Porneiopathology: A Popular Treatise on Venereal and Other Diseases of the Male and Female Genital System; With Remarks on Impotence, Onanism, Sterility, Piles, and Gravel, and Prescriptions for Their Treatment — John Shaqi
Porneiopathology: A Popular Treatise on Venereal and Other Diseases of the Male and Female Genital System; With Remarks on Impotence, Onanism, Sterility, Piles, and Gravel, and Prescriptions for Their TreatmentCulverwell, Robert James
Science
Porneiopathology: A Popular Treatise on Venereal and Other Diseases of the Male and Female Genital System; With Remarks on Impotence, Onanism, Sterility, Piles, and Gravel, and Prescriptions for Their Treatment
Culverwell, Robert James
Genitourinary organs -- Diseases; Sexual health; Sexually transmitted diseases
generally adopted consisting of some sedative, immersion in a hot
bath, or the passage of a bougie. Relief being thus easily obtained,
professional advice is thus thrown up, and the symptoms are again
soon forgotten. Before proceeding further with the more severe forms
and consequences of stricture, which may now be fairly said to have
commenced in earnest, a brief anatomical description of the urethra may
enable the reader to understand how the constriction or narrowing of
that canal takes place.
I have elsewhere stated the urethra to be a membranous canal, running
from the orifice of the penis to the bladder, and situated in the lower
groove formed by the _corpus spongiosum_.
The difference of opinion entertained by some of our first anatomists,
on the structure of the urethra, is deserving of notice; for only in
proportion to the correctness of our knowledge of it, can we arrive at
a just definition of its diseases.
One party assert it to be an elastic canal—whether membranous or
muscular they do not say—endowed with similar properties of elasticity
to India rubber, or to a common spring. That it is elastic, is beyond
doubt; but the mere assertion is no explanation of its mode of action.
Others, from microscopical observations, declare it to consist of two
coats—a fine internal membrane, which, when the urethra is collapsed,
lies in longitudinal folds—and an external muscular one, composed of
very short _fasciculi_ of longitudinal fibres, interwoven together, and
connected by their origins and insertions with each other, and united
by an elastic substance of the consistence of mucus. This is the more
satisfactory of the two.
They account for the occurrence of stricture in this way. They say
that “a permanent stricture is that contraction of the canal which
takes place in consequence of coagulable lymph being exuded between the
_fasciculi_ of muscular fibres and the internal membrane, in different
quantities, according to circumstances.”
A spasmodic stricture they define to be “a contraction of a small
portion of longitudinal muscular fibres, while the rest are relaxed;
and as this may take place, either all round, or upon any side, it
explains what is met with in practice—the marked impression of a
stricture sometimes a circular depression upon the bougie, at others
only on one side.”
With respect to the change consequent upon permanent stricture,
dissection enables us, in some degree, to arrive at the truth.
Excrescences and tubercles have been found growing from the wall of the
urethra; but in the majority of instances, the only perceptible change
is a thickening of the canal here and there, of indefinite length;
but whether it be occasioned by the exudation of coagulable lymph, or
whether it be the adhesion of ulcerated surfaces, which I contend are
more or less present in gleet, is not so easy to determine; at all
events, it is undoubtedly the result of inflammation.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account