Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

INTERESTING CASES OF PERINEAL SECTION, WITH REMARKS.

INTERESTING CASES OF PERINEAL SECTION, WITH REMARKS. Case 50: Deep Stricture of Large Caliber with Irritable Bladder. —A medical man, 36 years of age, consulted me regarding an intractable gleet, with chronic cystitis and a small perineal fistula. I found the bladder in fairly good condition, the so-called chronic cystitis being a chronic follicular prostatitis (so-called posterior urethritis) from old gonorrheal infection. The urethra would admit a 28 French sound, but there was marked deep spasm. With a 15 bulb (bulb exploratrice of Guyon) a distinct large calibered linear stricture was found at the bulbo-membranous junction. The condition of this case and the indications seemed perfectly plain. Infection from the imperfectly drained canal behind the stricture, explained the chronicity of the prostatic trouble, and the occurrence of a small peri-urethral abscess which had undoubtedly preceded the fistula. The reflex irritation produced by the stricture was sufficient to account for the spasmodic contraction of the true sphincter vesicæ http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

INTERESTING CASES OF PERINEAL SECTION, WITH REMARKS.

JAMA , Volume XXVI (12) – Mar 21, 1896

Loading next page...
 
/lp/american-medical-association/interesting-cases-of-perineal-section-with-remarks-ydLaS3MmCh
Publisher
American Medical Association
Copyright
Copyright © 1896 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1896.02430640030001j
Publisher site
See Article on Publisher Site

Abstract

Case 50: Deep Stricture of Large Caliber with Irritable Bladder. —A medical man, 36 years of age, consulted me regarding an intractable gleet, with chronic cystitis and a small perineal fistula. I found the bladder in fairly good condition, the so-called chronic cystitis being a chronic follicular prostatitis (so-called posterior urethritis) from old gonorrheal infection. The urethra would admit a 28 French sound, but there was marked deep spasm. With a 15 bulb (bulb exploratrice of Guyon) a distinct large calibered linear stricture was found at the bulbo-membranous junction. The condition of this case and the indications seemed perfectly plain. Infection from the imperfectly drained canal behind the stricture, explained the chronicity of the prostatic trouble, and the occurrence of a small peri-urethral abscess which had undoubtedly preceded the fistula. The reflex irritation produced by the stricture was sufficient to account for the spasmodic contraction of the true sphincter vesicæ

Journal

JAMAAmerican Medical Association

Published: Mar 21, 1896

There are no references for this article.