An inaugural essay on strictures in the urethra : submitted to the examination of the Rev. John Ewing, S.T.P. provost, the trustees and medical professors of the University of Pennsylvania, on the sixth day of June, 1799, for the degree of Doctor of Medicine / by John H. Foushee, of Virginia, member of the Philadelphia Medical and Chemical societies.

  • Foushee, John H.
Date:
1799
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Licence: Public Domain Mark

Credit: An inaugural essay on strictures in the urethra : submitted to the examination of the Rev. John Ewing, S.T.P. provost, the trustees and medical professors of the University of Pennsylvania, on the sixth day of June, 1799, for the degree of Doctor of Medicine / by John H. Foushee, of Virginia, member of the Philadelphia Medical and Chemical societies. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    ( =8 ) rienccd in this difeafe with the bougie. In order to ef- fect a cure it is neceflary not only fimply to dilate the contracted part to its ufual fizc, but alfo to remove the exceffive irritability, for fo long as this continues, the dif- eafe is liable to return as foon almofr as the prefTu.e or diftention is fufpended ; which very frequently happens, and ought to do fo, from the very nature of accumulated contractility. But we have faid, that in fpafmodic ftricture, there is little or moft ufually no impediment but at particular periods, fo that the call for this inftrument is only during this latter cafe wherein it fo frequently is impaf- fable, from the exiftence of fpafm which is more the caufe of complaint than any thing elfe, and which if removed, would refolve the difeaie, as this latter never is trouble- fome, or rather never takes place, but in confequence of the former, fd as fpafm is never cured by common direct irritation, but rather aggravated, fo muft the treatment by preflure during fuch a flate render the fymptoms more violent. Our objects here muft therefore be, to lefTen or re- move the fpafmodic tendency, and reftore to the parts their natural motions, which is to be anfwered by purfuing the treatment proper to fpafm in general, particularly by blifters, the warm bath, &c. and a fpecial attention to the circumftances ftatcd under the cure of fimple general fpafm. But a particular abftinence from venery in this ftage, is of the utmoft importance, from the nature of that action which the Urethra afTumes in the expulAon of fe- men, as we have before noticed.