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
Independently of the function of the urethra being to discharge the
urine, it has also to convey the semen to the orifice of the glans; and
here in this act is to be observed the wonderful adaptation of means
to an end. During the excitement attendant upon venereal commerce, the
seminal fluid accumulates, prior to emission, in the bulbous portion,
and when the fitting moment arrives for its ejection, the membranous
portion spasmodically contracts, thereby preventing the regurgitation
of the semen into the bladder, while the muscles surrounding the
bulbous portion contract with energetic force, and so complete the
transmission of the generative fluid. Such are the functions of the
urethra in health.
[Illustration:
A—Signifying the urethra cut open.
B—The lacunæ and the cut end of bougie,
to show the continuation of the urethra.]
Now, this canal being extensively supplied with nerves, that have more
extensive communication with others than any particular ones have
in the whole body, and made up, as before stated, of surficial and
muscular membranes, and exposed to the performance of several duties
which are often unduly called into exercise, can not be supposed to be
exempt from the consequences of such misappropriation; and therefore
it is very liable to inflammation. From the sensitive nature of the
tube, it is very obnoxious to spasm, which may be partial, general,
temporary, or continuous: hence spasmodic stricture. This condition is
of course dependent upon many causes, excess of diet, fatigue, cold,
&c., irritating the general system; when from the local irritation
previously set up in the urethra by the forenamed causes—a neglected
gleet or clap—the urethra is not long in participating in it: the
phenomena are the symptoms recently narrated. Highly restorative as
the powers of nature may be to remove disease, she does not appear
readily disposed to interfere with the processes set up in the machine
she inhabits, for self-defence, to protect itself from the constant
irritation produced by the daily flow of acrid urine, which in several
cases often produces ulceration; coagulable lymph is thrown out in the
cellular structure of the particular diseased part, thereby thickening
the walls thereof, and constituting permanent stricture, it appearing
preferable to impede a function which a narrowing of the urethric canal
does, namely, that of urinating, than of allowing ulceration to ensue,
whereby the urine would escape into the neighboring parts, and occasion
great devastation, and probably death. Permanent stricture, as its
name implies, outlives the patient; _it never yields, unassisted by
art_. I have described the ordinary symptoms of stricture, especially
that form induced by gonorrhœa. Stricture may arise from other causes.
Inflammation, in whatever way set up, if allowed to go on or remain,
will give rise to stricture, and the celerity or tardiness with which
it takes place depends upon circumstance. An injury from falling
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