On strictures of the urethra : results of operation with the dilating urethrotome, with cases / by F.N. Otis.

  • Otis, Fessenden N. (Fessenden Nott), 1825-1900.
Date:
1873
Catalogue details

Licence: Public Domain Mark

Credit: On strictures of the urethra : results of operation with the dilating urethrotome, with cases / by F.N. Otis. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    tlioiigli thin and scanty ; no obstrnction to passage of 30 bulb through site of anterior stricture, but is arrested at ^ inches. The dilating urethrotome was then introduced, and the three posterior bands previously described were dilated^and cut above and below; after which operation 30 bulb passed with- out hinderance through all. Patient direeted to use 30 sound, until no bleeding ensues. After this time I lost sight of this case, until January 30, 1873, a j)eriod of ten months, when, accidentally meeting him, I requested an opportunity of ascertaining the results of the operations. He stated that the discharge continued for about six weeks after the last operation, and that he had had none since, although he had drunken very largely of beer, which had, previously to the operations, always brought back the discharge. . Examination with bulbous sound 30 F. failed to detect the slightest trace of a stricture in the course of his urethra. Ho. 31 was also passed and withdrawn without detecting any unevenness in the urethral walls at any point. In connection with the three cases above cited, it seems proper for me to state that, with the consent of the gentlemen operated on, I invited several prominent surgeons of the city of Hew York to meet them at my office on the 20th day of December last, for the purpose of critical personal examina- tion of the results of operations with the dilating urethro- tome, Dr. Henry B. Sands and Dr. Robert E. Weir made the examination in the first case, that of Mr. A., with Ho. 30 F. bulbous sound; in that of Mr. S., the second case, with Ho. 28, and completely confirmed my impressions as to the entire absence of any abnormal condition in the urethra in both cases. Again, on the first of the present month, Fehru- aiy, 1873, the three cases above related, together with that of Mr. W. (operated on in May last for two strictures, one at one-third of an inch from meatus, and one at an inch and a half)—^making in all four cases (comprising originally eigh- teen bands of strieture) were critically examined at my office on the first of the present month (February, 1873), by Drs. J. W. S. Gouley, Thos. T. Sabine, and Fred. D, Sturgis, of Hew York, and Dr. F. D. Lente, of Cold Spring, Hew York. . The examination of Mr, S. (previously examined by Drs.