On the anatomy and diseases of the neck of the bladder and of the urethra, the substance of lectures

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Burgess and Hill, 1834 - 284 Seiten
 

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Seite 40 - One shows the membranous part of the urethra surrounded by a well-defined muscle. On the upper part there is a central median line of tendon, which runs backwards to be inserted into the fascia covering the upper surface of the prostate ; and again forwards on the urethra through the triangular ligament to be inserted in front of it near the union of the corpora cavernosa. On the under part a similar tendinous line is to be observed, which is attached backwards to the fascia underneath the apex of...
Seite 41 - Wilson described as the tendinous origin of his muscle, and from which he supposed the fibres descended to surround the urethra, which they really do not. From the median tendinous line in the upper part of the urethra, the fibres pass outwards on each side converging towards the centre, where they form a leg, as I term it, of muscular fibres. On the under surface the same thing takes place ; and a leg on each side being thus formed from the superior and inferior fibres running from each half of...
Seite 40 - The muscle on its upper surface is covered by fascia descending from the pubcs which adheres to it, and this I take to be what Mr. Wilson described as the tendinous origin of his muscle, and from which he supposed the fibres descended to surround the urethra, which they really do not. From the median tendinous line in the upper part of the urethra the fibres pass outwards on each side, converging towards the centre, where they form a leg, as I term it, of muscular fibres. On the under surface the...
Seite 190 - Guthris prefers a hollow gum elastic bougie, of a medium size, perfectly smooth, and tolerably round at the point, so that it may give as little uneasiness as possible. A very small bougie gives more annoyance than a larger one, is retained with more difficulty, and is more likely to give rise to irritation, in which case it should be removed, and after a little delay, replaced by a larger one.
Seite 30 - The patient, a soldier, had been invalid«! for some complaint of his urinary orgHiis, of which a stricture formed one. The removal of this did not much alleviate his symptoms, and on examination with the catheter, a smart blow was felt on the instrument, with the termination of the flow of urine, giving rise to the idea of a stone. This always took place, and sometimes the stroke seemed to be repeated twice, or even three times, although each time fainter than before. The first blow would sometimes...
Seite 137 - I found him kneeling in bed, and straining violently to pass his water, but which came with great difficulty, as the bladder contained a good deal of coagulated blood, which had passed backwards into it. He was as white as a sheet, and fell back in his bed, nearly insensible, almost as soon as I entered the room, having, as he said afterwards, passed several quarts of what (as it all coagulated) he considered to be pure blood. As urine and blood coagulate together when out of the body in equal proportions,...
Seite 41 - ... the centre, where they form a leg, as I term it, of muscular fibres. On the under surface the same thing takes place, and a leg on each side being thus formed from the superior and inferior fibres running from each half of the urethra, they pass outwardly, that is transversely across the perinaeum, to be inserted into the ascending ramus of the ischium a little below its junction with the descending ramus of the pubis on each side. These attachments are cut off in this preparation, but when I...
Seite 79 - ... as some of the interstitial parts of the corpus spongiosum ; which when they give way, allow the blood to be effused in the strict sense of the word ; and a soft swelling takes place, which is a sufficiently remarkable although not a very common accident. I have just now under my care a young gentleman, who has a soft swelling of this kind about two inches and a half from the orifice of the urethra, and which appeared suddenly. The urethra was inflamed at the time, but was not ruptured ; a fullsized...
Seite 127 - Urethra. 407 that it did too much. The opportunity of dilating was in general too tempting to be resisted, and the consequence was, that it produced irritation in so many cases, that I was forced to give it up, having also fully satisfied myself...
Seite 249 - A. question has arisen in my mind, whether any operation could be done on the prostate from the perineum ; and I was led to entertain it from finding that in a patient on whom I had operated for stone, whose prostate gland was much enlarged, I had rendered him a further service in the diminution of the prostate ; so that instead of making his water with difficulty, he afterwards made it easily, and the catheter passed with facility, instead of meeting with a considerable obstacle at the neck of the...

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