Cases of urethral stricture and their management / by James Pedersen.

  • Pedersen, James.
Date:
1904
Catalogue details

Licence: In copyright

Credit: Cases of urethral stricture and their management / by James Pedersen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    bined dilatation and instillation of a i-iooo solution of silver nitrate by means of a 26 F. Bangs’ syringe- sound was given. It was repeated at weekly in- tervals twice, and again at the end of two weeks. Three weeks after this he was entirely free from the long-standing urethral irritability. He was asked to report every two months for inspection. Case VII is one of chronic extravasation of urine with scrotal abscess and urinary fistula. Inci- dentally it illustrates the reparative power of the urethra. C., fifty-nine, married, was admitted to my service ^ at the Post-Graduate Hospital June 30, 1903, com- plaining of long-standing dysuria and of a scrotal ab- scess that had developed about four months before. It had twice been incised and more or less completely drained. His health had failed; finally he had to give up work. Examination showed extreme hyperresthesia, a filiform stricture in the midzone of the penile portion, and a foul, sloughing sinus in the right half of the scrotum, which in turn was much in- flamed and tumefied. Near the root of the penis the abscess had a small upper opening, from which a few drops of urine escaped during urination, while from the large lower opening it came in a free stream. The patient was poorly nourished and in bad general condition. He was slightly septic and uraemic. After two days of rest in bed and preparation, an ordinary external urethrotomy was performed by the usual technique. The stricture was divided to 30 F. with the Otis urethrotome. A length of soft rubber catheter was tied in the penile urethra to act as a splint, that the opening between the urethra and the sinus might be allowed to close properly by granulaton. The scrotal sinus was treated by dissecting away all the old cicatricial tissue from