Practical observations on the chronic enlargement of the prostate gland in old people; with suggestions for the improved mode of treatment ... to which is prefixed ... remarks on the ... diseases to which the prostate is liable at all periods of life / [F.B. Courtenay].

  • Courtenay, Francis Burdett, 1811-1886
Date:
1839
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations on the chronic enlargement of the prostate gland in old people; with suggestions for the improved mode of treatment ... to which is prefixed ... remarks on the ... diseases to which the prostate is liable at all periods of life / [F.B. Courtenay]. Source: Wellcome Collection.

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    passed my finger along the external course of the urinary canal, and I found that from the point, cor- responding to the situation of the stricture to the anterior part of the scrotum, there was considerable induration, with here and there knotty indurations. I applied the kali to the stricture. The patient was very anxious to know when he should be well. I told him that I judged in three weeks or a month, but that it was impossible to say. Hereupon, much to my surprise, he told me that he could not remain longer than a week. Upon hearing this I at once informed him that I thought it was next to useless his remaining at all. However he said he would see what a week would do. He visited me the next day, and as he had not experienced the slightest irritation, I determined to venture thus soon on a second applica- tion of the kali. After the bougie had been firmly pressed against the stricture for about two minutes, he complained of a burning heat, and at the same time I felt the instrument pass through the stricture. I immediately withdrew it, and then passed down an exceedingly small urethral hall; I felt it jump over the stricture, and then for more than an inch over numerous ridges of stricture; in fact the sensation was just as if it had been drawn over a nutmeg- grater ; it went into the bladder. He came again the following day and said that he passed water much better, and had not experienced any inconvenience. He was most anxious for the kali to he applied again.