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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    through which the urine distils from the kidney. The ureters open very obliquely into the bladder, for the twofold purpose of preventing a retrogres- sion of the urine, and its too rapid descent into the bladder. The bladder, as the urine accumulates in it, becomes sensibly excited to contraction; and hence the discharge. The contraction of the Detrusor and the relaxation of the Sphincter muscles of the bladder, are, however, much at our command or will. It has hitherto baffled the inquiries of physiologists as to the way, and especially the rapidity, in which the drink swallowed is converted into urine. Many liquids consumed will, in ten minutes, occasion a copious secre- tion of urine. It is supposed that the fluid has no direct channel to the kidneys; but that it is absorbed, and so conveyed into the general circulation, and thence directed to the kidneys. As it is the intention of this work to treat amply upon the disorders of the generative system, it is considered that the reader cannot be too well familiar- ised with the anatomy of the structures concerned: it is, therefore, now pro- posed, having given the interior of the organisation, to explain the same struc- tures in their external relations. Recourse is again had to the aid of the engraver, previously to which the following illustration explains the connection of the penis with the bladder, as before alluded to, only viewed profile-wise. The structures are of course dissected from the body, and exhibited discon- nected from their attachments. 1. Corpus Cavernosum. 2. Bulb of the Urethra. 3. Membranous portion of ditto. 4. Prostate Gland, surrounding the Urethra. 5. TheVesiculge Seminales. 6. 6. The two Vasa Deferentia. 7. The Ureter, supplying the Bladder. 8. The Bladder. 9. The Perinoeum.—Familiar as the term is to medical ears, and to readers of medical publications, yet the situation is^very imperfectly known. The subjoined sketch is worth a volume of description. The line between the scrotum and anus, marked (a) is the perinoeum. From its im- portance in the sanatory and disordered con- dition of the urinary system, and from its being the seat frequently of inflammation and abscess, and from its close proximity to the urethra, the following drawings are