Opinions and statistics on the immediate treatment of stricture of the urethra, by the employment of the 'stricture dilator' / by Barnard Holt.

  • Holt, Barnard Wight, 1816-1890.
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: Opinions and statistics on the immediate treatment of stricture of the urethra, by the employment of the 'stricture dilator' / by Barnard Holt. 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.

    42/56 (page 42)
    The two following cases have been kindly forwarded to me by J. Fayrer, M.I)., F.B.C.S., Professor of Surgery, Medical College, Calcutta, and First Surgeon of the Medical College Hospital, Surgeon Bengal Army Case I.—J. C., aged 27, an Englishman, admitted into the Medical College Hospital, at Calcutta, Sept. 2nd, 1864. Contracted gonorrhoea two years ago, followed by a gleet, which continued without intermission up to seven months prior to admission. He then began to notice symptoms of stricture, the stream of urine becoming gradually smaller. On admission, he was in great dis- tress and passed his water only in drops, and with great straining. Instruments up to Hos. 6 and 8—beginning with the smallest—were introduced. Sometimes the irritability was so great that no instrument would pass, and the passage of the larger sizes was always attended by great hemorrhage, and that broken-down condition so peculiar to the constitutional disturbance following the passage of instruments in some men. He did not have fever, but great pain in the loins, wrists and elbows (acute rheumatism?), and swellings of the fingers. The dilatation of the stricture proceeded very slowly, and its perineal section was proposed. On the 80th of Septem- ber, however, I determined to try the effect of Holt’s dilator. A full sized instrument was passed into the bladder. It gave little pain, caused no bleeding, and was followed by no greater amount of fever than had re- sulted from the use of other instruments. The stricture remained dilated, and readily admitted the daily passage