. Clinical lectures on stricture of the urethra and enlargement of the prostate. Fig. 22. edges of the wound are held aside by catch-forceps, or by aloop of silk passed on either side through the margins of theurethra. The beak of the staff is then turned round andhooks up the upper end of the incision. All bleeding havingbeen arrested and the wound carefully sponged, the face ofthe stricture comes into view, and the opening is searched for,. Fig. 23. and when found a small probe-shaped director (Fig. 22) ispushed through into the bladder. The stricture is cut on itslower aspect by passing alo
. Clinical lectures on stricture of the urethra and enlargement of the prostate. Fig. 22. edges of the wound are held aside by catch-forceps, or by aloop of silk passed on either side through the margins of theurethra. The beak of the staff is then turned round andhooks up the upper end of the incision. All bleeding havingbeen arrested and the wound carefully sponged, the face ofthe stricture comes into view, and the opening is searched for,. Fig. 23. and when found a small probe-shaped director (Fig. 22) ispushed through into the bladder. The stricture is cut on itslower aspect by passing along the director a long narrowknife. The beak of a small blunt gorget (Fig. 23) is insertedin the groove of the director and guided thus into the staff, forceps, and director are removed, and a stoutflexible catheter, No. 12 English scale, introduced through the 60 OPERATIVE TREATMENT OF STRICTURE urethra and along the gorget into the bladder, in whichposition it is fixed. Over this the edges of the wound arepartially closed by silkworm sutures, and the dressingsapplied. The catheter is retained for three or four days, or longerif it does not cause irritation, the urine flowing its removal a full - sized steel dilator is introducedevery second or third day whilst the wound is granulating,and at more distant intervals when it completely closes. This is a sound operation. It is sometimes a difficult one,requirin
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