The pathology and treatment of stricture of the urethra and urinary fistulæ / by Henry Thompson.

  • Thompson, Henry, Sir, bart., 1820-1904.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: The pathology and treatment of stricture of the urethra and urinary fistulæ / by Henry Thompson. 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.

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    each other, no blow being received upon the perineum. The usual symptoms of lacerated urethra followed. Not only in the manner described, but in many other ways, are contusions and other injuries inflicted : falls from scaffolding, the slipping of the feet through ladders, falls upon carriage-wheels in the act of mounting or dismount- ing. The urethra may be lacerated or cut across in punc- tured and other wounds, and thus may be altogether obli- terated. Children may thus suffer by the breaking of earthenware utensils beneath them. (Reported Case ] 2 is an example, and by no means a singular one, of this accident.) Adults meet with similar injuries, by falls on palisading ; in the country by crossing fences, from pointed stakes, and the like. Several instances of these causes I have observed, and recognised as giving rise to most obstinate strictures. Injuries, in which fractures of the pelvic bones occur, are liable to cause laceration of the urethra. Miners and others engaged in excavations, are particularly obnoxious to acci- dents of this kind, as from the fall of a bank of earth upon them, &c. Horse exercise is a prolific source of injury to the urethra. Caused by Hence cavalry soldiers are particularly obnoxious to the horse exer affection. The habit of riding without saddle, in order to tlSC' ensure a firm seat, which is frequently practised for an hour and a half daily, and often upon the sharp back and withers of a large and bony animal, with high action, is a frequent cause of urethral laceration. I speak on the authority of my own observation of several such cases. In hard riding and leaping, as in hunting—a blow from the pommel of the saddle has been known to produce the same result Laceration of the urethra has not unfrequently been oc- chordee casioned by violent chordee, sometimes occurring sponta- neously ; sometimes, it is said, arising from efforts to break the chordee resorted to by the patient himself, in order to effect its cure. Of the former class, I have met with an occasional example. Violent haemorrhage has relieved, for the time, an obstinate chordee, soon after which sign^ of stricture have gradually appeared. It is not improbable K