The treatment of gonorrhoea in the male / by W. Wyndham Powell, F.R.C.S., formerly Surgical registrar to the Westminster Hospital; Surgeon to the Westminster General Dispensary; and for many years Chief clinical assistant to St. Peter's Hospital, London.

  • Powell, W. Wyndham
Date:
1908
Catalogue details

Licence: In copyright

Credit: The treatment of gonorrhoea in the male / by W. Wyndham Powell, F.R.C.S., formerly Surgical registrar to the Westminster Hospital; Surgeon to the Westminster General Dispensary; and for many years Chief clinical assistant to St. Peter's Hospital, London. Source: Wellcome Collection.

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    dog-grate it burns feebly enough. Equally variable will be the effect of your favourite i in 1500 solution of permanganate in different urethrae. I will therefore not be tempted to give a set table of strengths, but merely state what my practice is for anterior irrigation. (1) Hyper-acute cases, 1 in 2000 to 1 in 4000 twice daily for 3 or 4 days, then once daily with 1 in 1500 to 1 in 2000. (2) Subacute cases, 1 in 2000 to 1 in 3000 twice daily for 3 or 4 days, then once daily with 1 in 1000 to 1 in 1500. (3) Painless cases, 1 in 1000 to 1 in 1500 daily. Pain and oedema are the chief indications for reducing the strength. In acute cases pain after an irrigation is sometimes considerable, but should not be more than a slight smart at the first urination, which is always deferred for 3 or 4 hours after the irrigation. If pain is excessive reduce the strength. Again, where strong solutions are used owing to great anxiety on the part of the patient for a rapid recovery the serous discharge may rarely become blood-stained. Reduce the strength at once or use boric acid solution until this disappears. Do not use a strong cocaine solution in these cases, because absorption may be rapid. Ten to 20 drops of a 1 per cent, cocaine hydrochlorate solu¬ tion or 4 per cent. /3-eucaine lactate held in for a minute or two would tide over the actual irriga¬ tion. Do not anaesthetise the region of the bulb,