ascertained. A small piece of potassa fusa...
Page 173 - ... on each side. A grooved director, slightly curved, and small enough to pass readily through the stricture, is next introduced, and confided to one of the assistants. The surgeon, sitting or kneeling on one knee, now makes an incision in the middle line of the perinaeum or penis, wherever the stricture is seated.
Page 44 - The introduction of the catheter, although apparently very simple, is one of the nicest and most delicate processes in surgery. It requires skill of the highest order, as well as the most intimate knowledge of the anatomy of the urinary organs. If I were called upon to state what I considered as the most important operation that a practitioner is obliged to perform, I should unhesitatingly say the introduction of the catheter. It is true, the most untutored and awkward surgeon may occasionally, nay,...
Page 174 - ... exterior to the urethra. The operator then, taking the handle of the director in his left, and the knife, which should be a small straight bistoury, in his right hand, feels, with his forefinger guarding the blade, for the director, and pushes the point into the groove behind, or on the bladder side of the stricture, — runs the knife forwards, so as to divide the whole of the thickened texture at the contracted part of the canal, and withdraws the director.
Page 329 - MR. ERASMUS WILSON, FRS THE ANATOMIST'S VADE-MECUM: A SYSTEM OF HUMAN ANATOMY. With numerous Illustrations on Wood. Eighth Edition. Foolscap 8vo. cloth, 12s. 6d.
Page 279 - When the hair becomes gray and scanty, when specks of earthy matter begin to be deposited in the tunics of the arteries, and when a white zone is formed at the margin of the cornea — at this period the prostate gland usually, I may say invariably, becomes increased in size.
Page 329 - Engravings. Fourth Edition. By WILLIAM • B. CARPENTER, MD, FRS POISONS. Second Edition. By ALFRED SWAINE TAYLOR, MD, FRS PRACTICAL ANATOMY. With numerous Engravings. Second Edition. By CHRISTOPHER HEATH, FRCS PRACTICAL SURGERY. With numerous Engravings.
Page 139 - After all, however necessary it may be to the safety of the patient in some instances, it is an operation that is very rarely required. Surgeons who see a great number of cases of retention of urine, may, in the course of their lives, be called on to perform it in a few instances. Those, who perform it frequently, must often perform it unnecessarily ; at least this is what I should say, judging from my own experience.
Page 243 - ... with a lancet, so as to convert it into a fistula of the ordinary kind. There are some of these cases, however, the treatment of which requires a more particular explanation. A patient may apply to you who perhaps has had gonorrhoea formerly, followed by a slight obstruction of the urethra, complaining at the same time of a discharge from the urethra, which he calls an obstinate gleet. You examine the perineum, and you find in it a small tumour, not larger than a horse-bean or filbert. It is...