A system of pathological & operative surgery, founded on anatomy. Illustrated by drawings of diseased structure, and plans of operation / [Robert Allan].

  • Allan, Robert, 1778-1827
Date:
1819-1827
Catalogue details

Licence: Public Domain Mark

Credit: A system of pathological & operative surgery, founded on anatomy. Illustrated by drawings of diseased structure, and plans of operation / [Robert Allan]. Source: Wellcome Collection.

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    a ee a ; d, the external isiace of the bladder. e, the cut edge of the bladder, shewing the coats much thick- - ened. | . t ! aed and cartilaginous. Fy ols: | ee eS PLATE 1 22 bea Tuts drawing is intended to represent rather the conse« quences of stricture than. afte disease itself. It occurred in a man about forty years of age in consequence of gonorrhea, and the obstruction became so complete as to force me to puncture the bladder from the rectum. ‘The thickened state of the blad- der, and the dilatation of the urethra behind the stricture, are particularly well seen. aoe cape lg is preserved) in my collection. This gentleman, about » the year 1793, when in Russia, con- tracted a gonorrhoea which lasted six months. After the dis- ease disappeared, he observed thabees passed his urine in a di- minished stream, and sometimes with considerable difficulty. The disease continued to he de was told that he had a stricture in his urethra, and. as his distress | was greatly increas sed by the excessive cold of ‘that climate, he came to Edin-~ burgh to his relations, and put b imself under the care of Mr B. Bell, who attempted the cure of the stricture by the common bougie, but finding that little . progress was made, he went to London and applied to (Sir Everard Home. This gentleman applied the lunar caustic for a considerable length of time, and ultimately forced the stricture with a silver catheter. He was considered cured, and returned to follow his usual employment of clerk to“ mercantile house. He remained well for many years, when he again observed the stricture to return without any evident cause. For five years previous to the puncture of the bladder, he was frequently so iJ] as to have a complete re- tention of urine for 24 hours. On these occasions, no instru ment, however small, could be passed into the bladder, but he was always relieved by warm fomentations, large opiates, and blood-letting.