The Richmond and Louisville medical journal . the cicatrix in Fig. 15 will be followed by morecontraction than the one at Fig. 14, it is then the less desirableof the two. * Professor Gouley, of New York. STRICTURE OF THE URETHRA. 221 Inquiry into the location of stricture teaches that the com-plaint affects the floor of the urethra to a greater extent thanany other part, being sometimes entirely confined to that situa-tion. The diagrams numbered 1, 4, 7, 10, much exaggeratedin size for the sake of clearness, represent sections of the ure-thra as affected in the floor, roof, or either side. Th
The Richmond and Louisville medical journal . the cicatrix in Fig. 15 will be followed by morecontraction than the one at Fig. 14, it is then the less desirableof the two. * Professor Gouley, of New York. STRICTURE OF THE URETHRA. 221 Inquiry into the location of stricture teaches that the com-plaint affects the floor of the urethra to a greater extent thanany other part, being sometimes entirely confined to that situa-tion. The diagrams numbered 1, 4, 7, 10, much exaggeratedin size for the sake of clearness, represent sections of the ure-thra as affected in the floor, roof, or either side. The othersections delineate the strictured urethra—firstly, after it ha3been cut through; secondly, after it has been torn through—and they show what each operation can achieve in the fourseparate conditions proposed for trial. It is well known thatif an induration be completely divided it will often disappear;hence it is an object to attack a stricture in its strongholdrather than injure the unoffending healthy tissue. Let us take Fig. 1, where the floor is the part affected, and see the resultsaccording whether the stricture be cut or torn through. If wecut, we can cut where we like, and consequently the floor canbe completely divided, and a wound with cleanly incised edgesbe produced, as seen at D, Fig. 2, the healthy roof, C, beingspared. If the stricture be torn through, we can not controlthe laceration so as to take the course we wish, for it will fol-low its own route, and in the case under consideration the ure-thra will be lacerated, not at the most diseased spot, F, Fig. 3,but it will give way at the roof, E, because it is the healthiest,and therefore the thinnest spot. In Fig. 4 the roof, C, is rep-resented as most affected, and if a knife be used it can be di- 222 STRICTURE OF THE URETHRA. vided at that spot, and a wound made with even edges, as seenat H, Fig. 5; but if a dilator (lacerator) be employed, the ure-thra will be rent in its most healthy porti
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Keywords: ., bookcentury180, bookdecade1870, booksubjectmedicine, bookyear1876
