Clinical Lectures On Stricture Of The Urethra And Other Disorders Of The Urinary Organs

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1878 edition. Excerpt: ...--Treatment--Longitudinal Wounds Of The Urethra. Injuries to the urethra not only expose the patient to the risk of retention and extravasation of urine, but are usually followed by a stricture of the worst form. In a seaport like this a very considerable proportion of the stricture cases are met with amongst its sailor population, and of these, a large number I have observed are traceable to injuries received in the course of their employment. Such, for instance, as blows on the perinasum, by falls over ropes and spars, where the urethra is violently stretched or contused against the pubic arch. A contusion of the perinaeum, without any obvious tearing of tissue, is quite sufficient to occasion retention, and require the use of the catheter; but inasmuch as the urethra escapes without laceration, the inconvenience is a temporary one, and the formation of a stricture need not be apprehended. There was a patient not long ago in one of my wards who was injured in this way. He had fallen a considerable height over some railings, alighting upon his perinaeum. On admission into the Infirmary some hours after, the perinaeum and scrotum were very much swollen and ecchymosed. Though he could not pass water, yet there was no difficulty in introducing a catheter into the bladder. Nothing like a rent could be felt, and no blood appeared to have escaped from the orifice of the urethra. It was a case of contusion with very considerable ecchymosis, and after the lapse of forty-eight hours no further catheterism was required. Had there been evidence that the urethra was torn, it might have been necessary, as I shall presently state, to adopt a very different treatment. Actual laceration of the walls of the urethra may be caused from within as in...

Excerpt from Clinical Lectures on Stricture of the Urethra and Other Disorders of the Urinary Organs Abstracts of some of these Lectures, and many of the cases referred to in them, have from time to time appeared in the Medical Journals. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.