On stricture of the urethra and fistula in perineo / By James Syme.

  • Syme, James, 1799-1870.
Date:
MDCCCXLIX. [1849]
Catalogue details

Licence: Public Domain Mark

Credit: On stricture of the urethra and fistula in perineo / By James Syme. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

    67/82 (page 63)
    Fistula in perineo, unless when complicated by some unusual cause of obstinacy, requires for its remedy nothing more than removal of the stricture connected with it, which, by causing irritation, gave rise to the abscess, and, after communication between the old and new canal, has directed the urine through the latter passage. When the stricture is remedied, and sometimes before it is entirely removed, the swell- ing and induration of the perineum disappear, the fistulous opening closes, and the urine resumes its natural course. Case XII. W. W., aged forty-eight, late boatswain of H.M.S. , was admitted into University College hospital, on the 8th April 1848, under my care, re- commended by the first Lord of the Admiralty, Lord Auckland, who felt interested in him on account of the excellent character which he had borne in the service. Ilis complaint was fistula in perineo, with stricture of the urethra,—the former ailment being of three, and the latter of thirteen, years’ standing. Al- though considerably relieved in the earlier period of his sufferings by the introduction of bougies, he stated