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
Several other plausible methods have been suggested for the cure of
stricture—one by means of an instrument, that the operator could
enlarge when it was passed into the urethra, through turning a screw;
another, which was to introduce a tube made of some thin skin, and
then to distend it with wind or water; a third, and oftentimes, in
reality, a very useful and available one, is to compress the penis
around the glans, and suffer the urine, as it accumulated, to distend
the anterior part of the urethra before the bandage was removed and the
urine suffered to escape. But they have their several disadvantages:
the processes, with the exception of the last, are complicated and
uncertain in their result; the instrument is not so manageable, or so
useful, as an ordinary sound; and the gut, instead of distending the
strictured part, enlarges the healthy portions of the urethra. The
bougie, in proper hands, notwithstanding it is a simple instrument,
is the most positive and effectual method of curing stricture as
yet, or likely to be, discovered. An entrance, then, having by this
means been gained, a bougie of a larger size is to be selected on the
next occasion, and the same process repeated. It is never advisable
to repeat the operation oftener than once in two days, and when the
urethra is irritable, only every three or four days.
By continuing in this manner, the stricture gradually yields, and
a bougie as large as the orifice will permit to enter will at last
proceed through the whole passage without meeting any obstacle. The
operation, notwithstanding this apparent success, should not be wholly
laid aside, but continued until the disposition for contraction
is entirely removed; and the patient should never rest without
occasionally examining his urethra, say once a month (at least once a
quarter), lest he encounter a relapse.
Having disposed of the treatment of stricture in its fortunately most
usual—namely, the mildest—form, I proceed to consider the treatment
of severe kinds—previously to which, a few remarks upon the various
kinds of instruments, their structure, shape, and size, will render any
subsequent allusion more intelligible.
Public-domain text, read in full here on John Shaqi.
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