_Stricture_.--Long-continued irritation of the mucous membrane of the
urethra produces, ultimately, inflammation and swelling of the same
in some portion of its extent. This condition may become permanent,
and then constitutes real stricture, a most serious disease. More often
the swelling is but transient, being due to some unusual excess, and
will subside. Sometimes, also, a temporary stricture is produced by
spasmodic contraction of the muscular fibers surrounding the urethra,
which is excited by the local irritation. This kind of stricture is
often met in the treatment of spermatorrhoea.
Enlarged Prostate.--This painful affection is a frequent result of the
chronic irritation in the urethra, which the gland surrounds, the
morbid action being communicated to it by its proximity. A diseased
action is set up which results in enlargement and hardening. It is felt
as a hard body just anterior to the anus, and becomes by pressure the
source of much additional mischief. Sometimes the disease progresses
to dangerous ulceration. It is attended by heat, pressure, and pain
between the anus and the root of the penis.
Urinary Diseases.--The same congestion and irritability extend to the
bladder and thence to the kidneys, producing irritation and
inflammation of those organs. Mucus is often formed in large
quantities; sometimes much is retained in the bladder. Earthy matter
is deposited, which becomes entangled in the mucus, and thus a
concretion or stone is produced, occasioning much suffering, and
perhaps death.
We saw, not long since, a case of this kind. The patient was nearly
sixty years of age, and had practiced masturbation from childhood. In
consequence of his vice, a chronic irritation of the urethra had been
produced, which was followed by enlargement of the prostate, then by
chronic irritation of the bladder and the formation of stone. His
sufferings were most excruciating whenever he attempted to urinate,
which was only accomplished with the greatest difficulty and suffering.
One of the unpleasant results of irritation of the lining membrane of
the bladder is inability to retain the urine long, which requires
frequent urination and often causes incontinence of urine.
_Priapism_.--This same morbid sensitiveness may produce priapism, or
continuous and painful erection, one of the most "terrible and
humiliating conditions," as Dr. Acton says, to which the human body
is subject. The horrid desperation of patients suffering under this
condition is almost inconceivable. It is, fortunately, rare, in its
most severe forms; but hundreds suffer from it to a most painful degree
as one of the punishments of transgression of nature's laws; and a most
terrible punishment it is.
_Piles, Prolapsus of Rectum, etc._--As the result of the straining
caused by stricture, piles, prolapsus of the rectum, and fissure of
the anus are not infrequently induced, as the following case observed
at Charity Hospital, New York, illustrates:--
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