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.

    550/582 (page 546)
    CHAPTER XII. LACERATION OF THE URETHRA. Laceration, or rupture, of the urethra is ]')rocluced hy two varieties of causes, tlie one acting from without, the other from within. Under the tirst may be comprised foils, blows, and kicks upon the perineum, or the perineum and the penis ; under the second, the violent strainins^ which attends micturition in stricture, injury done by the lodgment of a calculus, and the rude, forcible, or injudicious use of catheters, bougies, and sounds. Laceration of this canal has occasionally taken place under a violent erection, espe- cially if the penis, while in this condition, be struck accidentally against a hard, resisting body. It has also been known to happen during coition and during con- valescence, after attacks of fever. In the majority of instances, the lacera- tion is caused by falls from a considerable height, in which the perineum strikes against some shar[), angular, or projecting body, while the thighs are more or less separated from each other. From the pecu- liar character of their occupation, sailors, masons, carpenters, painters, house-cleaners, coachmen, and teamsters are more prone to til is kind of injury than an} other classes oF individuals. Sometimes the laceration is occasioned by a blow or kick upon the perineum, from the foot of a man or a horse; and it may also be produced by the person being thrown forcibly forward on the pom- mel of his saddle. Laceration of the urethra hy balls is usually complicated liy wounds of the scrotum, testes, thighs, buttocks, groin, perineum, and penis, as in lig. 1G8, taken from a specimen in the Army Medical Museum.