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
The diagram here introduced represents the calibre of the various
bougies in general use, and the observer will perceive, that as they
are made to accommodate themselves to the passage they have to pass,
how varied must be the changes which the urethra undergoes. The
last outline indicates the natural and healthy bore of the urethra.
Bougies are manufactured of different materials: waxen cloth rolled
together, elastic and yielding; flexible metal, silver, and gold.
The bougies which I employ are constructed upon an improved plan
to those in general use: the elastic, as they are termed, although
assisted in their attempted passage to the bladder by the smooth and
well-lubricated sides of the urethra, have a constant tendency to
straighten, and consequently are liable to hitch in all the folds they
may encounter, which, in relaxed habits, are very numerous in the
membranous portion of the urethra. To obviate such a possibility, I
prefer that the bougie should be of such a consistence and manufacture
as will admit of its preserving the shape I adapt it to previously to
introducing it; at the same time the material to be sufficiently soft
to enable it to accommodate itself to any accidental tortuosity of the
tube it is exploring.
[Illustration]
Catheters are instruments for the purposes of withdrawing the urine;
they are consequently hollow, and are made of the same materials as
bougies; but the most useful and to be depended upon are composed of
silver. Surgeons, like other men, have their fancies: a catheter,
when made of silver, has very little flexibility; accordingly it must
be shaped beforehand. Some medical men prefer them quite straight,
others with an immense curve. A surgeon should possess many forms, as
the direction of the urethra differs almost in all men. The subjoined
exhibits not the size, but the shape of the more useful and those
most generally used. Figures 1, 2, and 3, suffice in most instances,
whereas figure 4 is necessary in cases of enlargement of the prostate
gland, which presses up the bladder, and renders the urethral passage
consequently longer.
[Illustration]
The French employ not only variously curved instruments, but variously
shaped. In peculiar cases they are doubtlessly useful; but they require
to be used only by persons of skill and judgment. In the next three
kinds are views of such; they are called conical bougies—the first
curved, the second straight. They are made of silver, waxen cloth, or
India-rubber. The third exhibits a sound, employed to ascertain the
seat of the stricture.
Public-domain text, read in full here on John Shaqi.
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