Copy 4
On the anatomy and diseases of the urinary and sexual organs : containing the anatomy of the bladder and of the urethra, and the treatment of the obstructions to which these passages are liable / by G.J. Guthrie.
- George James Guthrie
- Date:
- 1843
Licence: Public Domain Mark
Credit: On the anatomy and diseases of the urinary and sexual organs : containing the anatomy of the bladder and of the urethra, and the treatment of the obstructions to which these passages are liable / by G.J. Guthrie. Source: Wellcome Collection.
129/172 (page 117)
![the side of the catheter. In a third case, no accident of this kind occurred, but the catheter kept up so much irritation in the bladder that it was obliged to be withdrawn at an early period. It should be borne in mind, however, that this irritability of bladder only occurs in old persons and in neglected cases, or in those persons in whom the operation has been too long delayed. An officer of hussars presented himself to me, with a narrow stricture at the orifice of a large urethra, which would scarcely admit a No. 3 bougie, accompanied by a considerable discharge, and much irritation, and desire to make water. I divided the contracted part of the orifice, with the small spring bistoury, and he can now use a No. 16 with ease. A soldier had laboured under permanent stricture for many years, at the curve of the urethra, with a false passage, which rendered him so unequal to the performance of his duties as mess-man, that his commanding-officer sent him to me at the Westminster Hospital. I divided the face of the principal stricture, carried a small silver catheter through the remaining part of the obstruction into the bladder, and soon sent him back to his regi- ment quite well, where he now is in perfect health. The success attendant on this case induced an officer who knew the man, to send me up, this winter, to the Hospital, another soldier from the depdt of his regiment, who was even in a worse state, and who was about to be discharged, although a very valuable servant. He had several bad strictures in the anterior part of the urethra, as well as one at the termination of its bulbous part. Treated in a similar manner, he has returned cured to his depot, with directions to pass a No. 1] once a-week. An officer of the navy applied to me, having been found unfit for duty on a very distant service from frequent retention of urine; the consequence of an impassable stricture near the bend of the urethra. He had been under the care of thirteen surgeons at different periods for six years, who had never been able to pass an instrument into the bladder. An ordinary examination caused a severe rigor, requiring rest for several days; when he recovered from this, a slight touch of the cutting instrument on the face of the stricture admitted the introduction of the point of a small solid bougie, which was then passed into the bladder, and was followed](https://iiif.wellcomecollection.org/image/b29308148_0004_0129.jp2/full/800%2C/0/default.jpg)
