A treatise on the venereal disease / by John Hunter ; with notes by George G. Babington.
- John Hunter
- Date:
- 1841
Licence: Public Domain Mark
Credit: A treatise on the venereal disease / by John Hunter ; with notes by George G. Babington. Source: Wellcome Collection.
Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)
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![patients are obliged to make water often, and of course in small quantities. § 3. Of the Cure of the Paralysis of the Bladder, from Obstruction arising from Pressure or Spasm. The removal of the causes of the paralysis of the bladder was fully described when wc were treating of the diseases which produce that complaint, and the immediate relief, when the bladder is rendered inactive, has just now been considered ; the paralysis itself is there- fore the only remaining thing to be attended to. In this disease there are often contrary indications of cure, for a spasm is very different from a paralysis; and if the suppression is from spasm, and that still continues, then what may be good for the paralysis, may be bad for the spasm. As in such cases the water can be drawn off, the bladder should be first attended to. Stimulants and strengtheners are useful; blisters to the loins to rouse the bladder to action, and blisters to the perinaeum, to take off the spasm from the urethra, often succeed. Electricity is sometimes of singular service, when applied in such cases to the perinaeum. Through the whole of the cure the urine must be drawn off frequently, be- cause the bladder should not be allowed to be distended, which otherwise would be the consequence; and the sensation arising from the distention of that viscus is a very oppressive one. A gentleman was at times attacked with a difficulty in making water, which he paid no attention to, as it had always gone off; but at last he was obliged to have recourse to the catheter, which afforded only a temporary relief. The spasm continued, and I was sent for. When I passed the catheter, I was obliged to press the lower part of the abdomen to squeeze out the water, for the bladder appeared to give but little assistance. I ordered a blister to the loins, which gave some power of contraction to the bladder, and took off some of the spasm in the urethra, but still he was very little relieved. I then directed a blister to be applied to the peri- nasum, which immediately removed his complaint.^ CHAPTER X. OF A SUPPRESSION OF URINE AND] OPERATIONS FOR THE CURE OF IT. In cases of total suppression of urine arising from strictures, or other causes where a catheter cannot be passed, and where every other method recommended is impracticable, an artificial opening must be made into the bladder for the evacuation of the water. There are three places where this opening may be made, and each](https://iiif.wellcomecollection.org/image/b21131508_0155.jp2/full/800%2C/0/default.jpg)
