. Modern surgery, general and operative. vesicles, we can, without making cultures^afl&rm that he is well (Keyes, Ibid.). Keyes also maintains that a man with a pearly morning drop who passesa urine containing pus-shreds, but who has no free pus in expressed secretions,is probably free from gonorrhea. Treatment of Chronic Gonorrhea and of Chronic Urethritis FollowingGonorrhea.—The first thing to do is to determine the cause of the prolonga-tion of the discharge. Valentines list of causes should be borne in mind 1504 Diseases and Injuries of the Genito-urinary Organs (Med. Record, June 29, 1901
. Modern surgery, general and operative. vesicles, we can, without making cultures^afl&rm that he is well (Keyes, Ibid.). Keyes also maintains that a man with a pearly morning drop who passesa urine containing pus-shreds, but who has no free pus in expressed secretions,is probably free from gonorrhea. Treatment of Chronic Gonorrhea and of Chronic Urethritis FollowingGonorrhea.—The first thing to do is to determine the cause of the prolonga-tion of the discharge. Valentines list of causes should be borne in mind 1504 Diseases and Injuries of the Genito-urinary Organs (Med. Record, June 29, 1901). They are as follows: (i) Lack of treatment;(2) misdirected treatment; (,^) insuflicient treatment; (4) overtreatment; (5)infraction of dietetic or hygienic regulations; (6) constitutional disturbances;(7) congenital or acquired deformities and complications; (8) involvementof the urethral adnexa; (9) marital reinfection. In a case in which a dischargepersists or recurs the symptoms and general condition must be closely studied,. Fig. 983.—Bougie-a-boule. the discharge must be examined microscopically, the condition of the urinemust be determined, and the urethra must be explored. Exploration of the urethra is inaugurated by inspection and external pal-pation. Palpation detects induration, peri-urethritis, follicular abscess orinflammation, Cowperitis, etc. The prostate and seminal vesicles are ex-amined by a finger in the rectum. The interior of the urethra is explored
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