Surgery : its theory and practice / by William Johnson Walsham.
- William Walsham
- Date:
- 1897
Licence: Public Domain Mark
Credit: Surgery : its theory and practice / by William Johnson Walsham. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
751/898 page 735
![The treatment of organic stricture resolves itself into restoring the patency of the urethra by causing the absorption and destruc- tion of the inflammatory or cicatricial material producing the obstruction, and subsequently preventing recontraction. The methods employed for restoring the patency of the urethra are : 1. Slow dilatation 2. Rapid dilatation. 3. Forcible dilatatim lfj^\ 4l D™™on of the stricture from within (internal metrotomy . o. Division of the stricture from without (external urethrotomy) 6. Destruction of the stricture by caustics. 7. eZ- trolysis Treatment by caustics may be said to have now become slZ tn'Z n°?6 r6fG1Ted t0- Of the other method thai n ,? 18 n° d°U? *56 SimPlest and safest> and is the one that in the large majority of cases should be used. Where how- ever, time is an object, or the stricture cannot be dilated by the ow method beyond the size of a No. 4 or 5 catheter, severe constitutional or local symptoms are set up on each occasion thlt a catheter is passed, rapid dilatation may be tried. Whe-e aain the \ i irntatlon which it causes, or the stricture is resihent and rapidly recontracts after it has been fuUv dilated nternal urethrotomy may be practised, especiaUy if tWiZ^is m the penile portion of the urethra. FuXr, whea th, . of cartilaginous consistency, and will not vield to i V . Urine l™. 744 aud 46 Wn v'!' ^avmation of frelyaisdo nrtTonmeid splitting and elec- M> a future Tct „„ • 1 ,T' 'V'!™™8- °* may yield fine eatgu beu^ fi], If l ' P™*'* ttempta Via whaleboL beu^'^uMTe ^^fL1^.« stteatu, a beu^ot't t^ZZ^TZ^ * * sometimes be slipped in If 1£1 ^7 „ an the stream may grasped, iudicatinKaUt is m ^ point°f/a catheter is firmly Pressure may then be used to Zl f ^ stricture' **ffe ways a fine bougie oaVbeVot ££ 1 ^T^/ , If m W of P-ent is compelled J^.tff = ^the](https://iiif.wellcomecollection.org/image/b21514392_0751.jp2/full/800%2C/0/default.jpg)
