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.

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    rence of the swelled testicle, which extended to that of the opposite side, and he subsequently died. I am ut- terly at a loss to conceive how this gentleman’s death can be, in any manner, attributed to the immediate method of treatment. The next case is that related by Mr. Curling ; and here, cause and effect followed one another so closely that, it must be admitted, the operation accelerated the man’s death. The patient was, however, in a most unfavour- able condition for any operation; 70 years of age, with several strictures, several false passages, dilated ureters, and a thickened bladder with a mucous membrane, as shown at the post-mortem, nearly black from diffuse sub-mucous extravasation, and the mucous membrane of the urethra stripped off by ulceration from the mem- braneous portion to the neck of the bladder. It is, however, remarkable that that portion of the urethra that corresponded to the worst stricture, viz., 3 inches from the orifice, and which a priori we should infer, was subjected to the greatest violence, was of a red colour, but unbroJcen. I am quite sure there must have been some extraordinary difficulty in this case, or Mr. Curling would have followed the directions I especially enforce, and have passed a catheter directly after the operation, and have thus ascertained that the urethra was free. I do not know what sized tube was used, but