. Clinical lectures on stricture of the urethra and enlargement of the prostate. xible bougie is passed by the urethra till half of it pro-jects through the wound. This latter half is then bent upoutside the scrotum and penis and both ends are held by anassistant. A loop is thus formed by the bougie, which holdsthe upper end of the wound steady—more than can besaid of Wheelhouses staff, which is constantly slipping, thebeak being too small to grasp the tissues boldly. T. have had filiform guides made to screw on to the probe- OPERATIVE TREATMENT OF STRICTURE 61 director (Fig. 25). The fine fle
. Clinical lectures on stricture of the urethra and enlargement of the prostate. xible bougie is passed by the urethra till half of it pro-jects through the wound. This latter half is then bent upoutside the scrotum and penis and both ends are held by anassistant. A loop is thus formed by the bougie, which holdsthe upper end of the wound steady—more than can besaid of Wheelhouses staff, which is constantly slipping, thebeak being too small to grasp the tissues boldly. T. have had filiform guides made to screw on to the probe- OPERATIVE TREATMENT OF STRICTURE 61 director (Fig. 25). The fine flexible guide is first introducedthrough the stricture, the director is screwed on and passedafter it, the guide curling up in the bladder. It will frequentlybe found that a fine flexible guide traverses a tight stricturemore readily than a probe. Symes operation consisted in introducing a fine groovedstaff (Fig. 26) through the stricture and cutting down on thisfrom the perineum, the stricture being thus divided. Thesubsequent proceedings were the same as those already indi-. Fig. 25.
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