TY - JOUR AU - Huddy, G P B AB - 458 THE BRITISH JOURNAL OF SURGERY SOME CONSIDERATIONS OF THE OPERATION OF INTERNAL URETHROTOMY AND TEE END-RESULTS THEREOF. BY G. P. R. HFDDY, LONDON. THE 109 cases of internal urethrotomy performed at the London Hospital during the years 1921 to 1921 inclusive have been reviewed. These operations were pcrformed on 107 patients, for in two cases the stricture recurred and a second operation was performed. Introduction.-During the early years of the nineteenth century there were thrce methods in use for the treatment of impermeable strictures : the forcing of the stricture by a conical sound ; repeated application of caustic ; and perineal division of the stricture. It was during this period that a new principle of treatment was evolved. It was suggested by Howship, and later by \lcGhie,l that the stricture might be perforated by a sharp-cutting instru- ment passed through a cannula. The best known instrument of this type was that introduced in 1827 by R. A. Stafford,2 surgeon to the Mary-le-Bone Infirmary, who used a lancetted stilette, contained within a silver catheter. His description of the operation runs : “The armed catheter is then passed down till the point rests against the stricture, and being held TI - Some considerations of the operation of internal urethrotomy and the end-results thereof JO - British Journal of Surgery DO - 10.1002/bjs.1800135106 DA - 1926-01-01 UR - https://www.deepdyve.com/lp/oxford-university-press/some-considerations-of-the-operation-of-internal-urethrotomy-and-the-y1R7BFvGnR SP - 458 EP - 465 VL - 13 IS - 51 DP - DeepDyve ER -