A memoir on stricture of the urethra / by John P. Mettauer.

  • John Peter Mettauer
Date:
1849
Catalogue details

Licence: Public Domain Mark

Credit: A memoir on stricture of the urethra / by John P. Mettauer. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    20 if inflammation threatens. An exceedingly iight liquid diet should only be allowed, for the first week. The meatus and glans must be frequently washed will] tepid or cold water, to prevent excoriation. While the tube is used pa- tients must lie in bed. As far as possible, the patients mind must be kept tranquil, especially for the first two or three days after the operation. After two, three, four or five days, the tube may be removed from the urethra, but not until the urine lias been discharged, and after an hour a fresh one must be introduced of the same size of that withdrawn, or even one larger moy be uted, if thai only fills the normal portions of the canal; to be kept in one or iwo days, and then removed, but, as the first, not until the urine has been evacuated through it. The tube may now be withheld for three or four hours: it can then be reintroduced and kepi in until next morning. After this the tube may be superceded by the inelalic bougie; and for the first time since the operation, the urine may be passed after the removal of the tube. The bougie must, now be introduced twice daily for ten days; afteiwards it will only be necessary to use it once a day, or once in two days ; and this should be kept up for six or twelve months. Indeed for years, it would be well that I he bougie be introduced once a week. Gen- erally, from ten to thirty minutes, will be long enough to suffer the bougie to remain in the urethra ; and it should always be car- ried into (he bladder. The objects, in cautioning againsl passing the urine without tho lube, until after its ihird removal; are, to guard against, ihe scald- ing pain or ardor urinoe, which would certainly attend its passage before the incised structures heal over; and to prevent urinal infil- tration from the incisions. During the whole after treatment, the bowels should be kept easy and soluble. As the strength improves, exercise can be cautiously indulged' in. The diet, too, may be more nourishing. Riding on horse- back, or long walks will be hurtful for months after patients seem well. The causes of catarrh, and too early indulgence in sexual intercourse, must be avoided. Alcoholic drinks and exciting con- diments will be hurtful, and should not be used until all symp- toms of urethritis are gone. Operation loith the Gorget.—This operation is more particu- larly suited to eases of stricture located behind the bulb. Patients about to submit to the operation, must be placed in all respects, as advised in the operation with the knife The iirst step to be taken, is the introduction of the wire director into the biad-
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