The venereal diseases : including stricture of the male urethra / by E.L. Keyes.

  • Edward Lawrence Keyes
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: The venereal diseases : including stricture of the male urethra / by E.L. Keyes. Source: Wellcome Collection.

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    disadvantage of staining the linen a brownish color, which will not wash out, and its use, therefore, calls for much care. Zinci permanganatis.., gr. ^—ij. Aquse § i. M. is an excellent injection at the end of the gleety stage of a gonorrhoea. This injection is of a beautiful purple color and stains the linen, but the stain washes out. Injections of iron are sometimes highly praised; the subsulphate, half a drachm in six ounces of water, is well spoken of by Bumstead, as a strong astringent at the end of the gleety stage. This also stains the linen. Ricord's red wine injection must not be overlooked. Some patients use it with great apparent good effect. It is supposed to be tonic as well as astringent to the urethra. It is simply a mixture of ordinary claret with rose-water (or common water), commencing in the proportion of two parts of the latter to one of the former, and gradually in- creasing the relative strength of the wine, using of course, the same brand of red wine constantly. Finally, pure wine can be used. Another pleasant tonic and gently astringent injec- tion is tea. Tea infusion may be used just as it is brought on the table, undiluted, black or green tea. It is suitable in chronic cases of thin gleet, and is clean, always at hand, and much praised by some patients. It is actually a tan- nin injection, but more efficacious by far than a solution of tannin of similar strength. Urethral suppositories made with cacao butter or gela- tin are dirtier, and not so useful as injections. When ordinary injections fail, deep urethral injections very rarely are of any service. Nitrate of silver and strong injections of tannin are sometimes used by the surgeon through a deep urethral syringe, a few dro]3s of the fluid being deposited at that portion of the canal whence the discharge is presumed to flow. This plan cannot be gen- erally recommended. The physician has to administer the injections, and as a rule very little assistance is derived from them. If deep applications are to be made, they can be used with much precision through the tube of the endoscope, or by means of the cupped sound. The cupped sound (Fig. 26) explains itself. It is a simple conical steel sound, with hollow cups in its sides, into which may be placed any stimulating paste or oint- ment desired, and the cups then may be held against the area of inflammation at longer or shorter intervals, for a. few minutes at a time, and the effect watched. Generally, however, all cases calling for deep injections are either cases of stricture, or of prostatic surface inflammation. In the former case the stricture should be treated; for the latter, time, hygiene, change of air, and marriage are the appropriate remedies, and far more serviceable than deep injections.