Transactions - American Surgical Association . engage the opening and pass on into the stricture. This beingaccomplished, I remove the disengaged probes together withthe tube, and after securing the probe in the bladder, I passover it a Wheelhouse staff which has been drilled through itsend to answer the purpose of a Gouley staff, and carry it downto the stricture; it is now handed to the assistant, who holds itlightly, yet firmly, against the coarctation, whilst I open theurethra in the groove of the staff, making an incision abouthalf an inch in length. I then draw outward the staff justsuff
Transactions - American Surgical Association . engage the opening and pass on into the stricture. This beingaccomplished, I remove the disengaged probes together withthe tube, and after securing the probe in the bladder, I passover it a Wheelhouse staff which has been drilled through itsend to answer the purpose of a Gouley staff, and carry it downto the stricture; it is now handed to the assistant, who holds itlightly, yet firmly, against the coarctation, whilst I open theurethra in the groove of the staff, making an incision abouthalf an inch in length. I then draw outward the staff justsufficiently to enable me to find the whalebone probe as it passesthrough its end and on into the stricture; this I secure bypassing a small blunt hook behind it, after which the staff isremoved entirely from the urethra, and the distal end of theprobe drawn out through the little wound which has been made;and now, over the probe I pass a little gorgeret (Fig. 14); this Vie, has its blade directed upward, and being run along the probe,as its guide, it passes through the opening into the urethra, andthen down the stricture, which is cut on its superior face. Acatheter is now passed along the entire urethra into the bladderand the urine evacuated, after which I carefully examine the URETHRAL STRICTURE. 329 site of the stricture with graduated metallic ball probes (Fig. 15)for the purpose of detecting any bands which, perchance, may Fig. &? DUDLEV. _^^ remam ; if found, they are divided by the retrograde urethrotomeof Civiale (Fig. 16), and the full calibre of the urethra restored. Fig. 16,
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1880
