The male urethra : its diseases and reflexes / by Fessenden N. Otis.

Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: The male urethra : its diseases and reflexes / by Fessenden N. Otis. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    suffered for a very long period under much treatment without suspicion of the existence of stricture as a cause of their troubles.* The secret of the success in the treatment of these cases, as in those previously reported, consisted in the complete division of the contraction, always on the floor and in the median line up to the full normal calibre of the urethra. In always dividing the meatus, if necessary for relief, even to the extent of completely obliterating the so-called fossae navicularis (see page ^Influence of Contracted Meatus upon Vesical Catarrh: Civiale, vol. iii, page 508. “ That which is especially striking is the r&le which is played in vesical catarrh by small strictures which are fre- quently found at the external orifice of the urethra.” * * * “I have found,” writes Civiale, “many men suffering with vesical catarrh, in whom there existed a great sensitiveness of the urethra. On applying the ordinary treatment for neural- gias, I obtained an immediate relief, which, however, is of short duration. * * * I remark that larger bougies are held by the meatus and that their passage causes pain. Then I decide to divide the band, by the proceding which I have previously described, and I am always surprised to find the catarrh cease after so small an operation. I have, however, had occasions to verify this fact in sufficient numbers, that there now no longer remains any doubt in that regard. Other practitioners have also had similar experiments. M. Payan, of Aix, cites a case in which a vesical catarrh preceded by great disorder in the function of the bladder, and accompanied by frequent attacks of fever, was cured by the simple division of the meatus urinarius, after the most obstinate resistance to numerous treatments.” 4 V