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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    weeks during his previous gonorrhoea two years before. No relapse followed the present attack, which was confined to the anterior canal by irrigations. A patient who was recently under me for a second gonorrhoea which had already involved the posterior, had a mild double conjunctivitis with a little muco-purulent discharge in the corner of each eye. No gonococci could be found in this discharge. He had just such an attack with his first gonorrhoea. It looks as if the conjunctiva was assisting the urethral mucous membrane to get rid of the toxins. A short analysis of the last twenty consecutive cases of fresh urethritis in private practice, who came in the early stages while the infection was limited to the penile or bulbo-penile urethra, will be sufficient to illustrate the influence of irrigations in controlling the spread of the disease. I?i nineteen cases the inflammation did not reach the membrano-prostatic urethra. In one the disease spread to this part from interruption of treatment owing to holidays. Of these cases six were first attacks. Six were acute, nine subacute, and five were painless. The incubation period varied between two and nine days. At the first visit the discharge had been in evidence from twelve hours to five days. The nitrate of silver process was adopted in seven of the cases.