The surgical diseases of children . y day the boyendeavours to allay the symptoms by pinching theprepuce; but by night, when the brain is dormant,and the supervision of the genito-urinary tract is leftto the care of the grey matter of the cord, a certainmismanagement is apt to occur. The sensory filaments, which are distributed to the muco-cutaneous tissue at the end of the penis, are derived from the internal pudic, itself a branch of the sacral plexus. The nerves of this plexus lose * St. Bartholomews Hospital Keports, vol. xvi. 296 The Surgical Diseases of Children. themselves in the grey m
The surgical diseases of children . y day the boyendeavours to allay the symptoms by pinching theprepuce; but by night, when the brain is dormant,and the supervision of the genito-urinary tract is leftto the care of the grey matter of the cord, a certainmismanagement is apt to occur. The sensory filaments, which are distributed to the muco-cutaneous tissue at the end of the penis, are derived from the internal pudic, itself a branch of the sacral plexus. The nerves of this plexus lose * St. Bartholomews Hospital Keports, vol. xvi. 296 The Surgical Diseases of Children. themselves in the grey matter of a certain part of thespinal cord, from which are passing out, through thatsame interlacement, the efferent fibres for the supplyof the muscular walls of the bladder. This samecolony of cells receive the filaments which carry upsensations from the mucous membrane which linesthat viscus. It may be on account of the exceedinginstability of the protoplasmic substance of thosecells; or it may be that by design and education Fig. Spinal cord; sp, sacral plesus ; dl, bladder ; p, penis ; u, umbilicus. they are specially occupied with the care of the bladderrather than of the end of the penis, that they are aptto interpret the different messages coming from theless important area as signals of distress from thebladder itself. For these signals they have but onemeans of relief, and, this being put in force, the boyruns the risk of severe punishment in the morningfor having unconsciously wetted his bed. If there be any tightness, redundancy, or adhesionof the prepuce in a boy who suffers from incontinence chap, xx.] Incontinence of Urine. 297 of urine, this must first of all be put right. A simpledilatation of the preputial orifice will not of the tissue will be likely to follow,and years afterwards, when the desirability of theprepuce being short and healthy is more than everurgent, the unlucky boy is found in need of definitesurgical interferenc
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
