The neuroses of the genito-urinary system in the male : with sterility and impotence / by R. Ultzmann ; tr. by Gardner W. Allen.

  • Robert Ultzmann
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: The neuroses of the genito-urinary system in the male : with sterility and impotence / by R. Ultzmann ; tr. by Gardner W. Allen. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    masturbation, has been already mentioned. It is absolutely necessary that, in every case, the urine as well as the genitals of a child affected with enuresis be subjected to a close examina- tion. Having satisfied ourselves as to the condition of the urine, we proceed to the inspection and examination of the hypogastric region and the genitals. The bladder is carefully examined by palpation in order to ascertain whether it is well filled or not, whether there is retention of urine, etc. Then the meatus urinarius is observed, and, in girls, especially the entrance to the vagina. Sometimes small polypous ex- crescences are found about the meatus in girls. If these are cut off with scissors the incontin- ence usually ceases. An examination with the sound is not always necessary if the urine is found to be normal. The treatment of enuresis may be general and local. For feeble children quinine and especially preparations of iron are indicated, aromatic baths at a temperature of 26° Reau- mur [90° Fahr.], as well as cold sitz baths or a mild cold water cure in general. A visit to the country and mountains, river and sea bath- ing, sometimes have an excellent effect. Bella- donna and atropia are highly recommended by Trousseau and Bretonneau. In the evening before going to bed 0.01 extract of belladonna