. Surgery, its principles and practice . tably to accommodate a rubber catheter at least 15 mm. in circumference. To accomplish this a median incision should be made directly between the cavernous bodies, the length and depth of which should be sufficient, when ^ ^ the roof of the canal is constructed, - to form a commodious urethra. The urethral roof is formed bytaking a parallel rectangular stripof tissue, about one-fourth of aninch in width, from each side ofthe corpora cavernosa, and three-fourths of an inch from the mid-line of the dorsum of the penis, ex-tending from the apex of the glan


. Surgery, its principles and practice . tably to accommodate a rubber catheter at least 15 mm. in circumference. To accomplish this a median incision should be made directly between the cavernous bodies, the length and depth of which should be sufficient, when ^ ^ the roof of the canal is constructed, - to form a commodious urethra. The urethral roof is formed bytaking a parallel rectangular stripof tissue, about one-fourth of aninch in width, from each side ofthe corpora cavernosa, and three-fourths of an inch from the mid-line of the dorsum of the penis, ex-tending from the apex of the glanspenis down to the epispadic open-ing. The denuded surfaces, to-gether with the points for sutures,are shown in Fig. 289. The rawsurfaces are now brought intoapposition by means of modifiedquilled sutures. For this purposea plate composed of lead or hardrubber or a section of catheter in which holes, one-fifth of an inch apart, have been pierced for the passage ofthe sutures, may be employed; this, when adjusted, serves not only to hold. Fig. 286.—Complete Epispadias.


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectg, booksubjectsurgery