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
Catalogue details

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.

    18/40 (page 18)
    The patient presented to me in usual general health, dities- tion good. He gave a history (>f an attack of gonorrhoea twenty-five years previous, which was treated solely by inter- nal remedies. A profuse muco-purulent discharge was present. On urination the stream was irregular and contracted. Mea- tus of averag'^ size, and admitted No. 18/bulbous sound : this was passed slowly and with some pain for half an inch, v/lien it suddenly slipped into a capacious urethra beyond. On withdrawal, it was fii inly held at half an inch from the me;itus. On the same day I incised the stricture freely with Civiale's bistourie cache and passed No. 26/, and sent him home with directions to his professional attendant to have dilatation ])rac- ticed daily until healing of the wound was complete. Return- ing July 3d, he reported himself as having had entire relief from his bladder trouble, and from the discharge, since the healing of the incision. For a few days previously, however, he had suffered with some vesical irritation. Examination revealed some contraction still remaining on the site of the stricture ; this I at once relieved by the use of the dilating urethrotome, and passed 30/ down into the bladder. Case 12.—T. W., aged thirty-five, had gonorrhoea fifteen years ago ; has had it several times since. The last time, four years ago, coming on forty-eight hours from date of ex- posure. After the discharge had existed ten or twelve days, he states that he stopped it with a powerful ([uack injection. Three or four days subsequent to this he began to suffer with a neuralgic pain in the left testicle, the scrotum became tender and red,'testicles moved up and down alternately much of the time, and the penis was greatly contracted ; there was likewise pain in the groins, described as drawing and sickening, which extended down into his knees and the bottoms of his feet. This continued with varying severity almost without cessation uji to Feb. 22d, when he camn to New York for treatment, and fell into the hands of an endoscopist, who discovered numeroixs granular spots deep in his urethra. Ap])lications made at regular intervals for about three months without benefit. An application of carbolic acid to the scnilum gave some relief to