A practical treatise on impotence, sterility and allied disorders of the male sexual organs / by Samuel W. Gross.

  • Gross, Samuel W. (Samuel Weissell), 1837-1889.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on impotence, sterility and allied disorders of the male sexual organs / by Samuel W. Gross. 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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    very much shortened, and the whole process of examination greatly simplified. As will be seen in the wood-cut, the old instrument measured six inches, the recent ones four; and with the shorter instrument as much of the urethra can be explored as was done with the old form, inasmuch as the pendent penis may be pushed forward against the pubes in such a manner as to be practically obliterated, and the in- strument can penetrate even to the neck of the bladder. The illumination is then obtained by means of a head- mirror, the rays of light from which, if properly directed, will illuminate the entire canal. I think there is no doubt that much additional information is o-ained from its use, more o especially in cases of congestion of the prostatic portion of the urethra, of granulations of the canal, and of erosions of the mucous membrane ; and there is no question whatever as to the great advantage to be obtained in making topical applications through the instrument in place of the use of syringes and the other means which are even now fre- quently employed.] In the absence of proper instruments for exploring the urethra, the general practitioner may suspect inflammation and morbid sensibility if there be painful and frequent micturition, painful ejaculation, a feeling of weight in the anorectal region, a gleety discharge, prostatorrhcea, abnor- mal nocturnal emissions, and sensibility of the prostate on pressure with the finger in the rectum. Prognosis.—The milder forms of impotence are very amenable to treatment, as is illustrated by the following example : Cam XVI. A carriage-builder, twenty-throe years of age, came to me on the 8th of April, 1880, on account of a gleety discharge, which kept the lips of the meatus glued together, and had existed for two years and a half; of a discharge oi pr< static fluid at stool, and oi nocturnal seminal emissions, which were often as frequent as every'night during a single