An American text-book of genito-urinary diseases, syphilis and diseases of the skin . per-petuation of chronic urethritis. Many cases are observed in which improve-ment occurs only upon complete cessation of treatment. Cases of chronic urethritis are occasionally seen that defy all measures oftreatment. Treatment.—The treatment of chronic urethritis requires more radicalmeasures than are warrantable in the acute stages of the affection, and incident-ally a greater variety of remedies, these being necessitated by the varying cha-racter of the special causes that tend to the perpetuation of the
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . per-petuation of chronic urethritis. Many cases are observed in which improve-ment occurs only upon complete cessation of treatment. Cases of chronic urethritis are occasionally seen that defy all measures oftreatment. Treatment.—The treatment of chronic urethritis requires more radicalmeasures than are warrantable in the acute stages of the affection, and incident-ally a greater variety of remedies, these being necessitated by the varying cha-racter of the special causes that tend to the perpetuation of the inflammation. The first step to be taken is to explore the urethra, and thus determine,if possible, what particular local condition is keeping up the difficulty. Forordinary purposes the bulbous flexible French bougies will be found to be allthat is necessary for this purpose, for in the majority of instances a knowledgeof the existence of a localized spot of inflammation or stricture is all-sufficient,ocular inspection being of little or no advantage. In the hands of the expert. —W. K. Otiss perfected urethroscope. the bulbous bougie readily determines with a great degree of accuracy thecondition of the urethra. Otiss acorn-tipped metallic sounds may be used,but the soft instruments are preferable. The endoscope (Fig. 46) bears a somewhat similar relation to urethralexploration that the stethoscope does to the diagnosis of disease of the thoracicviscera. The physician who becomes expert in physical diagnosis finds thatthe unaided ear is all-sufficient for practical purposes in the exploration of 126 DISEASES OF THE MALE URETHRA. the chest, the stethoscope becoming necessary only in very obscure cases orthose in which critical and hair-splitting differentiation of objective signsbecomes necessary. There have been numerous elaborate endoscopes devised,but for practical purposes the ordinary straight hard-rubber or silver tube,with the addition of a strong light reflec
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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
