On the uses of electrolysis in affections of the male urethra / by C. Yelverton Pearson.

  • Pearson, C. Yelverton (Charles Yelverton), 1857-1947.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: On the uses of electrolysis in affections of the male urethra / by C. Yelverton Pearson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    The patient was brought fully under the influence of chloroform; the ui-ethra was first injected with a saturated solution of boric acid, then with carbolic oil, and I carefully endeavoured to pass a fine filiform bougie through the stricture, but without success. A metallic staff was passed down to the seat of stricture so as to mark its situation; I then deliberately cut down by a median incision through the periniEum, and laid open the urethra behind the stricture. I then endeavoured to pass a fine bougie from the perineal wound in a forward direction through the stricture, which I accomplished successfully. To the anterior extremity of this bougie I attached the end of the filiform bougie of a Tevan’s urethrotome by means of silk, and drew it forcibly backwards through the stricture by pulling on the posterior end of the instrument that had been introduced from the perinaeum. The metallic portion of the urethrotome was then attached to its guide, and by drawing on the latter from the perinaeum the instru- ment was conducted successfully through the stricture, considerable force being necessary to accomplish this end. A very tough stricture, about half an inch in length, was then divided from before backwards along the roof of the urethra, after which I introduced a Thompson’s urethrotome through the meatus until its bulbous end appeared in the perinaeal wound, and divided the strictured portion of the urethra on its inferior aspect from behind forwards. This being accomplished, I passed a No. 18 English curved metallic dilator (such as I now show you) through the entire length of the canal. When this was withdraAvn I introduced a large gum-elastic catheter from the perinasal wound into the bladder. This was tied in for some days, the urine being drawn off at intervals, so that none of it was allowed to pass through the previously strictured portion of the canal. After the divided urethra had been thus permitted to rest for four or five days, a large catheter was passed from the meatus, and tied in until the perinteal wound was almost healed. After this the instrument was withdrawn, but was passed each time by the patient that he required to draw off water. Metallic dilators were also occasionally introduced. The perinaeal wound quickly cicatrised, and on the patient leaving hospital I was able to pass a Jmo. 18 English dilator without difficulty—this being the largest size that the meatus would admit. The patient was given an olivary gum-silk bougie. No. 26 F, with instructions to pass it at suitable intervals. He