On reflex irritations throughout the genito-urinary tract, resulting from contraction of the urethra at or near the meatus urinarius, congenital or acquired / by Fessenden N. Otis.

  • Otis, Fessenden N. (Fessenden Nott), 1825-1900.
Date:
1875
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Licence: Public Domain Mark

Credit: On reflex irritations throughout the genito-urinary tract, resulting from contraction of the urethra at or near the meatus urinarius, congenital or acquired / by Fessenden N. Otis. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    general care of diet, position in sleep, cold ablutions, etc., and a mixtiire of bromide of potassium, with the bromide of ammoni- um and tincture of ergot. December 2d, three months after, (liv- ing several hundred miles distant), he came again to see me, vrith the re])ort of an entire relief from the seminal emissions, but had had swelling of testicles, and still suffers from almost constant pain in the back, over pubes, in the groins, and especiallj^ of late, in the testicles, extending down the thighs. Examination re- vealed a serous effusion into the tunica vaginalis of both sides ; in the left some tliree or four drams of fluid ; in the right rather more, and which backed well up to the external abdominal ring. The light test showed this fluid to be qiiite transparent. I at first thought of treating it as an ordinary hydrocele, by withdrawing the fluid ; but on finding a meatus, situated on the superior aspect of the glans, contracted to 15/, and holding the bulb for fully 3 of an inch, and further, finding that he had long been troubled with dribbling after micturition, I explained to the jjatient the possibility of all his trouble arising from this congenital deformity. He promptly consented to an operation, and I divided the contraction tlioroughly, passing afterwards a thirty-four steel sound through the urethra. (Cir- cumference of penis three and a half inches). Several sensitive points were recognized by the patient during the passage of the sound, indicating a granular condition of the mucous mem- brane. Immediate relief of the pain in the testicles and down the thighs followed the operation. Within a month all trace of fluid in the tunicce vaginales had disappeared ; he had had a single nocturnal emission without pain, and with the excep- tion of a feeling of nervous anxiety through the hyj^ogastrium (which came on occasionally), and some pain in his back, after general fatigue, he was quite recovered from his troubles. No internal remedies were made use of subsequent to the operation. Case 10.—Mr. De F., aged forty-three, came under my care in March, 1867, suffering from retention of urine following a debauch. As no great amount of urine was present in the bladder, I gave him mur. tr. ferri, advised a hot bath, and left him. On the following morning he expressed himself free from