A practical treatise on the diseases, injuries and malformations of the urinary bladder, the prostate gland, and the urethra / by Samuel D. Gross.

Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on the diseases, injuries and malformations of the urinary bladder, the prostate gland, and the urethra / by Samuel D. Gross. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    467/582 (page 463)
    Fig. 120. comes in contact Avitli tlie posterior face of the coarctation, and imparts to the touch a sensation as if it had jumped over an ohstrnctino; band. To estimate the extent ot a stric- tnre, a niimher wliich corresponds in size with that of the external meatns, is carried on until it meets with an obstruction, when a mark is made upon the stem with the thumb-nail on a level with the meatus. Should the bulb be too large to ]>ass through the stricture, smaller ones are emi)loyed until the object is effected, and a second mark made when it meets with resistance during its withdrawal. The distance between the two marks indicates the length of the stricture. All examinations of this kind should he conducted Avith the utmost gentleness and deliberation, lest spasm and pain be excited. By slow and cautious manipulations, the point of an instrument may often he insinuated into the tio’htest stricture, or into one so tender and irritable as to resent every attempt of an opposite description. When the spongy portion of the urethra is affected, a tolerably correct idea of the nature, seat, and extent of a stricture may sometimes he acquired by the application of the thumb and finger, along the under surface of the penis. Stricture seldom exists long ivithout giving rise to Expioiatory disease in the adjoining and associated parts. The organs, Avhich, besides the urethra, are more liable to suffer are the prostate gland, tlie bladder, the ureters, and the kidneys. The testes, penis, seminal Amsicles, perineum, and rectum, also not unfrequently participate in the eAuls consequent upon the malady. The affections Avhich thus spring np during the progress of the mechanical obstacle of the urethra, are often of a most serious character, and add greatly to the distress and danger of the case. One of the most frequent, as Avell as the most serious, lesions consequent upon stricture, is a dilatation of the urethra behind the seat of the obstruction, fig. 130, from one of mj^ preparations. This is evidently owing to the manner in Avhich the urine is impelled against the stricture Avhenever an attempt is made to