Gonorrhea in the male : a practical guide to its treatment . Fig. 19. Method of Examination. 107 Method of Examination.—It is well to closely ex-amine the meatus urinarius. A small meatus gen-erally bodes no good, and often acts as the interferingfactor in the cure of acute urethritis. If the meatusis small, a mental resolve should immediately bemade to perform a meatotomy at the first legitimateopportunity. If a discharge is present, a smear. Fig. 20. Washing the anterior urethra. should be taken and submitted to microscopic ex-amination. We now proceed to determine whetherthe lesion is locat
Gonorrhea in the male : a practical guide to its treatment . Fig. 19. Method of Examination. 107 Method of Examination.—It is well to closely ex-amine the meatus urinarius. A small meatus gen-erally bodes no good, and often acts as the interferingfactor in the cure of acute urethritis. If the meatusis small, a mental resolve should immediately bemade to perform a meatotomy at the first legitimateopportunity. If a discharge is present, a smear. Fig. 20. Washing the anterior urethra. should be taken and submitted to microscopic ex-amination. We now proceed to determine whetherthe lesion is located in the anterior or posteriorurethra, or both. (This method has been describedin detail (pages 26-30). It is partly illustrated inFig. 20. The anterior urethra is washed out. andthe patient passes about an ounce of urine in a clean 108 GCNORRHEA IN THE MaLE. glass. If the washings in the lirst glass contain pusor shreds, and the urine passed by the patient comesout clear, we have a chronic anterior urethritis (). This does not, however, eliminate the possibil-ity of prostatic involvment, for it should be remem- Gl G2 G3
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