On the operation of opening the urethra in the perinaeum / by Thomas Bryant.

  • Bryant, Thomas, 1828-1914.
Date:
[1858]
Catalogue details

Licence: Public Domain Mark

Credit: On the operation of opening the urethra in the perinaeum / by Thomas Bryant. 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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    five months previously, was admitted with an impermeable [| urethra. The operation of perineal section^^ was performed, j and a catheter introduced; the wound, however, did not heal, i urine flowing through it when he left the hospital, two months i after. i / ■ i - Case xviii.—J. B—, set. 14, fell across a beam, two days before his admission; the accident was followed by extravasa- ;;i tion of urine, for which free incisions were made at the time, and the parts subsequently healed; upon the twenty-fourth day a catheter was passed for the first time, and he sub- ] sequently passed his urine in a good stream; the urethra, i however, gradually recontracted, at last becoming impermeable. Jl Upon the ninetieth day ‘^perineal section^'’ was performed, and iji a catheter passed and left in, but the parts still contracted, and he left two months after, with an impermeable urethra, i; and micturating through the perinseum. Concluding Summary. Conclusions. 1. In uncomplicated retention of urine from organic stric- . ture, the operation of opening the urethra in the perinseum is not required, the more simple and safe one of puncturing the bladder through the rectum being preferable, i 2. When complicated with extravasation of urine fi'ora any j cause, it should be performed at once, and the stricture, when I present, divided, if possible. 3. In laceration of the urethra from injury, when a catheter cannot be passed, the urethra should be opened. 4. And also when the above injury is associated with pelvic I mischief. 5. Strictures are occasionally met with which are imper- meable, and urethras which are obliterated. 6. That in cases of organic stricture, when the passage of a catheter is possible and not difficult; where it does not pro- duce either any injurious or painful constitutional or local dis- turbance, and where, after dilatation of the stricture, an occa- sional passage only of the instrument is required to maintain an open channel, no other surgical means can be called for.