Observations on the diseases and contracted urinary bladder and frequent painful micturition; with some cautions respecting the use of the caustic bougie in the treatment of strictures in the urethra. To which are added, observations on the schirro-contracted rectum. From the second volume of Memoirs of the Medical Society of London ... / [John Sherwen].

  • Sherwen, John.
Date:
1799
Catalogue details

Licence: Public Domain Mark

Credit: Observations on the diseases and contracted urinary bladder and frequent painful micturition; with some cautions respecting the use of the caustic bougie in the treatment of strictures in the urethra. To which are added, observations on the schirro-contracted rectum. From the second volume of Memoirs of the Medical Society of London ... / [John Sherwen]. Source: Wellcome Collection.

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    [ 2* ] It foon will; and I fmcerely hope thefe cau« lions may be publiftied in time to guard the unwary againft fimilar miftakes in the introdu6lion of that inftrument. Let us, for a moment, fuppofe a bold and per- fevering furgeon to difcover a real ftrifture of long {landing in any part of the ure- ihra. He makes way through this ob» ftru6lion by means of the cauftic bougie, and, in due time, pafTes a common bougie into the bladder; but, not adverting to the contradled, thickened, and difeafed Hate of that vifius^ the point of his bou» gie meets with a fecond obftru£lion from a wrinkled fold, or fundus of the blad¬ der, an inch or an inch and a half fooner than he believes he can poffibly have gone beyond the cervix. The confequence will be that he will fuppofe he has found a fecond ftridlure, which is a very common occurrence, and will not hefitate to apply his cauftic bougie to the internal furface of the bladder, by which he muft inevi¬ tably excite intolerable pain, with in- ceflant and inefFedlual {trainings towards micturition, and expofe the life of his