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.

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    large dilating urethrotome, after which I passed with ease a 30/ steel sound through all and into the bladder. As the pa- tient emerged from the influence of the ether, it was observed that there was no longer any of the spasmodic action of the cremasters. When he became conscious, he stated that he already felt less of his nervous feelings than for many months. He was certain that the right chord had been struck. Oct. 8th. Improvement continues—no return of spasmodic motion. October 20th. Examination with 30/ bulb shows a slight clinging at ] inch from the external orifice. Cut this at once, and freely, with straight bistoury, and pass 31/. The patient on the following day expressed his belief that a complete cure had been effected ; that since the final division of the meatus he had not had the slightest retiuii of the abnormal sensations and pain with which he had, in some degree, constantly suf- fered for the previous four years. Daily introduction of the bulb was kept up, in this case, imtil all bleeding ceased, when the patient was dismissed with the promise on his part to inform me by post if he had any return of his trouble. Case 13.—Mr. H. D., aged fifty-one, had been under my professional care for several years ; suffered from renal colic on two occasions ; once in 1869, and again in 1871. Was not conscious of having passed any stone through the urethra. Came to me in February, 1872, complaining of a sense of irri- tation at the glans penis, and a frequent desire to urinate. Careful exploration of the bladder foiled to discover any calculus, but the meatus urinarius was red and tender, and contracted to 20/. This contraction was at once divided freely, size not noted. The relief from the irritation was immediate and complete. In May, 1873, Mr. D. called, stating that his old irritation had returned. Examination showed that the meatus has recontracted to 23. This was again divided, with relief equally prompt as on the first occasion ; but in the subsequent daily introduction of a glass tube, size 30/, an unnecessary degree of violence was used by the patient, set- ting up an inflammation, whicli extended back as far as the