Medical counsellings, or the green book. The modern treatment of syphilis, urethral affections, and all diseases of the urinary and sexual organs ... with original papers on ... incontinence ... impuissance, sterility, etc / [Robert James Culverwell].

  • Culverwell, Robert James, 1802-1852
Date:
1841
Catalogue details

Licence: Public Domain Mark

Credit: Medical counsellings, or the green book. The modern treatment of syphilis, urethral affections, and all diseases of the urinary and sexual organs ... with original papers on ... incontinence ... impuissance, sterility, etc / [Robert James Culverwell]. Source: Wellcome Collection.

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    The muscular coats of the bladder are very strong; they consist of fibres running in three different directions, and the name given to the upper is the Detrusor Urince, and to the lower, the Sphincter. An idea of their strength may be given, when it is stated that the bladder is capable of containing, per force, two to three pints of urine, the whole of which can be ejected to the last drop. The force of ejection differs with all individuals, and is also dependent upon the state of health. The next coat is called the Nervous and Cellular coat. The inner coat is soft, smooth, and bedewed with a sheathing mucus, that protects the bladder from the acrimony of the urine. The bladder when distended is equally smooth all over; but at other times it falls into folds or rugae, and when quite empty collapses into a triangular flap. It has already been stated, that the bladder is maintained in its position by the peritonoeum ; it also derives great support from its connection with the urethra, which is fixed bv lisramentous and muscular attachment to the sides of the pubis. We hear occasionally of many peculiarities, independently of the diseases of the viscus, such as a plurality of bladders, divisions of the one into com- partments, &c. The usefulness of diagrams is now so universally admitted, that the introduction of one needs no apology. It exhibits the bladder and its muscular coats ; also the neck of that viscus embedded in the prostate gland. The bladder is repre- sented in a state of distention, and of course as detached from the body. Connected with it are the kidneys and their ureters, crossed merely to save space in the sketch. One kidney is shewn in its natural appearance; the other exhibits a sectional view: the references give the names of the dif- ferent parts. ]. The entire Kidney. 2. The Cortical or secreting part of the Kidney. 3. The Papillae of the Kidney. 4. The Pelvis, or funnel portion. 5. The Ureter. 6. The Bladder. 7. The Detrusor Muscles. 8. The Sphincter Muscles. 9. Prostate Gland. 10. Neck of the Bladder. In the last engraving but one, the situation of the ureter is explained (fig. b).