Practical observations on venereal complaints / by F. Swediaur, M.D.

  • Swediaur, F. (Franz), 1748-1824.
Date:
MDCCLXXXVIII [1788]
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations on venereal complaints / by F. Swediaur, M.D. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    O N i t E E 'T S. ?7 &n ulceration of the urethra, wetnuft,,befides topical rem, have reeourfe to thofe appropriated to the cure oi the lues i In this cafe, it is hnpoffibleto cure the gleet till we have firit pu- rified the mafs. After this is Jons, or while it is yet do: Tiaye found a Solution of fublimate and litharge in vinegar, dili \vith a fufficient quantity of water, and injeued two or three times a-day, a moil excellent remedy. .With regard to injeaions in general, I (Wmake two material ,eofervations, the neglectof which may fometitues oV.cafion our being difappointed in a cure, even though the befl. remedies are ufed. ;> The fyringe made ufe of for this purpofe iKou'ld have moit .but wide pipe, juft fo large that its orif.ee may go into the orifice of the urethra, and the pifion ought to to apply clofe to thefides of the tube. If the whole pipe of the fyringe be much fmaihx than the orifice of the urethra, it is attended with two con; able difadvantages : the ffrft is, that with a fmall pipe, efpeci* ally if not perfectly frnooih, trie patient eafJy wounds the ini « of the urethra, thereby rendering himfelf liable to an ulceration of the part, and confequent abforption of the poifon. The fe- cond is, that the liquid injected, iniiead of going, into th« cavity 'of the urethra* will, in proportion as the patient preflfes thecif- ton, run qutudeways through the orifice of the urethra, li the 'pifton itfelf does not apply clofely to the fides of the fyringe, even if the pipe is fufficiently large, fo that it perfectly clofe* the orifice of the urethra, theliquor will ft ill regurgitate bet\ the pifton and fyringe, in/lead of.going into the urethra; and thusthe patient may imagine that he has injected the liquor pro- perly, when perhaps very little has entered. But though the fy- ringe be property made, and at the fame lime the moft careful in-* ftrudions be given, the patient does very often perform she ope- ration in fuch an aukwafd manner, that no good effect fellows.. A fyringe properly made, (hould.be applied clofely and eXa&K* to the orifice of the urethra ; fo that, by the conic form of its pipe, all paflTige may be denied to the liquid-betwixt it and the fides of the urethra. If the diforder lies in the uiual original feai of gonorrhoeas, viz. juft under the fiamum, the patient mould, with one hand, comprefs the urethra ar the firA curvature of tins penis, where the fcrotum begins, while he holds and manages the fyringe with tho fingers of the other. The pifion, w I ihould always fit clofe, but Hide eaiily, Ought then to be pi foftly and flowly, till he feels the urethra gently dilated, and thus keep the liquid injeded for a minute or two in the uretln;, Repeating the fame operation three or four times. By a rafh c long continued preffure of the pifton, the irritation produce I thereby in the urethra often does more harm than the injection can do good. By attending to thefe dfreftioirc, a double advantage is ob- U