Copy 1

A critical enquiry into the present state of surgery.

  • Samuel Sharp
Date:
1761
Catalogue details

Licence: Public Domain Mark

Credit: A critical enquiry into the present state of surgery. Source: Wellcome Collection.

    202/336 (page 190)
    A perpetual Incontinence of Urine is a great Impediment to the Suppurative Power of the Bougies $ for by continually keeping it wet, the Plaifter can ad but very flowly 5 and therefore, I think, it will often be advifeable to make way by force through the Obftru&ion; for it fometimes happens, that the Incontinence of Urine fhall ceafe from that Moment the Paflage is opened ; provided that a Bougie be introduced immediately, upon withdrawing the Sound or Catheter; but if no Bougie be pafled, in order to procure a Difcharge and preferve the opennefs of the Canal, the Difeafe generally re¬ turns w7hen the Sound or Catheter is taken out. I k n o w that fome of the moft experienced Surgeons are averfe to this Method of Vio¬ lence 5 and I myfelf confefs, that it ought to be exerted with great Caution, left the Inftru- ment fhould be pufh$d through the Coats of the Urethra; but when it is ufed with Dif- cretion, the Cure will fometimes be exceed¬ ingly abridged ; for by this Means the Bougie will arrive at once' through an Obftrudion, that perhaps might have required a Month, or five Weeks, to open by fo gradual a Sup¬ puration as is brought on by the mere Point of the Bougie. I have been led into the Ap¬ probation of employing feme Violence to open