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
I have already alluded to the improved method I employ on finding it
necessary to use escharotics. I can not better explain the process
than by submitting a sketch of the instruments, whereby the mode of
application will be instantly perceived. The instruments are made of
silver. The figures represent No. 8 a curved, No. 9 a straightened, No.
10 ditto, with enlarged head, which puts the areola of the stricture on
the stretch, and secures the central part for the application of the
caustic, or whatever substance may be employed.
The next kind of instruments are for the purposes of dividing or
piercing hardened obstructions—one or two applications creating a
passage which a hundred _cauterizings_ would not effect. When any
styptic is applied to a morbid growth, its tendency is to create a
slough, or to destroy the part whereto it is applied. In some instances
a styptic actually promotes increased action: it may temporarily
destroy the part; but the moment the effect is over, a reaction
follows, and the excrescence is increased. Such is the case in many
long-standing, obstinate strictures; and their removal by perforation
or division is rendered indispensable. The practice requires the
most careful attention and anatomical knowledge; and no one but a
professional man would attempt its employment.
No. 11 sketch exhibits a curved instrument, with the pointed lancet
projecting as when applied. No. 12 exhibits ditto, but with a
differently formed instrument, consisting of two portions separated,
so as to allow a director, in the form of a thin silver wire with a
silver knob, to pass for the purpose of exploring the passage which the
instrument is to follow and enlarge. It is indispensable in strictures
seated upon the soft and deep parts, lest a false passage should be
made. No. 13 represents a straight instrument; No. 14 ditto, but with
the lancet in reserve—the last a perforator.
The reader has now been made acquainted with the various resources
the surgeon has at his command. A few words on their employment will
complete the necessary amount of information to render the one as wise
as the other. By way of recapitulation, the treatment of stricture
is by _dilatation_, _cauterization_, and _division_. They are to be
estimated in the order of their arrangement. By dilatation is meant the
enlarging of the urethral passage through the frequent introduction
of bougies of graduated sizes. It is an operation unattended with any
considerable pain; its novelty sometimes renders a patient a little
nervous, but a complaint is rarely made after a second or third
introduction. Indeed, it is oftentimes courted more frequently than is
desirable. The application also of caustic, or even the perforator,
produces scarcely the least inconvenience. Hemorrhage, of most
things to be dreaded, is less frequent, with cauterizing and cutting
instruments (in skilful hands), than the incautious employment of
blunt-pointed bougies.
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