Syphilis : its nature and treatment with a chapter on gonorrhoea / by Charles Robert Drysdale.

Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: Syphilis : its nature and treatment with a chapter on gonorrhoea / by Charles Robert Drysdale. 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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    ing from gonorrhoea; such as enlargement of the inguinal glands, and of the penile lymphatics, inflammation of the prepuce, prosta- titis, and retention of urine, or abscess of the peri-urethral tissues. In addition to these, gonorrhoeal rheumatism is met with ; and, occasionally, gonorrhoeal ophthalmia and rheumatic ophthalmia. As to the inflammation of the inguinal glands in gonorrhoea, it is usually very mild, unless aggravated by excessive exercise, in which case the cellular tissue may become infiltrated, and matted to the skin. There is, occasionally, suppuration of the glands, but this is easily treated by means of poultices, &c. Such buboes very rarely suppurate, and when they do, in the male, the pus is never inoeulable. In scrofulous constitutions, the glands in the groin may continue enlarged and suppurating. As to the penile lymphatics, they sometimes are inflamed, and, at other times, enlarge painlessly. The largest of the cords is on the dorsum of the penis. Such inflammations are easily subdued, and it is very rare that sup- puration takes place. Sometimes the skin of the organ becomes of a rosy hue, and more or less considerably swollen, whilst the lymphatics are inflamed and enlarged. The penis sometimes becomes greatly enlarged, twisted, and so painful as to cause sleep- lessness and feverishness; but a few simple remedies subdue this apparently serious condition in a few days. Sometimes, how- ever, diffuse suppuration of the prepuce takes place, and the pre- puce falls in grangrene, leaving the gland naked, and visible through the perforation. At other times, there is hard induration of the prepuce. The treatment required is warm baths, with fomenta- tion of the parts, and injections of nitrate of silver between the pre- puce and gland, when balanitis exists. Incisions should be made when diffuse suppuration exists. Balanitis comparatively rarely occurs as a consequence of gonorrhoea. It is best treated by injec- tions, between the prepuce and gland, of a ten-grain solution of nitrate of silver in an ounce of water. Mr. IT. Lee recommends lime water as a lotion, or finely powdered calomel and calcined magnesia dusted on the parts. Phymosis results either from serous infiltra- tion of the prepuce, or from inflammation. Parapliymosis takes place in cases where the prepuce is short. It is generally easily reduced by oiling the glans, and compressing it with the fingers of the right hand, whilst the left encircles the body of the penis. Sometimes the constriction must be cut through at the bottom of the furrow, or a narrow bistoury inserted beneath it, cutting upward. There is, too, sometimes, bleeding from the