A probationary essay on injuries of the male urethra / submitted, by authority of the President and his Council, to the examination of the Royal College of Surgeons of Edinburgh, when candidate for admission into their body, in conformity to their regulations respecting the admission of ordinary Fellows / by Benjamin Bell.

  • Bell, Benjamin, 1810-1883.
Date:
1835
Catalogue details

Licence: Public Domain Mark

Credit: A probationary essay on injuries of the male urethra / submitted, by authority of the President and his Council, to the examination of the Royal College of Surgeons of Edinburgh, when candidate for admission into their body, in conformity to their regulations respecting the admission of ordinary Fellows / by Benjamin Bell. 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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    with in actual practice.* This operation is free, also, from those distressing- effects which a commu- nication between the bladder and rectum has occa- sionally produced ; and Sir Astley Cooper deci- dedly condemns the latter mode of procedure, because he has seen a great number of instances in which the rectum has been brought into a state of severe disease in consequence of this operation.t In addition to this, Mr Abernethy is of opinion, from repeated experience, “ that in some distended bladders there is a kind of recession of them from the perinseum, and that where they become dis- tended they ascend proportionally higher into the abdomen.” The same observation is repeated by the Baron Boyer, and also brought forward as an occasional obstacle to the safe performance of punc- ture by the rectum.t On the other hand, the operation above the pubes is inadmissible in cases where, from various causes, the bladder does not ascend as usual, when distended, into the hypo- gastric region. I already alluded to an operation much recom- mended by many of our leading authorities, in obstinate retention of urine from permanent stric- ture. When we have reason to expect a long and uncertain process of cure under the use of ordinary * Abernethy, Surgical Observations. Sharp, Critical Inquiry,.p. 127. f Lect. XLV. p, 372. X Traitc dcs Maladies Chirurgicales, t. ix. p. 160.